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PubMed2004

Determining the efficacy of resiliency training in the work site.

Resilience and resiliency training, an approach that encompasses the complementary and alternative medicine movement, seems to be an important concept and philosophy that can be embraced by allied health professionals. The purpose of this study was to determine the efficacy of a worksite resiliency training program (personal resilience and resilient relationships [PRRR]) by evaluating its impact on innate resilience/reintegration, selected resilient qualities (self-esteem, locus of control, purpose in life, and interpersonal relations), and job satisfaction. The experimental group received the PRRR training, and the control group did not receive any training. The PRRR training comprised five 8-hour training modules. The study was implemented at a large government organization's facility in Northern Utah. A total of 232 participants were assigned randomly by work unit into the PRRR training group (n = 123) and the control group (n = 109); 150 participants (73 in the experimental and 77 in the control group) were present at all three data collections and were eligible for analysis. Significant and positive change occurred in the experimental group, based on combined survey data, with regard to five of the six variables, with job satisfaction being the only variable not showing positive change in this group. The control group saw no positive effects. The results of the study support the efficacy of the PRRR training as implemented in the work site.

Adaptation, Psychological↗
PubMed1987

Theory-based intervention: a case study using Sullivan's interpersonal theory of psychiatry.

The essence of the schizophrenic dynamism is a confusion in the interpersonal relations by the appearance in awareness of referential processes ordinarily excluded from awareness (Sullivan, 1956; 361). Its etiology can be traced to a pathological symbiotic relationship with the mothering one in which there is an overwhelming degree of anxiety transmitted to the infant. A consistent, frequent, nonthreatening and non-demanding approach is the basis for all nursing interventions. The emphasis of treatment is on identifying and strengthening the patient's assets and raising self-esteem. Interventions are directed toward the patient's resocialization and reality-testing. Staff effort is required to create a milieu in which it is desirable and possible for patients to learn autonomy. Patients should be encouraged to look at their feelings in the light of their past experiences, but with a recognition that the past is over and beyond their control. What happens in the future depends on their efforts now. Finally, nurse-therapists need to be secure, thoughtful, and empathic in treating schizophrenic patients. The challenge for staff is to be absolutely consistent and communicate acceptance and positive regard whatever the patients' behavior.

Adult↗
PubMed2005

The Brief Impairment Scale (BIS): a multidimensional scale of functional impairment for children and adolescents.

OBJECTIVE: This article provides the results of the psychometric testing of the Brief Impairment Scale (BIS). The BIS is a 23-item instrument that evaluates three domains of functioning: interpersonal relations, school/work functioning, and self-care/self-fulfillment. It capitalizes on the strengths of existing global measures while addressing some of their limitations. METHOD: Cross-sectional parent respondent data from one clinical (N = 757) and two community samples (N = 1,888 and 1,132) of children ranging in age from 4 to 17 years is employed to test the reliability and validity of the BIS. Receiver operating characteristic analyses are employed to assess useful cutoff scores on the scale. RESULTS: The total scale's internal consistency ranged from 0.81 to 0.88 and from 0.56 to 0.81 on the three subscales. Test-retest reliability for individual items ranged from fair to substantial in all but six items. The BIS has high convergent and concurrent validity. Receiver operator characteristic analyses suggest possible thresholds for different uses. CONCLUSIONS: The BIS is psychometrically sound, useful in assessments and as an outcome measure in clinical practice and research. Its advantages over other global impairment instruments are that it is respondent based, short in administration time, and multidimensional.

Adolescent↗
PubMed2002

Psychopathological status and interpersonal functioning following weight loss in morbidly obese patients undergoing bariatric surgery.

BACKGROUND: We questioned whether differences in psychopathological status and interpersonal relations exist in a group of morbidly obese patients 18 months after bariatric surgery, as related to extent of weight loss. METHODS: The study group consisted of 100 morbidly obese patients (85 female, 15 male) who had undergone surgical treatment (vertical banded gastroplasty) for weight reduction. Each patient completed the Lancashire Quality of Life Profile European version, the Eating Disorder Inventory, the Symptom Check List-90-Revised, and the Millon Clinical Multiaxial Inventory-II. The sample was divided into 2 groups according to the percentage of excess weight loss 18 months after surgery: a greater weight loss group (weight loss > 30%) and a lesser weight loss group (weight loss < 30%). RESULTS: Significant differences were found between the 2 groups in percentage of weight loss (P < 0.0001), negative self-esteem (P < 0.001), drive for thinness (P < 0.001), body dissatisfaction (P < 0.001), global EDI (P < 0.002), anxiety (P < 0.003), GSI (P < 0.002), avoidant (P < 0.001), borderline (P < 0.0001), and passive-aggressive (P < 0.002). CONCLUSION: Greater weight loss strongly correlates with improved quality of life, less disturbed eating behavior, and lower psychopathology. These results justify the clinical use of surgical procedures and demonstrate that weight loss has powerful psychological and psychosocial implications.

Adult↗
PubMed2006

The eating disturbed spectrum in relation with coping and interpersonal functioning.

UNLABELLED: Although much has been written with regards to the interpersonal functioning of eating-disordered women, research in the domain of eating disorders (ED) has still overlooked the complex relationships between stressful life events, coping styles, social and marital support while considering the ED spectrum. OBJECTIVE: This study evaluates to what extent stressful life events, coping styles, and social support represent useful concepts for differentiating between four groups of participants with varying severity of eating preoccupations and disturbances. METHOD: One hundred twenty-five participants were divided into four groups: 40 women suffering from ED, 21 women in remission from an ED, 33 women with intense weight and shape preoccupations, and 31 women without eating preoccupations. Each participant completed the Eating Disorder Evaluation, as well as questionnaires concerning stressful life events, coping styles, social support, and couple satisfaction. RESULTS: There were significant differences between the groups in terms of negative impact of stressful events, social support, as well as task-oriented and emotion-oriented coping styles. Significant differences were not found between the groups for couple satisfaction. CONCLUSION: It appears that accurate cognitive appraisal of stressful situations, adaptive coping styles and improvement of the social network represent interesting dimensions to include in prevention and treatment programs for ED. Moreover, for women in remission from an ED, an effective relapse prevention strategy could be to learn to make better use of their social network.

Adaptation, Psychological↗
PubMed1996

Individual differences in intuitive-experiential and analytical-rational thinking styles.

Two studies provide evidence for the reliability and validity of a new self-report measure of individual differences in intuitive-experiential and analytical-rational thinking based on cognitive-experiential self-theory (CEST). The Rational-Experiential Inventory (REI) was constructed to measure the 2 independent processing modes with a modified Need for Cognition Scale (NFC, J.T. Cacioppo & R.E. Petty, 1982) and a new scale, Faith in Intuition (FI). In Study 1, a factor analysis yielded 2 orthogonal factors corresponding to NFC and FI. Although heuristic processing was determined primarily by FI, NFC also contributed to heuristic responding, in line with CEST. The relation of FI and NFC to coping ability also was examined. In Study 2, the factor structure of the REI was replicated (N = 973). NFC and FI were differentially related to measures of personality, adjustment, achievement, and interpersonal relations.

Cognition↗
PubMed2004

The relational unconscious: a core element of intersubjectivity, thirdness, and clinical process.

The relational unconscious is the fundamental structuring property of each interpersonal relation; it permits, as well as constrains, modes of engagement specific to that dyad and influences individual subjective experience within the dyad. Three usages of the concept of thirdness are delineated and contrasted with the concept of the relational unconscious, which, it is suggested, has the advantage of being both consistent with existing views of unconscious processes and more directly applicable to therapeutic concerns. Enactments and intersubjective resistances are viewed as clinical manifestations of the relational unconscious, and the therapeutic action of psychoanalysis results, in part, from altering the structure of the relational unconscious that binds analysand and analyst.

Humans↗
PubMed2003

Happy affect and smiling: is their relation moderated by interpersonal power?

Three studies examined the hypothesis that the relation between self-rated happy affect and overall smiling during dyadic interactions is moderated by one's relative power. In all 3 studies, interpersonal power was experimentally manipulated, and smiling and self-reported happy affect were measured during and after the interaction, respectively. Happy affect was positively correlated with overall smiling for both low-power and high-power participants. Moreover, the correlations for both low- and high-power participants were comparable to those found when power roles were not unequal or made salient, based on analysis of the present studies as well as comparison with the previously published literature. Happy affect and overall smiling had a positive relation that was not moderated by interpersonal power.

Adult↗
PubMed1999

Shyness and sociotropy: additive and interactive relations in predicting interpersonal concerns.

Sociotropy (an aspect of interpersonal dependence) and sociability (affiliative need) were examined as moderator variables of the relationship between shyness and interpersonal concerns in two studies. In Study 1, sociotropy, but not sociability, predicted unique variance in three indices of interpersonal concerns through both direct and interactive relations with shyness. An initial analysis in Study 2 showed that sociotropy, but not sociability, was predictive of participants' perceived competence in situations that involved initiation of conversations and assertion. In the second part of Study 2, sociotropy accounted for significant increments in variance when predicting cognitive and affective manifestations of distress related to simulated conversation and assertion situations, while sociability did not. Study 2 results suggest that sociotropy operates primarily in an additive manner with shyness in predicting interpersonal concerns, rather than moderating the relation between shyness and interpersonal concerns. Differences in the results of the two studies and implications for future research are discussed.

Adolescent↗
PubMedDate not supplied

Using Peplau's theory in nurse-patient relations.

In caring for a person suffering from depression, Peplau's theory of "Interpersonal Relations" was found to be both effective and representative of what psychiatric nurses do. Peplau's work, initially published in 1952, continues to make a major contribution to nursing knowledge and deserves the significance that it is being given in the 1990s. Below, a report on the learning experience for both the patient and the carer.

Depressive Disorder↗
PubMed1983

Eye contact: the core of interpersonal relatedness.

This essay will attempt to show, citing evidence from diverse sources, that eye contact plays a central role in interpersonal relations. The eyes preface most new relationships, overshadowing other sensory inputs while transmitting a wide assortment of emotional cues. Visual behavior may at times prove decisive in assuring survival, in amorous encounters, and in clarifying interpersonal motives. Ocular performance, a final common pathway for many social, cultural and emotional determinants, is a crucial factor in defining relationships and in allowing reciprocal influences to be exchanged as persons relate. In psychiatric patients, ocular behavior may provide clues to diagnosis. A common finding in such persons is gaze aversion, a social avoidance phenomenon which indicates a desire to attenuate the interpersonal experience and thereby decrease anxiety.

Anxiety↗
PubMed2003

Depression influences the EDI scores in anorexia nervosa patients.

AIM: To study the influence of the severity of depression on the eating disorder's inventory (EDI) scores in anorexia nervosa (AN) patients. METHOD: We compared by variance analysis the EDI scores from three groups of AN patients: 55 patients having a major depression (as assessed by a Beck's depression inventory (BDI) >/= 16); 77 patients having a less severe depression (BDI < 16); 32 patients with mild or non-existent depression (BDI </= 7) and the EDI scores from a control group of 29 French healthy young women. RESULTS: Higher EDI scores were elicited in the more severely depressed AN patients than in the less- or non-depressed AN patients (P < 0.01). In non-depressed AN patients, none of the scores was different from those of the control group. This was particularly true for the scores "Slimness wish", "bulimia", "body image dissatisfaction", "perfectionism" and "fear of maturity". The non-depressed restrictive AN patients had no score which differ from healthy controls. DISCUSSION: The present results suggested that the EDI scores are clearly influenced by the severity of depression. Among the psychopathological and behavioural traits assessed with the EDI, only a few were not related to depressive symptoms: "feeling of inefficiency" and "distrust in interpersonal relations".

Adult↗
PubMed1983

The use of videotape programs to teach interpersonal skills.

Interpersonal skills training evolved rapidly in recent years as teachers began to exploit the distinct advantages of "live" and simulated presentations in videotapes and films as teaching aids. At the same time, psychologists and psychiatrists started to define the basic aspects of interpersonal relations. Many used prepared scripts to produce videotape programs that modeled human interactions. While clinical experience and formal studies clarified some characteristics of effective visual training programs, the impact of dramatic and technical elements in these productions was not fully explored. In the present paper, the authors review the nature of interpersonal skills and the current status of visual aids for teaching human relations and show how videotape productions with characters, a story line, and action sequences can enhance learning. The experience of producing a series of videotapes about prehospital emergency care is used as a paradigm for discussing how theatrical techniques, applied through discrete production steps, can reinforce training goals and appeal to a wide range of students with diverse learning styles.

Clinical Competence↗
PubMed2004

The story behind the story of collaborative networks -- relationships do matter!

This study reports data about the real story behind the current trend of mandated interorganizational collaboration of health and human service agencies. By means of qualitative design (N-22), public health managers were interviewed about the extent and nature of their collaborative efforts in the Healthy Babies, Healthy Children (HBHC) Program in Ontario, Canada. Using a conceptual framework of resource exchange theory, this study found that relational processes specifically: (a) previous relationships with other agencies and (b) interpersonal relations namely: informality, local community, open communication and resolving conflicts were the reasons for successful collaborations. Implications are directed toward: health and social planners, administrators, board members, funding bodies and policy-makers. The study offers new knowledge about a subject which has received minimal attention in the literature.

Community-Institutional Relations↗
PubMed2004

[Applying the model of evaluation of Meleis to Travelbee's theory].

Aiming to carry out a critical and interpretative reflection about Joyce Travelbee's theory of Interpersonal Relation, we used a discursive segment of the model of theory analysis proposed by Meleis. The analysis specifically used the description of the model at the functional components: focus, client, nursing, health, nurse-client interaction, environment, nursing problems and nursing therapeutics. We identified the focus as the interpersonal nature of the relations, with the objective to help the client or the family. The other component had been identified within the theory, except for the term environment. The model of analysis is presented, therefore, as efficient while aiming the evaluation and adequacy of the theory to the scientific work.

Models, Nursing↗
PubMedDate not supplied

[Parental socialization styles and psychosocial development in 16 to 19 year old adolescents].

To study relationships between perceptions that 16 to 19 year old adolescents have about socialization styles and disciplinary methods used by their parents, with their view of the world, interpersonal relations, moral development, use of psychotropic substances and maladjusted behaviours, 241 adolescents--123 males--which belong to a follow up study on growth and development from northern metropolitan Santiago, Chile, were asked to answer a questionary of psychosocial development, previously elaborated by two of the authors (GS and CA). The most used socialization styles by these fathers and mothers were the negative power one (39.2% and 38.5%) and the inductive one (23.8% and 30.0%), while permissive styles occurred at much lower frequency (1.5% and 1.1%). Coincidence among parents in socialization styles was found in 47.7% and disagreement in 19.2% of cases. The inductive style and coincidence in it's use by both parents, were frequently associated to idealistic world views, autonomous and conventional moral development, satisfactory interpersonal relationships and low frequency of psychotropic consumption, and maladjusted behaviours while negative power based styles by both parents and disagreement of styles among them were rather related to realistic or negative world view, preconventional moral development, higher frequency of relational problems, psychotropic consumption and maladjusted behaviours.

Adolescent↗