UAS Literary & Arts Journal

Proof copy provided by Tidal Echoes.The 2015 edition of Tidal Echoes presents an annual showcase of writers and artists who share one thing in common: a life surrounded by the rainforests and waterways of Southeast Alaska.Dedication -- Editor’s Note -- Mid-Air -- Acknowledgements -- Salmon (Gohan Desu Yo/It’s Dinner Time) -- Xwaayeenák Richard Dauenhauer -- Loon -- Burney Falls -- Richard Dauenhauer -- Egg Carton Fox -- August Afternoon at Helle’s Pool, Vancouver, Washington -- Oak Run -- Buddy Tabor teaches me to filet a halibut -- Icelander -- Home -- Season’s End -- Young Me, Old Me -- The Window Seat -- Wind -- UAS Student Back Study -- Paintbrush Conversations -- Grey River Soulshine -- Across the Universe -- Aurora-Skaters’ Cabin 1 -- Whiskey and Autumn -- Leaf Wolf -- Spring Cleaning the Perennials -- Ode to a Rose -- Final Point -- After Spring Recital -- Olympic Ceiling -- Rodda-Hard going (too little snow) -- Birch Bark Calligraphy No. 2 -- Fishtailing -- Working the Corks -- Modern Alaskan Storyteller: An Interview with Ishmael Hope -- Bailer at the Back of the Boat (Excerpt) -- Close Up -- Bothering the Dauenhauers -- In Memory of Andrew Hope III -- Wolf Brimhat -- I Am From -- Crossing -- Revelations and Realizations -- The Shrinking Girl -- Untitled (Andi in Niki’s Room) -- Afternoon Reading, Rainy Room -- My Grandmother’s House in Metlakatla -- Deacon Charles Rohrbacher, Icon of St. Nicholas -- Honoring Tibet -- Fumi Matsumoto: Finding Art in Culture -- Pathway of Thorns -- Minidoka Interlude -- Mountain Dew Parrots -- Watch Out for Falling Objects -- Loose Change -- An Unkind Demise -- A Place That Holds Names -- Immortality (skull side) -- Opening Again the Box of Wisdom -- Iff’n I Go -- Colorless Blues -- The Heartsdance -- King of Dreams -- Hungering -- Colonialism -- Inside Out -- Rachel Day -- Lying Here -- Note to Wife -- Death -- Round the Clock -- Untitled (trap) -- Seeds of Racism -- Auschwitz Remembrance -- Moab 1 -- Pearl of the Orient -- Moab 3 -- Scars -- Transporting -- In Eliason Harbor -- Poet Passes: Leaves Words Behind -- Tough Guy -- Wolf Helmet -- Biographie

The relationship between posttraumatic stress and posttraumatic growth among adolescent and young adult (AYA) cancer patients

ObjectiveTheories of posttraumatic growth suggest that some degree of distress is necessary to stimulate growth; yet, investigations of the relationship between stress and growth following trauma are mixed. This study aims to understand the relationship between posttraumatic stress symptoms and posttraumatic growth in adolescent and young adult (AYA) cancer patients.Method165 AYA patients aged 14–39 years at diagnosis completed standardized measures of posttraumatic stress and posttraumatic growth at 12 months following diagnosis. Locally weighted scatterplot smoothing and regression were used to examine linear and curvilinear relationships between posttraumatic stress and posttraumatic growth.ResultsNo significant relationships between overall posttraumatic stress severity and posttraumatic growth were observed at 12‐month follow‐up. However, curvilinear relationships between re‐experiencing (a posttraumatic stress symptom) and two of five posttraumatic growth indicators (New Possibilities, Personal Strengths) were observed.ConclusionFindings suggest that re‐experiencing is associated with some aspects of posttraumatic growth but not others. Although re‐experiencing is considered a symptom of posttraumatic stress disorder, it also may represent a cognitive process necessary to achieve personal growth for AYAs. Findings call into question the supposed psychopathological nature of re‐experiencing and suggest that re‐experiencing, as a cognitive process, may be psychologically adaptive. Opportunities to engage family, friends, cancer survivors, or health care professionals in frank discussions about fears, worries, or concerns may help AYAs re‐experience cancer in a way that enhances their understanding of what happened to them and contributes to positive adaptation to life after cancer. Copyright © 2014 John Wiley & Sons, Ltd.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/110582/1/pon3585.pd

Borderline Personality Disorder Symptoms in College Students: The Complex Interplay between Alexithymia, Emotional Dysregulation and Rumination.

Both Emotional Cascade Theory and Linehan's Biosocial Theory suggest dysregulated behaviors associated with Borderline Personality Disorder (BPD) emerge, in part, because of cycles of rumination, poor emotional recognition and poor emotion regulation. In this study we examined relationships between rumination, alexithymia, and emotion regulation in predicting dysregulated behaviors associated with BPD (e.g. self-harm, substance use, aggression), and explored both indirect and moderating effects among these variables. The sample comprised 2261 college students who completed self-report measures of the aforementioned constructs. BPD symptoms, stress, family psychological illness, and alexithymia exerted direct effects on behaviors. Symptoms had an indirect effect on behaviors through rumination, alexithymia and emotional dysregulation. In addition, the relationship between symptoms and dysregulated behaviors was conditional on level of rumination and alexithymia. Implications for early identification and treatment of BPD and related behaviors in college settings are discussed

UAS Literary & Arts Journal

Tidal Echoes presents an annual showcase of writers and artists who share one thing in common: a life surrounded by the rainforests and waterways of Southeast Alaska.Dedication -- Editor's Note -- Acknowledgements -- Dear Toi -- Light like coal -- Dream Seed -- Sleepy Monk -- Hymn -- December Like a Photograph -- A Change of Horizons -- Name Please -- Breathe Deep the Leaves of Autumn -- My Father who Art in Heaven -- Does Blue Milk Really Come From Blue Cows -- In the Winter Kitchen -- Trappers' Tailings -- Eulachon on the Chilkoot -- Tulips -- Miracle -- A Message for Those Who Hate -- The Fifth Meaning: An Interview with Christy NaMee Eriksen -- AMERICAN DREAMS -- HOW A ZOMBIE MAKES A PROMISE -- BENT -- THE MOST BEAUTIFUL WOMEN IN THE WORLD -- Walking Around: Translation -- When it's Sunny in Southeast Alaska -- Autumn Binge -- A New Creation Story -- North to Kluane -- An Offering -- Rustic Encounters: An Interview with Rachael Juzeler -- Below the River's Wings -- Objects In Mirror Are Larger Than They Appear -- m -- Gone Friend Leaving -- All I Could Salvage for You -- echo -- New Neighbors -- The Whiskey Woman -- Getting God's Attention -- Shaking Hands with Beethoven -- When You Say Goodbye, Go -- Auschwitz Greening -- All the Ways that I Have Died -- Backward Progression -- Halleluiah Fire at the Wrangell Institute -- Receiving Your Name at Glacier Bay -- Traditions -- Gold Field Dreaming -- Clay Bodies -- The Chemist -- Passing Spades Playing Hearts -- Rewinding Futures -- Untitled -- Mountain 4 -- Gargirl -- Tartarus -- ballerina 1 -- robot 1 -- A Dance for a Quiet Place -- Lost in Thought -- Swiss Army Rhino -- Davy Jones' Locker -- Queen Anne's Revenge Naval Chronometer -- Mother's Ink -- Fish Mongers -- Double Shift -- Hidden Work series {recycled life drawings} -- Friend Fencepost -- Juneau Past & Present Wrenches -- Wrenches -- Axe no. 1 {red line} -- Ball Peen Hammer no. 1 {Chiton frame} -- Bones -- Shovel Chartreuse Detail -- Chisel no. 2 {Chiton frame} -- Pieces of My House no. 1 -- Fish On -- Rainforest Night -- Aurora Over Douglas Harbor -- Challenger -- Splitboarders -- DeHart's -- cow skull -- Stilled Life -- Life 'n' Death -- Writer and Artist Biographie

Inclusion of a core patient-reported outcomes battery in adolescent and young adult cancer clinical trials.

Disparities in care, treatment-related toxicity and health-related quality of life (HRQoL) for adolescents and young adults (AYAs, aged 15-39 years) with cancer are under-addressed partly because of limited collection of patient-reported outcomes (PROs) in cancer clinical trials (CCTs). The AYA years include key developmental milestones distinct from younger and older patients, and cancer interrupts attainment of critical life goals. Lack of consensus on a standardized approach to assess HRQoL and treatment-related toxicity in AYA CCTs has limited the ability to improve patient outcomes. The National Cancer Institutes Clinical Trials Network AYA PRO Task Force was assembled to reach consensus on a core set of PROs and foster its integration into AYA CCTs. Eight key considerations for selecting the core PRO AYA battery components were identified: relevance to AYAs; importance of constructs across the age continuum; prioritization of validated measures; availability of measures without licensing fees; availability in multiple languages; applicability to different cancer types and treatments; ability to measure different HRQoL domains and toxicities; and minimized burden on patients and sites. The Task Force used a modified Delphi approach to identify key components of the PRO battery. The Patient-Reported Outcomes Measurement Information System (PROMIS) and the PRO Common Terminology Criteria for Adverse Events Measurement System met all criteria and were selected to assess HRQoL and treatment toxicity, respectively. Investigators are rapidly incorporating the recommendations of the Task Force into AYA trials. Inclusion of a standardized assessment of HRQoL and treatment toxicities in AYA CCTs is a vital first step to develop interventions to improve health outcomes for AYAs diagnosed with cancer

Inclusion of a core patient-reported outcomes battery in adolescent and young adult cancer clinical trials

Disparities in care, treatment-related toxicity and health-related quality of life (HRQoL) for adolescents and young adults (AYAs, aged 15-39 years) with cancer are under-addressed partly because of limited collection of patient-reported outcomes (PROs) in cancer clinical trials (CCTs). The AYA years include key developmental milestones distinct from younger and older patients, and cancer interrupts attainment of critical life goals. Lack of consensus on a standardized approach to assess HRQoL and treatment-related toxicity in AYA CCTs has limited the ability to improve patient outcomes. The National Cancer Institute\u27s Clinical Trials Network AYA PRO Task Force was assembled to reach consensus on a core set of PROs and foster its integration into AYA CCTs. Eight key considerations for selecting the core PRO AYA battery components were identified: relevance to AYAs; importance of constructs across the age continuum; prioritization of validated measures; availability of measures without licensing fees; availability in multiple languages; applicability to different cancer types and treatments; ability to measure different HRQoL domains and toxicities; and minimized burden on patients and sites. The Task Force used a modified Delphi approach to identify key components of the PRO battery. The Patient-Reported Outcomes Measurement Information System (PROMIS) and the PRO Common Terminology Criteria for Adverse Events Measurement System met all criteria and were selected to assess HRQoL and treatment toxicity, respectively. Investigators are rapidly incorporating the recommendations of the Task Force into AYA trials. Inclusion of a standardized assessment of HRQoL and treatment toxicities in AYA CCTs is a vital first step to develop interventions to improve health outcomes for AYAs diagnosed with cancer

Religiousness and Social Support: A Study in Secular Norway

Previous research has shown that religiousness is related to social support, but most studies on this subject have been conducted in highly religious contexts. In the secular culture of Norway, we investigated the level of perceived social support among religious and non-religious individuals using the scale from the Medical Outcomes Study Social Support Survey. Of the 3,000 randomly selected persons aged 18–75 years, 653 (22 %) participated in this cross-sectional postal questionnaire study in 2009. The results showed that the association between religiousness and social support differed by age, and was moderated by gender and by one’s view of life enrichment. Among older adults (60–75 years), non-religious people reported higher levels on all five dimensions of social support compared to religious people, and for affectionate support, positive social interaction and tangible support this relationship depended on high view of life enrichment. In contrast, no differences in social support were seen among middle aged adults (40–59 years). Gender differences in social support were found in the younger adults (18–39 years), as religious men reported more tangible and emotional support compared to non-religious men, while the opposite was found for women. Results are discussed based on previous empirical findings on religiousness and social support, as well as the role of religiousness in society