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Some characteristics of relations among depression, anxiety, and self-efficacy.

Self-efficacy should be regarded as a cognitive precursor or as a component of anxiety and of depression. Data on depression, anxiety, and self-efficacy were available from a study of the relation of self-concept to depression. Scores on the Children's Depression Scale of Lang and Tisher, State-Trait Anxiety Inventory of Spielberger, Test-Anxiety Inventory of Spielberger, Self-efficacy Scales of Schwarzer, and the Three-Person Test of Backes, were analyzed by multivariate methods. Subjects were 200 high school students ages 15 to 17 yr. The factor solution obtained from the factor analysis provides information regarding state-anxiety, test-anxiety, worry, and self-efficacy. Further research is planned for a better understanding of the linkages among self-efficacy, self-concept, depression, and anxiety.

Adolescent↗

A self-presentational view of psychotherapy: reply to Hill, Gelso, and Mohr (2000) and to Arkin and Hermann (2000)

The self-presentational view of psychotherapy challenges current assumptions about the benefits of high levels of clients' openness in therapy (A. E. Kelly, 2000). The author responds to questions about whether clients' discretion really is linked to favorable therapy process ratings and outcomes. She also addresses problems that may emerge if readers apply a narrow definition of self-presentation as a form of deliberate manipulation, rather than the intended definition of consciously or unconsciously showing oneself to be a particular kind of person for audiences. A brief review of the evidence on the role of audience feedback in self-concept change is offered, along with suggestions for explaining self-concept change to clients. The author concludes by clarifying and reasserting her suggestion that it is acceptable for clients to reveal the themes as opposed to details of their problems that seem particularly heinous or humiliating.

Journal Article↗

Men making sense of their chest pain--niggles, doubts and denials.

Participant observation was undertaken of the early admission period of 25 men admitted to hospital with acute chest pain, followed by in-depth interviews of 10 of the men after discharge. Grounded theory methods were used in the analysis to develop a model of how the men came to interpret their experiences. An emerging feature of the men's experiences was that, although they had suffered intense pain prior to admission, there had been a series of delays whilst they tried to rationalize their symptoms. We relate our discussion to literature on men and masculinity and the notion of Foucault (1975) of self-surveillance, to offer an insight into the men's self concept and social situation. Our conclusions suggest that men's self concept as 'healthy' may inhibit a speedy response to the signs and symptoms of acute coronary occlusion, increasing the risk of cardiac arrest without nearby life support.

Chest Pain↗

Living with multiple sclerosis: a Roy adaptation model-based study.

This Roy adaptation model-based study examined how people make sense of the experience of living with multiple sclerosis. Eighteen persons diagnosed with multiple sclerosis participated in three interviews over a period of 1 year. Content analysis of the interview transcripts and the researcher's logs and analytic memos yielded five recurring themes that reflect the Roy model adaptive modes: we're not completely the same (physiological mode), how I view my future (self-concept mode), let me tell you about my feelings (self-concept mode), how I see work (role function mode), and let me tell you about my life (interdependence mode).

Adaptation, Psychological↗

Multiple suicide attempts and informal labeling: an exploratory study.

Attempted suicide is considered to be a form of deviant behavior. Multiple suicide attempts are evaluated within the labeling perspective. Specifically, it is determined if labeling theory can explain acts of repeated suicide attempts as a form of deviance. Two hypotheses are created to test the influence of informal labeling on multiple suicide attempts. Family and friends constitute the categories most important in informal labeling. Labeling by them is measured through a series of behavioral scales. It is hypothesized that the greater the labeling by each of these categories, the greater the likelihood of recurrence of attempted suicide. It is also predicted that the greater the "self concept as suicidal," the greater the likelihood of recurrence. Labeling by family and friends was found to be significantly related to repeat. Conclusions about the relationship between "suicidal self-concept" and repeat were not drawn.

Adult↗

The accuracy of academic self-evaluations in adolescents with learning disabilities.

The purpose of this study was to document the degree of overestimation of academic skills among students with learning disabilities (LD) and to evaluate the role of reference group and metacognitive awareness in such overestimation. High school students with (n = 52) and without (n = 49) LD in Grades 9 through 12 completed a self-concept scale and a survey requiring them to rate their own academic skills in 17 specific skill areas. Students were further asked to predict their performance on two academic tasks prior to actually performing the tasks. The students' mothers or fathers, their English teachers or academic advisors, and (in the case of the students with LD) their special education case managers also completed the skill rating inventory and predicted student performance on the two tests. Despite reporting significantly lower academic self-concepts, students with LD overestimated their academic skills relative to the ratings of others and to their actual test performance. Such overestimation was less pronounced among the students without LD. All participants reported using similar reference groups in making their judgments. Analyses of item-by-item accuracy judgments from the two tests revealed evidence of group differences in metacognitive awareness that may be related to the overestimation. These findings have implications for realistic goal setting and effective self-advocacy.

Adolescent↗

Sources of motivation for abstinence: a replication analysis of the reasons for quitting questionnaire.

The Reasons for Quitting Questionnaire (RFQ) as modified by McBride and colleagues (C. M. McBride et al., 1994) for use with substance users other than tobacco smokers, was administered to individuals approved for public-sector addiction treatment. Four motivation dimensions, similar to those found by McBride et al., were identified: self-concept issues, health concerns, legal issues, and social influence. A forced two-component solution yielded dimensions interpretable as intrinsic and extrinsic motivation. Self-concept issues provided the highest levels of motivation for abstinence in this sample, with moderate levels provided by health concerns, and the lowest levels provided by legal and social influence components. Intrinsic motivation was higher than extrinsic motivation. Logistic regression models, with adjustment for total motivation, tested the association of successful abstinence during a follow-up period with baseline extrinsic and intrinsic motivation, and with the difference between intrinsic and extrinsic levels. All three associations were significant: intrinsic motivation (positive association), extrinsic motivation (negative association), and the difference score (positive association). The results suggest the usefulness of the 20-item modified RFQ in evaluating motivation for abstinence among treatment seekers exhibiting severe negative consequences of addiction. Testing with samples varying in severity of addiction consequences is recommended.

Adolescent↗

Personality characteristics of gifted Israeli children.

Two groups of Israeli boys and girls in Grades 4-8, one intellectually gifted with a mean WISC IQ of (N = 182) and one nongifted (N = 310), were compared on several indices of personal-social adjustment. As predicted, the gifted group showed more positive self-concept, more internal locus of control, a lower level of general anxiety, and a still lower level of test anxiety. The few results on self-concept, unfavorable to the older gifted children, were attributed to a shift in the attitudes of gifted and nongifted children toward each other as they enter adolescence and their abilities and interest patterns diverge. Gifted girls were as well adjusted as gifted boys and better adjusted than nongifted girls.

Anxiety↗

A retrospective evaluation of psychosocial impact of long-term growth hormone therapy.

Fifty-eight growth hormone (hGH) deficient adults who had received long-term hGH therapy and their families were contacted to assess their past and current status regarding peer relationships, educational and vocational achievements, and self-concepts. Both heterosexual and same-sex peer relationships were reported as troublesome; most reported problems with having been treated as younger than their chronologic ages. The majority reported average or above average academic performance; there were no significant differences between academic achievements of the expatients and their siblings; the greatest portion of the sample were employed at least part-time and were satisfied with their employment status. On self-concept measures, the sample rated themselves higher in self-satisfaction, personal work, and sociality, but lower on physical self and self-criticism than norms; most of the parents reported no significant differences between the patients' adjustment and that of their siblings. In addition, the recommendations from the group to others considering hGH treatment and to medical personnel working with such families are noted; implications for hGH intervention are discussed.

Adolescent↗

Psychological adjustment of children and adolescents with chronic arthritis: a meta-analytic review.

OBJECTIVE: To review studies of psychological adjustment among children and adolescents with chronic arthritis to determine whether they are at more risk for development of adjustment problems than controls. METHODS: We used meta-analytic techniques to review 21 studies reporting overall adjustment problems, internalizing symptoms, externalizing symptoms, or self-concept among youths with arthritis. RESULTS: Youths with arthritis displayed increased risk for overall adjustment problems and internalizing symptoms, but not for externalizing symptoms or poor self-concept. Risk was greater in studies making comparisons to study controls rather than to norms and in studies including mixed disease samples (arthritis plus other rheumatic diseases) rather than samples of youths with arthritis only. CONCLUSIONS: Results suggest the importance of assessing for internalizing problems among youths with chronic arthritis. Future research may benefit from inclusion of child self-report of adjustment problems, diagnostic specificity in reporting results, and use of adjustment measures without somatic items.

Adaptation, Psychological↗

Psychosexual counseling of the mastectomy patient.

A pilot research study is described, aimed at investigating the hypotheses that psychosexual factors are of central importance in the psychological recovery of the mastectomy patient and that counseling would prove beneficial. Forty-one women were interviewed. Results indicated (1) that sexual self-concept superseded mortality as the primary concern of most recovery mastectomy patients, (2) that the attitude of the partner--husband or lover--was crucial to that self-concept, (3) that most partners were eager to help, and (4) that psychosexual counseling was welcomed and found to be appropriate. Resistances to the execution of the study are also described.

Adult↗

Children of divorce in the 1990s: an update of the Amato and Keith (1991) meta-analysis.

The present study updates the P. R. Amato and B. Keith (1991) meta-analysis of children and divorce with a new analysis of 67 studies published in the 1990s. Compared with children with continuously married parents, children with divorced parents continued to score significantly lower on measures of academic achievement, conduct, psychological adjustment, self-concept, and social relations. After controlling for study characteristics, curvilinear trends with respect to decade of publication were present for academic achievement, psychological well-being, self-concept, and social relations. For these outcomes, the gap between children with divorced and married parents decreased during the 1980s and increased again during the 1990s.

Adolescent↗

On the feeling of doing: dysphoria and the implicit modulation of authorship ascription.

The experience of authorship arises when we feel that observed effects (e.g., the onset of a light) are caused by our own actions (e.g., pushing a switch). This study tested whether dysphoric persons' authorship ascription can be modulated implicitly in a situation in which the exclusivity of the cause of effects is ambiguous. In line with the idea that depressed individuals' self-schemata include general views of uncontrollability, in a subliminal priming task we observed that dysphoric (compared with nondysphoric) participants experienced lower authorship of action effects when the self-concept was primed. Priming the potential effects of an action just prior to their occurrence, however, increased experiences of authorship in all participants and eliminated the effect of self-concept priming on dysphoric participants' authorship experiences. These findings suggest that the human mental system seizes on a match between primed and actual action effect to establish a sense of authorship, even in a state of depression when persons have weak self-views of causing behavioral outcomes.

Adolescent↗

Psychologic adjustment of the family with a member who has cystic fibrosis.

Seventy-eight percent of the 384 patients 2 years of age and older who were enrolled in the Cystic Fibrosis Clinic at the Hospital for Sick Children participated in this study of family adjustment to cystic fibrosis. Residence with at least one parent at the time of the survey was a condition for inclusion in the study. The effect of the disease on the family was assessed using three questionnaires: an inventory of family problems as perceived by the parents and two standardized measures of family interaction. Measures of behavior and self-concept in each patient and sibling, physical disease parameters for each patient, and demographic characteristics of the families were examined and analyzed in relation to the responses to the questionnaires on family interaction. Families of patients with cystic fibrosis were found to function very well, with normal mean scores on both standardized profiles. Children with cystic fibrosis showed more behavior problems than expected from the test norms, and healthy siblings of children with cystic fibrosis had behavior problem scores midway between those with the disease and norm scores. Measures of self-concept were remarkably similar for patients and siblings and showed levels at or above those for children and young adults in the general population. Parents psychosocial scores were influenced by the patients' physical parameters, but the severity of the disease generally was unrelated to psychosocial scores of patients and siblings. A notable exception was the correlation of emotional disturbance with amount of hospitalization in patients older than 12 years of age.

Adaptation, Psychological↗

Characteristics of continuation high school students.

This study examined the psychodynamics of students enrolled in a continuation high school. Forty continuation students were randomly selected and administered the Piers-Harris Children's Self-Concept Scale and an author-prepared questionnaire which investigated students' experiences in a wide range of areas. The findings revealed that, contrary to expectations, these students had adequate self-concepts. Their responses to the questionnaire appeared to suggest that they were satisfied with their alternative school placement.

Adolescent↗

Sexual knowledge and attitudes of institutionalized and noninstitutionalized retarded adolescents.

Sixty-one noninstitutionalized and 60 institutionalized mentally retarded adolescents were psychometrically assessed on three measures: sexual knowledge, sexual attitudes, and self-concept. The two groups differed on total score on sex knowledge only, with the non institutionalized group being more knowledgeable. With regard to sexual attitudes and self-concept, the two groups did not differ in terms of total correct statements. Internal consistency demonstrated on all the measures ranged from .50 to .90. Intercorrelations of relevant variables for each group (10 for the noninstitutionalized, 13 for the institutionalized) produced several significant correlations. Results were discussed with reference to the development of a standardized instrument for assessing sex-education programs for mentally retarded persons.

Age Factors↗

Parent and adolescent perceptions of family functioning: a comparison of clinic and non-clinic families.

In this paper two studies are reported which compare (a) the perceptions of family functioning held by clinic and non-clinic adolescents, and (b) the perceptions of family functioning held by adolescents and their mothers in clinic and non-clinic families. In Study 1, matched group of clinic and non-clinic adolescents were compared on their responses to a 30-item scale (ICPS) designed to measure three factors of family functioning: Intimacy (high vs. low), Parenting Style (democratic vs. controlled) and Conflict (high vs. low). Clinic and non-clinic adolescents were also compared on their responses to a multi-dimensional measure of adolescent self-concept. Although there was little difference between the two groups of adolescents in terms of their perceptions of family functioning, there were strong relationships between the self-concept variables and the family functioning variables. In Study 2, comparisons were made between the perceptions of family functioning held by mothers and adolescents for both clinical and non-clinic families. There were no differences between the two groups of adolescents in terms of their perceptions of family functioning, although there were clear differences between the two groups of mothers. In addition, clinic adolescents and their mothers did not differ in their perceptions of the family, whereas adolescents in the non-clinic group saw their families significantly as less intimate and more conflicted than did their mothers.

Adolescent↗

Psychological aspects of developmental endocrinopathies in adolescence.

Ninety-six adolescents referred to a pediatric endocrinology clinic were divided into eight groups according to degree of sexual maturity and height. Each adolescent was assessed by a psychiatric interview, a self-concept questionnaire, a human figure drawing test and a cognitive screening battery. The results showed a definite deleterious effect of growth retardation, but not sexual maturity, on self-concept. Sex of the adolescent did not affect the results. Cognitively there was no difference between groups. The psychological impact of short stature should be taken into consideration in the decision to utilize pharmacological or delay of puberty.

Adolescent↗