Science.gov

Sample records for population worries economists

  1. Population ageing: what should we worry about?

    PubMed Central

    Turner, Adair

    2009-01-01

    Approximately half the world's population now has replacement-level fertility or below. The UK experience in accommodating to a changing dependency ratio provides some generalizable insights. A mechanistic approach assuming a fixed retirement age and a need to raise fertility or increase immigration in order to maintain pensions at a fixed proportion of the gross domestic product (GDP) is overstated and wrong. It needs to be replaced by a welfare optimizing model, which takes into account the increasing years of healthy life, a slow rise in the pensionable age, capital inheritance and wider welfare considerations of population density that are not reflected in GDP measures. A combined replacement ratio (CRR) is suggested for developed countries combining the impact of the fertility rate and immigration rate. A CRR above 2 implies continued population growth. The current UK CRR of 2.48 is higher than needed for pension reasons, and it is suggested that it exceeds the welfare maximizing level. PMID:19770152

  2. Cognitive Predictors of Worry in a Non-Clinical Population

    ERIC Educational Resources Information Center

    Khawaja, Nigar G.; Chapman, Deborah

    2007-01-01

    Although worry is considered to be the key feature of generalised anxiety disorder, it has its own unique properties. The study aimed to investigate the extent to which intolerance of uncertainty, poor problem-solving confidence, positive beliefs about worry and negative thinking style, predicted worry, both individually and in combination, once…

  3. Do not worry, be mindful: effects of induced worry and mindfulness on respiratory variability in a nonanxious population.

    PubMed

    Vlemincx, Elke; Vigo, Daniel; Vansteenwegen, Debora; Van den Bergh, Omer; Van Diest, Ilse

    2013-02-01

    Generalized anxiety disorder (GAD) is characterized by chronic worry. Mindfulness-based stress reduction is thought to remediate excessive worry, because it counteracts a permanent defense state of enhanced vigilance to potential threats. The present study aimed to compare respiratory variability (RV) during worry and mindfulness. Following an 8-minute baseline, 37 healthy participants underwent 11-min worry and mindfulness inductions, in randomized order, using auditory scripts. Respiration was measured by chest and abdominal inductance belts. RV was quantified by (1) autocorrelation to assess linear breathing variability and (2) sample entropy to assess nonlinear breathing variability. Compared to baseline and mindfulness, worry showed decreased autocorrelation in all respiratory parameters and compared to mindfulness, worry showed decreased entropy in respiratory rate. These results suggest that, in contrast to mindfulness, worry is characterized by decreased respiratory stability and flexibility, and therefore worry and mindfulness seem to have countering effects on RV and respiratory regulation.

  4. Assessing modern health worries: dimensionality and factorial invariance across age and sex of the Modern Health Worries Scale in a general population sample.

    PubMed

    Spangenberg, Lena; Zenger, Markus; Rief, Winfried; Brähler, Elmar; Glaesmer, Heide

    2014-10-01

    Previous work suggests a four-factor structure of the Modern Health Worries Scale. This study is the first to investigate its dimensionality and factorial invariance across age and sex in a representative population sample (N = 2524) using confirmatory factor analysis. The proposed four-factor model failed to achieve good model fit. Model fit was optimized by allowing correlating error terms resulting in acceptable model fit. Multi-group analysis revealed invariance across age and sex. Our study proved the proposed four-factor structure across age and sex. Consequently, the Modern Health Worries Scale can be applied in general population surveys using subscale scores. © The Author(s) 2013.

  5. Response to “Worrying Trends in Econophysics”

    NASA Astrophysics Data System (ADS)

    McCauley, Joseph L.

    2006-11-01

    This article is a response to the recent “Worrying Trends in Econophysics” critique written by four respected theoretical economists [M. Gallegatti, S. Keen, T. Lux, P. Ormerod, Worrying trends in econophysics, Physica A (2006), submitted for publication [1

  6. What Led Eminent Economists to Become Economists?

    ERIC Educational Resources Information Center

    Evans, Brent A.; Grimes, Paul W.; Becker, William E.

    2012-01-01

    The authors analyze the various factors that highly recognized economists cite as reasons for pursuing a career in economics. They obtained data for 62 of the 67 Nobel Laureates in economics and included another 22 prominent economists who have made significant contributions in economic research. The authors' basic quest was to discover how these…

  7. What Led Eminent Economists to Become Economists?

    ERIC Educational Resources Information Center

    Evans, Brent A.; Grimes, Paul W.; Becker, William E.

    2012-01-01

    The authors analyze the various factors that highly recognized economists cite as reasons for pursuing a career in economics. They obtained data for 62 of the 67 Nobel Laureates in economics and included another 22 prominent economists who have made significant contributions in economic research. The authors' basic quest was to discover how these…

  8. Old worries and new anxieties: behavioral symptoms and mild cognitive impairment in a population study.

    PubMed

    Andreescu, Carmen; Teverovsky, Esther; Fu, Bo; Hughes, Tiffany F; Chang, Chung-Chou H; Ganguli, Mary

    2014-03-01

    To disentangle the complex associations of depression and anxiety with mild cognitive impairment (MCI) at the population level. We examined subgroups of anxiety symptoms and depression symptom profiles in relation to MCI, which we defined using both cognitive and functional approaches. We used an epidemiologic, cross-sectional study with an age-stratified, random, population-based sample of 1,982 individuals aged 65 years and over. Three definitions of MCI were used: 1) a purely cognitive classification into amnestic and nonamnestic MCI, 2) a combined cognitive-functional definition by International Working Group (IWG) criteria, and 3) a purely functional definition by the Clinical Dementia Rating (CDR) of 0.5. Three depression profiles were identified by factor analysis of the modified Center for Epidemiological Studies-Depression Scale: core mood, self-esteem/interpersonal, and apathy/neurovegetative profiles. Three anxiety groups, chronic mild worry, chronic severe anxiety, and recent-onset anxiety, were based on screening questions. Recent-onset anxiety was associated with MCI by nonamnestic and IWG criteria, chronic severe anxiety was associated with MCI by all definitions, and chronic mild worry was associated with none. Of the depression profiles, the core mood profile was associated with CDR-defined MCI, the apathy/neurovegetative profile was associated with MCI by amnestic, IWG, and CDR definitions, and the self-esteem/interpersonal profile was associated with none. In this population-based sample, subgroups with different anxiety and depression profiles had different relationships with cognitive and functional definitions of MCI. Anxiety, depression, and MCI are all multidimensional entities, interacting in complex ways that may shed light on underlying neural mechanisms. Copyright © 2014 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  9. Prevalence and Correlates of Worry About the Health Harms of Medical Imaging Radiation in the General Population.

    PubMed

    Hay, Jennifer L; Gold, Geoffrey S; Baser, Raymond E; Hricak, Hedvig; Dauer, Lawrence T

    2016-10-01

    In recent years, there have been dramatic increases in medical imaging use and increasing media attention to increased exposure to ionizing radiation in the United States. Patient perspectives on medical imaging radiation (MIR) use is understudied, but could guide primary care discussions. This study examines prevalence of worry about the health harms from MIR in the US general population. This cross-sectional study used the 2012-2013 Health Information National Trends Survey conducted by the National Cancer Institute. A nationally representative sample (N = 3532) was drawn from the US general population to observe prevalence of worry about MIR as well as potential covariates, including demographic, medical, and psychological factors, health information-seeking, physician trust in providing cancer information, and cancer fatalism. About 65% of the sample population reported experiencing at least some worry about MIR. Univariable and multivariable logistic regressions indicate higher rates of MIR worry among women, racial/ethnic minorities, those with lower educational attainment, foreign-born Americans, those who self-report poorer health, and those with a personal history of cancer. Lower trust in cancer information from physicians and greater attention to cancer information from popular media were each associated with higher rates of worry about health harms of MIR. An accurate assessment of public worry about MIR will aid primary care providers' efforts to understand patient responses to medical imaging and identify addressable knowledge gaps regarding benefits and risks of medical imaging. These data may improve risk communication regarding medical imaging among referring primary care physicians, radiologists, and patients. © The Author(s) 2016.

  10. [Pre-surgical worries: an empirical study in the child and adolescent population].

    PubMed

    Quiles Sebastián Mf; Méndez Carrillo, F; Ortigosa Quiles, J

    2001-08-01

    To analyze presurgical worries in children and adolescents and to examine differences according to gender and prior surgical experience. The child sample included 1,311 subjects, aged 7-10 years old, and the (pre)adolescent sample included 1,488 subjects, aged 11-14 years old. The child sample filled in the child version of the Surgical worries Questionnaire (CPCI-N; Quiles, Ortigosa and Méndez, 1998), with 17 items and a three-point rating scale, and the adolescent sample filled in the adolescent version (CPCI-A, Quiles, Méndez and Ortigosa, 1998), with 22 items and a five-point rating scale. Student's t-test was carried out to analyze the main worries and an analysis of variance was used to examine the effect of gender. Children's and adolescents' main worries concerned the surgical process, the negative results of surgery and the negative consequences of illness. However, the younger children showed other significant worries such as having a needle in the arm for a long time or separating from their parents. In both samples, girls and subjects without previous experience of surgery showed higher levels of pre-surgical worries. We discuss the implications of these results for the development of programs of psychological preparation for children and adolescents about to undergo surgery.

  11. Diversifying the Economists

    ERIC Educational Resources Information Center

    Roach, Ronald

    2006-01-01

    The American Economists Association's (AEA's) summer and minority scholarship program at Duke University is an academic pipeline program that has been in operation for 33 years. The eight-week summer experience prepares its participants for the rigors of first- and second-year study in master's and doctorate programs in economics. The program also…

  12. Transport mode preferences, risk perception and worry in a Norwegian urban population.

    PubMed

    Roche-Cerasi, Isabelle; Rundmo, Torbjørn; Sigurdson, Johannes Foss; Moe, Dagfinn

    2013-01-01

    The main aim of the present study was to compare risk perception among Norwegians (n=512) living in the region of Oslo. This study was part of an ERANET 13 project entitled PETRIS, Perception of transport risk in France and Norway. The data collection was carried out in January 2011. The response rate was 51 percent. The results showed that respondents, divided in two groups according to their transport mode preferences, assessed differently risk perception in public and private transportation. Respondents who preferred collective transportation assessed the probability of experiencing criminality in collective transport modes as higher than those who preferred private modes. They were also more worried of experiencing accidents, criminality, and terror attacks in collective transportation. The relationship between transport mode preferences and use, risk perception and worry are discussed.

  13. Correlates of Worry about Recurrence in a Multi-Ethnic Population-Based Sample of Women with Breast Cancer

    PubMed Central

    Janz, Nancy K.; Hawley, Sarah T.; Mujahid, Mahasin S.; Griggs, Jennifer J.; Alderman, Amy; Hamilton, Ann S.; Graff, John J.; Jagsi, Reshma; Katz, Steven J.

    2011-01-01

    Background Worry about recurrence (worry) is a persistent concern of breast cancer survivors. Little is known about whether race/ethnicity or health care experiences are associated with worry. Methods Women with non-metastatic breast cancer diagnosed from 6/05-2/07 and reported to Detroit or Los Angeles SEER registries were surveyed (mean 9 months post-diagnosis); 2290 responded (73%). Latina and African Americans (AA) were oversampled. A worry scale was constructed as the mean score of 3 items (on 5-point Likert, higher=more worry): worry about cancer returning to same breast, other breast, spreading to other parts of the body. Race/ethnicity categories were white, AA, and Latina (categorized into low vs. high acculturation). The worry scale was regressed on sociodemographics, clinical/treatment, and health care experience factors (e.g., care coordination collapsed into low, medium, high). Results Low acculturated Latinas reported more worry and AAs less worry than whites p<0.001). Other factors independently associated with more worry were younger age, being employed, more pain and fatigue, and radiation (ps <0.05). With all factors in the model, less worry was associated (all ps <0.05) with greater ease of understanding information (2.89, 2.99, 2.81, for low, medium, high), better symptom management (3.19, 2.89, 2.87 for low, medium, and high) and more coordinated care (3.36, 2.94, 2.82, for low, medium, high). Race/ethnicity remained significant controlling for all factors (p <0.001). Conclusions Less acculturated Latina breast cancer patients are vulnerable to high levels of worry. Interventions that improve information exchange, symptom management and coordinating care hold promise in reducing worry. PMID:21445916

  14. Worry, Worry Attacks, and PTSD among Cambodian Refugees: A Path Analysis Investigation

    PubMed Central

    Hinton, Devon E.; Nickerson, Angela; Bryant, Richard A.

    2011-01-01

    Among traumatized Cambodian refugees, this article investigates worry (e.g., the types of current life concerns) and how worry worsens posttraumatic stress disorder (PTSD). To explore how worry worsens PTSD, we examine a path model of worry to see whether certain key variables (e.g., worry-induced somatic arousal and worry-induced trauma recall) mediate the relationship between worry and PTSD. Survey data were collected from March 2010 until May 2010 in a convenience sample of 201 adult Cambodian refugees attending a psychiatric clinic in Massachusetts, USA. We found that worry was common in this group (65%), that worry was often about current life concerns (e.g., lacking financial resources, children not attending school, health concerns, concerns about relatives in Cambodia), and that worry often induced panic attacks: in the entire sample, 41% (83/201) of the patients had “worry attacks” (i.e., worry episodes that resulted in a panic episode) in the last month. “Worry attacks” were highly associated with PTSD presence. In the entire sample, generalized anxiety disorder was also very prevalent, and was also highly associated with PTSD. Path analysis revealed that the effect of worry on PTSD severity was mediated by worry-induced somatic arousal, worry-induced catastrophic cognitions, worry-induced trauma recall, inability to stop worry, and irritability. The final model accounted for 75% of the variance in PTSD severity among patients with worry. The public health and treatment implications of the study’s findings that worry may have a potent impact on PTSD severity in severely traumatized populations are discussed: worry and daily concerns are key areas of intervention for these worry-hypersensitive (and hence daily-stressor-hypersensitive) populations. PMID:21663803

  15. Worry, worry attacks, and PTSD among Cambodian refugees: a path analysis investigation.

    PubMed

    Hinton, Devon E; Nickerson, Angela; Bryant, Richard A

    2011-06-01

    Among traumatized Cambodian refugees, this article investigates worry (e.g., the types of current life concerns) and how worry worsens posttraumatic stress disorder (PTSD). To explore how worry worsens PTSD, we examine a path model of worry to see whether certain key variables (e.g., worry-induced somatic arousal and worry-induced trauma recall) mediate the relationship between worry and PTSD. Survey data were collected from March 2010 until May 2010 in a convenience sample of 201 adult Cambodian refugees attending a psychiatric clinic in Massachusetts, USA. We found that worry was common in this group (65%), that worry was often about current life concerns (e.g., lacking financial resources, children not attending school, health concerns, concerns about relatives in Cambodia), and that worry often induced panic attacks: in the entire sample, 41% (83/201) of the patients had "worry attacks" (i.e., worry episodes that resulted in a panic episode) in the last month. "Worry attacks" were highly associated with PTSD presence. In the entire sample, generalized anxiety disorder was also very prevalent, and was also highly associated with PTSD. Path analysis revealed that the effect of worry on PTSD severity was mediated by worry-induced somatic arousal, worry-induced catastrophic cognitions, worry-induced trauma recall, inability to stop worry, and irritability. The final model accounted for 75% of the variance in PTSD severity among patients with worry. The public health and treatment implications of the study's findings that worry may have a potent impact on PTSD severity in severely traumatized populations are discussed: worry and daily concerns are key areas of intervention for these worry-hypersensitive (and hence daily-stressor-hypersensitive) populations.

  16. Worries of the Oldest-Old

    ERIC Educational Resources Information Center

    Jeon, Hae-Sook; Dunkle, Ruth; Roberts, Beverly L.

    2006-01-01

    With the emerging population of the oldest-old (those ages 85 and older), it is crucial to understand and prepare for their psychosocial needs. Worry is linked to psychological well-being and physical health, but little is known about the oldest-old's everyday worries. The authors explored four research questions: (1) What are the worries of the…

  17. Who Are These Economists, Anyway?

    ERIC Educational Resources Information Center

    Galbraith, James K.

    2009-01-01

    In this paper, the author ventures into the nether wastes of economics, and attempts a brief survey of the main currents that didn't get it wrong. He looks at the failure of the nation's leading academic economists to understand the current financial crisis or the shaky underpinnings of the nation's financial system. The author's method consists…

  18. The Economist as Public Intellectual

    ERIC Educational Resources Information Center

    Hubbard, R. Glenn

    2004-01-01

    Over the past two decades, the rising number of outlets for communication through cable networks and electronic broadcasting (not to mention self-promoting Web "blogs") has stimulated the demand for economic commentary. Only the academic economist, as "public intellectual," can provide this commentary in a coherent and rigorous way via the three…

  19. The Economist as Public Intellectual

    ERIC Educational Resources Information Center

    Hubbard, R. Glenn

    2004-01-01

    Over the past two decades, the rising number of outlets for communication through cable networks and electronic broadcasting (not to mention self-promoting Web "blogs") has stimulated the demand for economic commentary. Only the academic economist, as "public intellectual," can provide this commentary in a coherent and rigorous way via the three…

  20. Worries in restaurant managers.

    PubMed

    Larsen, Svein; Ogaard, Torvald; Marnburg, Einar

    2005-02-01

    This paper explores the concept of job specific worries (JS worries) in managers in the restaurant industry. The focus of interest in the present explorative study was the degree and content of restaurant managers' worries. Of a total of 58 eligible managers in a Norwegian (fast food) restaurant chain, 57 (representing an equal number of restaurants) were surveyed for JS worries and personal worries. These managers also judged aspects of their relation to the organization they work for, such as perceived organizational hierarchy, job commitment and perceived risk at work. The results indicate that the concept of JS worry is state dependent as opposed to personal worry, which may be regarded as a trait. In addition, the observed correlations indicate a connection between characteristics of perceived job environment and the respondents' degree of JS worry, whereas no such correlations were observed between trait worry and job environment.

  1. Energy policy: an economist's confessions

    SciTech Connect

    Schlesinger, J.R.

    1980-01-01

    Dr. Schlesinger, former Secretary of Energy, feels that energy policy will determine how the industrial economies perform and whether the western political institutions survive. He says that energy policy does not, however, respond to traditional economic analysis in that there is no economic theory to adequately cover depleting resources. Economists gain strength by approaching energy problems in the context of supply and the price mechanism, with attention to arithmetic rather than emotion. Dr. Schlesinger believes, however, that there are weaknesses in the economists' view in the curative powers granted to the marketplace, which are better at making small adjustments over a long period of time than large adjustments in a short time. He notes that tendency to use inappropriate syllogisms obscures the problem of a rapidly diminishing lead time to solving the energy problem. He observes that total reliance on the marketplace will have to give way to government subsidies to research, develop, and commercialize fuels. (DCK)

  2. Worries Teachers Should Forget.

    ERIC Educational Resources Information Center

    Frost, Joe L.

    Worries that confront teachers in American schools are discussed, and reasons why these worries should be forgotten are provided. The worries are concerned with: breaking away from normative schemes of childhood education; grade level structure; promotion and retention; letter grades; standard test scores as instructional aids; and the search for…

  3. Worry among Canadian seniors.

    PubMed

    Skarborn, M; Nicki, R

    1996-01-01

    One hundred mobile and homebound elderly (65+) participants from Fredericton, New Brunswick, Canada were administered Wisocki's Worry Scale, a thirty-five-item questionnaire relating to concerns about finances, health, and social conditions, and requested to self-monitor their worry behavior over a three-day period. Seniors were found to be relatively worry-free. Nevertheless, significant correlations were found between the Worry Scale and measures of mental and physical health. Self-monitoring by seniors provided a more direct validation of the Worry Scale. Results were comparable to those found in the literature with samples from the United States.

  4. Have agricultural economists neglected poverty issues?

    PubMed

    Thiesenhusen, W C

    1991-01-01

    Agricultural economists concerned with development issues devote effort to researching agriculture's inputs to produce a surplus and transfer it to nonagriculture, to provide markets for urban-based industry, to maintain a labor reservoir, to assist in capital formation, and to accumulate foreign exchange. Little attention is focused on broader and more sweeping economic problems. Discussion is directed toward answering some questions about why agricultural economists neglect rural poverty. Also, attention is given to why the extent of rural poverty imperils development, in what location should poverty be addressed, what are the issues in the agricultural growth and inequality debate as it affects rural poverty, and whether there are any new or promising ways to combat rural poverty. The extent of poverty is measured by the World Bank as 20% of world population, or 1 billion people, Rural poverty accounts for 60% of the hungry poor in Latin America, 80% in Asia, and 90% in Africa. 11 items are used to define the rural poor, such as a heterogeneous population of primarily small-scale farmers, the landless, nomads, pastoralists, and fisherfolk. 5 reasons are given why economists avoid rural poverty, including the difficulty in modeling the complex problems of rural poverty and the political considerations of free market vs. socialist economies. Other reasons involve land reform which reduces labor needs and a commitment to commercial farming rather than small-scale, labor-intensive farming; the rural agricultural poor's contributions to development are underrated. East Asian countries have been successful in linking growth, distribution, and amelioration of poverty among the peasantry. Environmental degradation may be encouraged by inequalities and unequal access to resources. The example is given of Brazil which has promoted migration to cities due to commercialization of rural agriculture and created urban poverty instead of dealing directly with rural poverty by

  5. Home Economists and Hospice: A Needed Combination.

    ERIC Educational Resources Information Center

    Story, Marilyn D.

    1983-01-01

    Hospice is a family-centered concept of care which needs home economists from all subject-matter areas in volunteer or paid professional roles. In turn, home economists can grow personally as well as professionally through their involvement with hospice. (Author)

  6. Incomes of Home Economists Employed Full Time.

    ERIC Educational Resources Information Center

    Townsley, Carolyn J.; And Others

    1984-01-01

    Presents data from the 1979 American Home Economics Association survey on 11,229 home economists employed full time (68 percent of all respondents). Illustrates how education, sex, minority status, academic major, and type of employer affect home economists' incomes. (SK)

  7. Needed: Home Economists in the Peace Corps

    ERIC Educational Resources Information Center

    Parker, Frances J.

    1978-01-01

    The primary reason home economists, nutritionists, and dietitians are being recruited by the Peace Corps is the national priority goal for achieving improved nutritional status in impoverished countries such as Costa Rica. However, several ways in which a home economist can contribute to Peace Corps activities and the role of this professional in…

  8. What Futurists Believe: Implications for Home Economists.

    ERIC Educational Resources Information Center

    Berenbaum, Shawna

    1992-01-01

    The challenges that the future will present to the home economist will be many. Technological, scientific, economic, environmental, climatic, social, political, institutional, and personal pressures will cause changes that will be favorable and unfavorable. (JOW)

  9. Helping Kids Handle Worry

    MedlinePlus

    ... on the news or at school. Things like terrorism, war, pollution, global warming, endangered animals, and natural ... difference. Sometimes kids worry about big stuff — like terrorism, war, or global warming — that they hear about ...

  10. Helping Kids Handle Worry

    MedlinePlus

    ... Looking for Health Lessons? Visit KidsHealth in the Classroom What Other Parents Are Reading Your Child's Development ( ... typically worry about things like grades, tests, their changing bodies, fitting in with friends, that goal they ...

  11. Reducing worry and subjective health complaints: A randomized trial of an internet-delivered worry postponement intervention.

    PubMed

    Versluis, Anke; Verkuil, Bart; Brosschot, Jos F

    2016-05-01

    Several studies have shown that perseverative, worrisome thoughts are prospectively related to subjective health complaints (SHC) and that a short worry postponement intervention can decrease these complaints. As SHC and worry are prevalent and costly, we tested whether the intervention can be offered online to reduce these complaints in the general population. A randomized parallel-group trial was conducted with self-selected participants from the general population. Via the research website, 996 participants were instructed to register their worrying for 6 consecutive days. The intervention group was instructed to postpone worry to a special 30-min period in the early evening. The Subjective Health Complaints inventory, as administered before and after the intervention, and daily worry frequency and duration were considered the primary outcomes. Three hundred and sixty-one participants completed the study. Contrary to our expectation, the registration group (n = 188) did not differ from the intervention group (n = 163) in SHC (ηp² = .000, CI [0.000-0.003]), or in worry frequency or duration. Nevertheless, the different worry parameters were moderately related to SHC (r between .238 and .340, p ≤ .001). In contrast to previous studies using pen-and-pencil versions of the worry postponement intervention, this study suggests that a direct online implementation was not effective in reducing SHC and worry. Overall, participants had high trait worry levels and reported difficulty with postponing worrying. Reducing SHC and worries via the Internet might require more elaborate interventions that better incorporate the advantages of delivering interventions online. What is already known on this subject? The perseverative cognition hypothesis argues that perseverative cognition, such as worry and rumination, acts as a mediator by which psychosocial stress may produce negative health effects. Prior research has indeed shown that worry and subjective health complaints

  12. Consensus among Economists--An Update

    ERIC Educational Resources Information Center

    Fuller, Dan; Geide-Stevenson, Doris

    2014-01-01

    In this article, the authors explore consensus among economists on specific propositions based on a fall 2011 survey of American Economic Association members. Results are based on 568 responses and provide evidence of changes in opinion over time by including propositions from earlier studies in 2000 (Fuller and Geide-Stevenson 2003) and 1992…

  13. Professional Training of Economists at Polish Universities

    ERIC Educational Resources Information Center

    Ogienko, Olena

    2016-01-01

    Polish experience in professional training of economists at university has been generalized. Structural, content and procedural peculiarities of the training have been defined. It has been proved that key factors for reforming economic education in Poland are globalization, internationalization, integration, technologization and informatization.…

  14. Consensus among Economists--An Update

    ERIC Educational Resources Information Center

    Fuller, Dan; Geide-Stevenson, Doris

    2014-01-01

    In this article, the authors explore consensus among economists on specific propositions based on a fall 2011 survey of American Economic Association members. Results are based on 568 responses and provide evidence of changes in opinion over time by including propositions from earlier studies in 2000 (Fuller and Geide-Stevenson 2003) and 1992…

  15. Professional Training of Economists at Polish Universities

    ERIC Educational Resources Information Center

    Ogienko, Olena

    2016-01-01

    Polish experience in professional training of economists at university has been generalized. Structural, content and procedural peculiarities of the training have been defined. It has been proved that key factors for reforming economic education in Poland are globalization, internationalization, integration, technologization and informatization.…

  16. Worries of Elementary School Students.

    ERIC Educational Resources Information Center

    Crowley, Jeremiah A.

    1981-01-01

    Questioned 438 students about their worries. Found that the percentage of students who worry about grades is consistently high across grade levels. Over half the students worry about physical harm to themselves or loved ones. Suggests school counseling programs include relaxation training to help students cope with life stresses. (JAC)

  17. Impact of post-colposcopy management on women's long-term worries: results from the UK population-based TOMBOLA trial.

    PubMed

    Sharp, Linda; Cotton, Seonaidh; Cruickshank, Margaret; Gray, Nicola; Smart, Louise; Whynes, David; Little, Julian

    2016-01-01

    Effective cervical screening reduces cancer incidence and mortality. However, these benefits may be accompanied by some harms, potentially including, adverse psychological impacts. Studies suggest women may have concerns about various specific issues, such as cervical cancer. To compare worries about cervical cancer, future fertility, having sex, and general health between women managed by alternative policies at colposcopy. Multicentre individually-randomised controlled trial, nested within the National Health Service Cervical Screening Programmes. UK. 1515 women, aged 20-59 years, with low-grade cytology who attended colposcopy during February 2001-October 2002, were randomised to immediate loop excision or punch biopsies with recall for treatment if cervical intraepithelial neoplasia (CIN)2/3 was confirmed. Women completed questionnaires at recruitment and after 12, 18, 24 and 30 months. Outcomes were prevalence of worries at each time-point (point prevalence) and at any time-point during follow-up (12-30 months; cumulative prevalence). Primary analysis was by intention-to-treat (ITT); secondary per-protocol analysis compared groups according to management received among women with an abnormal transformation zone. Cumulative prevalence of worries was: cervical cancer 40%; having sex 26%, future fertility 24%, and general health 60%. In ITT analyses, there were no statistically significant differences between management arms in cumulative or point prevalence of any of the worries. In per-protocol analyses, between-group differences were significant only for future fertility; cumulative prevalence was highest in women who underwent punch biopsies and treatment. There is no difference in the prevalence of specific worries in women randomised to alternative post-colposcopy management policies. 34841617. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  18. The Developmental Psychopathology of Worry

    ERIC Educational Resources Information Center

    Kertz, Sarah J.; Woodruff-Borden, Janet

    2011-01-01

    Although childhood generalized anxiety disorder is generally understudied, worry, the cardinal feature of GAD, appears to be relatively common in youth. Despite its prevalence, there are few conceptual models of the development of clinical worry in children. The current review provides a framework for integrating the developmental psychopathology…

  19. The Developmental Psychopathology of Worry

    ERIC Educational Resources Information Center

    Kertz, Sarah J.; Woodruff-Borden, Janet

    2011-01-01

    Although childhood generalized anxiety disorder is generally understudied, worry, the cardinal feature of GAD, appears to be relatively common in youth. Despite its prevalence, there are few conceptual models of the development of clinical worry in children. The current review provides a framework for integrating the developmental psychopathology…

  20. Ten years after "Worrying trends in econophysics": developments and current challenges

    NASA Astrophysics Data System (ADS)

    Ormerod, Paul

    2016-12-01

    Econophysics has made a number of important additions to scientific knowledge. Yet it continues to lack influence with both economists and policy makers. Ten years ago, I and three other economists sympathetic to econophysics wrote a paper on worrying trends within the discipline. For example, its lack of awareness of the economics literature, and shortfalls in the use of statistical analysis. These continue to be obstacles to wider acceptance by economists. Like all agents, policy makers respond to incentives, and economists understand this very well. Much of the econophysics community appears to think that simply doing good science is sufficient to have the work recognised, rather than relating to the motivations and incentives of policy makers. Nevertheless, econophysics now has three major opportunities to advance knowledge in areas where policy makers perceive weaknesses in what they are presented with by economists. All can benefit from the analysis of Big Data. The first is a core model of agent behaviour which is more relevant to cyber society than the rational agent model of economics. Second, extending our understanding of the business cycle, primarily by incorporating the importance of networks into models. Third, devising proper measures of output in cyber society.

  1. Colon Cancer Worry in Appalachia.

    PubMed

    Attarabeen, Omar F; Sambamoorthi, Usha; Larkin, Kevin T; Kelly, Kimberly M

    2017-07-06

    Appalachia has a higher incidence of and mortality from colon cancer (CC) than other regions of the United States; thus, it is important to know the potential impact of elevated risk on cancer worry. Guided by the Self-regulation model, we investigated the association of demographic, cultural (e.g., fatalism, religious commitment), and psychological factors (e.g., perceived risk, general mood) with CC worry among a sample of Appalachian women. A mixed method design was utilized. Appalachian women completed surveys in the quantitative section (n = 134) and semi-structured interviews in the qualitative section (n = 24). Logistic regression was employed to calculate odds ratios (OR) for quantitative data, and immersion/crystallization was utilized to analyze qualitative data. In the quantitative section, 45% of the participants expressed some degree of CC worry. CC worry was associated with higher than high school education (OR 3.63), absolute perceived risk for CC (OR 5.82), high anxiety (OR 4.68), and awareness of easy access (OR 3.98) or difficult access (OR 3.18) to health care specialists as compared to not being aware of the access. there was no association between CC worry and adherence to CC screening guidelines. The qualitative section revealed fear, disengagement, depression, shock, and worry. Additionally, embarrassment, discomfort, and worry were reported with regard to CC screening. Fears included having to wear a colostomy bag and being a burden on family. CC worry was common in Appalachians and associated with higher perceptions of risk for CC and general anxiety, but not with adherence to screening guidelines. The mixed method design allowed for enhanced understanding of CC-related feelings, especially CC worry, including social/contextual fears.

  2. Worries about others' substance use-Differences between alcohol, cigarettes and illegal drugs?

    PubMed

    Moan, Inger Synnøve; Storvoll, Elisabet E; Lund, Ingunn Olea

    2017-10-01

    While it is well documented that many experience harm from others' substance use, little is known about the psychological strain associated with others' use. The aims were: (1) to describe the prevalence of worries about others' alcohol, cigarette and illegal drug use, (2) whose substance use people worry about, (3) the overlap in worries, and (4) to examine how worries about others' use of each substance vary according to demographics, own substance use and experience of harm from others' use. A population survey was conducted among 16-64year old Norwegians (N=1667). Respondents' reported on worries about others' alcohol, cigarette and illegal drug use, measures of experiences of harm from others' use of the three substances, and own substance use. Worries about others' drinking were most prevalent. Among those who worried, others' cigarette and illegal drug use caused more frequent worry. While worry about cigarette use was mostly associated with family members' use, worry about others' alcohol and illegal drug use more often concerned friends'/acquaintances' use. About half worried about others' use of at least one substance. Across all three substances, experience of harm from others' substance use was most strongly related to worries. Worries about others' substance use are common and reflect the prevalence of use of the substances in the population. In sum, the findings suggest that worry about others' alcohol and illegal drug use is primarily related to acute harm while worry about others' cigarette smoking is more related to chronic harm. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. Stool Color: When to Worry

    MedlinePlus

    Stool color: When to worry Yesterday, my stool color was bright green. Should I be concerned? Answers from Michael ... M.D. Stool comes in a range of colors. All shades of brown and even green are ...

  4. Economists' Group Adjusts Policy on Discriminatory Language in Job Ads

    ERIC Educational Resources Information Center

    Glenn, David

    2007-01-01

    This article discusses how an economists' group brought forth policy adjustments on advertising issues. Since 1986 the association has banned advertisements in its newsletter, Job Openings for Economists, that discriminate "on the basis of race, color, religion, gender, national origin, sexual preference, or physical handicap." Facing…

  5. Economists' Group Adjusts Policy on Discriminatory Language in Job Ads

    ERIC Educational Resources Information Center

    Glenn, David

    2007-01-01

    This article discusses how an economists' group brought forth policy adjustments on advertising issues. Since 1986 the association has banned advertisements in its newsletter, Job Openings for Economists, that discriminate "on the basis of race, color, religion, gender, national origin, sexual preference, or physical handicap." Facing…

  6. The biologist and the economist: is dialogue possible?

    PubMed

    Keyfitz, N

    1992-06-01

    There is a need for demography to be brought into policy-making discussions. In the time of Malthus, both economists and ecologists spoke the same language and each group was receptive to and supportive of the ideas of the other. The present organization of academic life precludes interdisciplinary communication. Malthus saw the limit as food supply; today, technology seems to be the defining criteria, although access to world supplies is also unevenly distributed. Minerals were once thought to present limits, but again technology was able to generate replacements as the Green Revolution provided an option for expanding food supply. During the 1950s and 1960s, limits were perceived by Arthur Lewis, Coale, and Hoover to be in shortages of capital. Now capital is seen as a result of development and not a cause. The strongest argument for limiting population growth appears to be the stability of planetary support systems (species diversity, ozone layer, global climate, and others). Knowledge of these support systems is limited and it would be wise not to press the world's carrying capacity under such conditions. Ignorance of planetary support systems may mean that the circle may be tightening closer than we know, or that a sudden disaster is possible. It is a complex task to circumscribe boundaries to various essentials for human life. Regardless of whether there is a solution to various essentials for human life. Regardless of whether there is a solution to the known or unknown environmental problems, it is possible, easy, and reliable to reduce the population by having fewer births than deaths. Economists argue that the vagaries and uncertainties of environmental damage prevent taking environmental constraints into account, when uncertainties have always been with us. A real debate on the issues instead of disciplines talking past each other would occur if all facts and conclusions were accepted by all parties. The conclusion should be that population increases must

  7. Worrying About Terrorism and Other Acute Environmental Health Hazard Events

    PubMed Central

    Babcock-Dunning, Lauren

    2012-01-01

    Objectives. To better understand why some people worry more about terrorism compared with others, we measured how much US residents worried about a terrorist event in their area and examined the association of their fears with their concerns about acute and chronic hazards and other correlates. Methods. In 2008 (n = 600) and 2010 (n = 651), we performed a random-digit dialing national landline telephone survey. We asked about worries about terrorism and 5 other environmental health hazard issues. We also collected demographic and socioeconomic data. Results. Only 15% worried “a great deal” about a terrorist event in their area and 18% to 33% were greatly concerned about other environmental issues. Fear about acute hazard events was a stronger predictor of a great deal of concern about terrorism than were age, race/ethnicity, gender, educational achievement, and other correlates. Conclusions. Those who worried most about acute environmental health hazard events were most likely to worry about terrorism. Also, those who were older, poorer, Blacks, or Latinos, or who lived in populous urban areas felt they were most vulnerable to terrorist attacks. We recommend methods to involve US citizens as part of disaster planning. PMID:22397346

  8. Worrying about terrorism and other acute environmental health hazard events.

    PubMed

    Greenberg, Michael; Babcock-Dunning, Lauren

    2012-04-01

    To better understand why some people worry more about terrorism compared with others, we measured how much US residents worried about a terrorist event in their area and examined the association of their fears with their concerns about acute and chronic hazards and other correlates. In 2008 (n = 600) and 2010 (n = 651), we performed a random-digit dialing national landline telephone survey. We asked about worries about terrorism and 5 other environmental health hazard issues. We also collected demographic and socioeconomic data. Only 15% worried "a great deal" about a terrorist event in their area and 18% to 33% were greatly concerned about other environmental issues. Fear about acute hazard events was a stronger predictor of a great deal of concern about terrorism than were age, race/ethnicity, gender, educational achievement, and other correlates. Those who worried most about acute environmental health hazard events were most likely to worry about terrorism. Also, those who were older, poorer, Blacks, or Latinos, or who lived in populous urban areas felt they were most vulnerable to terrorist attacks. We recommend methods to involve US citizens as part of disaster planning.

  9. The language of worry: examining linguistic elements of worry models.

    PubMed

    Geronimi, Elena M C; Woodruff-Borden, Janet

    2015-01-01

    Despite strong evidence that worry is a verbal process, studies examining linguistic features in individuals with generalised anxiety disorder (GAD) are lacking. The aim of the present study is to investigate language use in individuals with GAD and controls based on GAD and worry theoretical models. More specifically, the degree to which linguistic elements of the avoidance and intolerance of uncertainty worry models can predict diagnostic status was analysed. Participants were 19 women diagnosed with GAD and 22 control women and their children. After participating in a diagnostic semi-structured interview, dyads engaged in a free-play interaction where mothers' language sample was collected. Overall, the findings provided evidence for distinctive linguistic features of individuals with GAD. That is, after controlling for the effect of demographic variables, present tense, future tense, prepositions and number of questions correctly classified those with GAD and controls such that a considerable amount of the variance in diagnostic status was explained uniquely by language use. Linguistic confirmation of worry models is discussed.

  10. Worries of Pregnant Women: Testing the Farsi Cambridge Worry Scale.

    PubMed

    Mortazavi, Forough; Akaberi, Arash

    2016-01-01

    Pregnancy adds many sources of concerns to women's daily life worries. Excessive worry can affect maternal physiological and psychological state that influences the pregnancy outcomes. The aim of this study was to validate the Cambridge Worry Scale (CWS) in a sample of Iranian pregnant women. After translation of the CWS, ten experts evaluated the items and added six items to the 17-item scale. In a descriptive cross-sectional study, 405 of pregnant women booked for prenatal care completed the Farsi CWS. We split the sample randomly. Exploratory factor analysis (EFA) was conducted on the first half of the sample to disclose the factorial structure of the 23-item scale. The results of the EFA on the Farsi CWS indicated four factors altogether explained 51.5% of variances. Confirmatory factor analysis (CFA) was done on the second half of the sample. The results of the CFA showed that the model fit our data (chi-square/df = 2.02, RMSEA = 0.071, SRMR = 0.071, CFI = 0.95, and NNFI = 0.94). Cronbach's alpha coefficient for the Farsi CWS was 0.883. The Farsi CWS is a reliable and valid instrument for understanding common pregnancy worries in the third trimester of pregnancy in Iranian women.

  11. Breaking Barriers: Can Student Journalists and Economists Learn Together?

    ERIC Educational Resources Information Center

    Ramsay, Glenworth; Silvia, Antone

    1993-01-01

    Two University of Rhode Island teachers, of journalism and economics, designed student projects simulating real interactions between professional journalists and economists. The projects increased both groups' ability to communicate, awareness of communication needs, interdisciplinary understanding, and mutual respect. (MSE)

  12. Breaking Barriers: Can Student Journalists and Economists Learn Together?

    ERIC Educational Resources Information Center

    Ramsay, Glenworth; Silvia, Antone

    1993-01-01

    Two University of Rhode Island teachers, of journalism and economics, designed student projects simulating real interactions between professional journalists and economists. The projects increased both groups' ability to communicate, awareness of communication needs, interdisciplinary understanding, and mutual respect. (MSE)

  13. Meet EPA Natural Resource Economist Marisa Mazzotta, Ph.D.

    EPA Pesticide Factsheets

    Marisa Mazzotta, Ph.D. currently works as an Economist at EPA's Atlantic Ecology Division. Her research focuses on the public's valuation and prioritization of natural resources, and the relationship between ecological changes and economic benefits.

  14. Worry processes in patients with persecutory delusions.

    PubMed

    Startup, Helen; Pugh, Katherine; Dunn, Graham; Cordwell, Jacinta; Mander, Helen; Černis, Emma; Wingham, Gail; Shirvell, Katherine; Kingdon, David; Freeman, Daniel

    2016-11-01

    Worry may be common in patients with paranoia and a contributory causal factor in the occurrence of the delusions. A number of psychological mechanisms have been linked to the occurrence of worry in emotional disorders but these are yet to be investigated in psychosis. The primary aim of the study was to test the links between five main worry mechanisms - perseverative thinking, catastrophizing, stop rules, metacognitive beliefs, and intolerance of uncertainty - and the cognitive style of worry in patients with persecutory delusions. One hundred and fifty patients with persecutory delusions completed assessments of paranoia, worry, and worry mechanisms. Worry in patients with psychosis was associated with the following: a perseverative thinking style, an 'as many as can' stop rule, a range of metacognitive beliefs (cognitive confidence, worry as uncontrollable and the need to control thoughts), and intolerance of uncertainty. Higher levels of worry were associated with higher levels of paranoia. There was also evidence that intolerance of uncertainty and the metacognitive belief concerning the need to control thoughts were independently associated with paranoia. Worry in patients with persecutory delusions may well be understood by similar underlying mechanisms as worry in emotional disorders. This supports the use of interventions targeting worry, suitably modified, for patients with psychosis. Worry is a significant concern for patients with paranoia Worry in paranoia is likely to be caused by similar mechanisms as worry in emotional disorders The results support the recent trial findings that standard techniques for treating worry in anxiety, suitably modified, are applicable for patients with paranoia LIMITATIONS: The findings are limited by the self-report nature of measures and by the study design which precludes any assumptions about the direction of causality between the psychological mechanisms and worry. © 2016 The British Psychological Society.

  15. Worry, Intolerance of Uncertainty, and Statistics Anxiety

    ERIC Educational Resources Information Center

    Williams, Amanda S.

    2013-01-01

    Statistics anxiety is a problem for most graduate students. This study investigates the relationship between intolerance of uncertainty, worry, and statistics anxiety. Intolerance of uncertainty was significantly related to worry, and worry was significantly related to three types of statistics anxiety. Six types of statistics anxiety were…

  16. Worry, Intolerance of Uncertainty, and Statistics Anxiety

    ERIC Educational Resources Information Center

    Williams, Amanda S.

    2013-01-01

    Statistics anxiety is a problem for most graduate students. This study investigates the relationship between intolerance of uncertainty, worry, and statistics anxiety. Intolerance of uncertainty was significantly related to worry, and worry was significantly related to three types of statistics anxiety. Six types of statistics anxiety were…

  17. Worry and its correlates onboard cruise ships.

    PubMed

    Wolff, Katharina; Larsen, Svein; Marnburg, Einar; Øgaard, Torvald

    2013-01-01

    The present study examined job-specific worry, as well as possible predictors of such worry, namely job-specific self-efficacy and supervisor dispositionism. 133 non-supervising crew members at different departments onboard upmarket cruise ships filled in a questionnaire during one of their journeys. Findings show that employees report moderate amounts of job-specific worry and the galley crew reports significantly greater amounts of worry than the other departments. Results also indicate that cruise ship crews worry somewhat more than workers in the land based service sector. Furthermore it was found that supervisor dispositionism, i.e. supervisors with fixed mindsets, was related to greater amounts of worry among the crew. Surprisingly, job-specific self-efficacy was unrelated to job-specific worry.

  18. Concreteness of idiographic worry and anticipatory processing.

    PubMed

    McGowan, Sarah Kate; Stevens, Elizabeth S; Behar, Evelyn; Judah, Matt R; Mills, Adam C; Grant, DeMond M

    2017-03-01

    Worry and anticipatory processing are forms of repetitive negative thinking (RNT) that are associated with maladaptive characteristics and negative consequences. One key maladaptive characteristic of worry is its abstract nature (Goldwin & Behar, 2012; Stöber & Borkovec, 2002). Several investigations have relied on inductions of worry that are social-evaluative in nature, which precludes distinctions between worry and RNT about social-evaluative situations. The present study examined similarities and distinctions between worry and anticipatory processing on potentially important maladaptive characteristics. Participants (N = 279) engaged in idiographic periods of uninstructed mentation, worry, and anticipatory processing and provided thought samples during each minute of each induction. Thought samples were assessed for concreteness, degree of verbal-linguistic activity, and degree of imagery-based activity. Both worry and anticipatory processing were characterized by reduced concreteness, increased abstraction of thought over time, and a predominance of verbal-linguistic activity. However, worry was more abstract, more verbal-linguistic, and less imagery-based relative to anticipatory processing. Finally, worry demonstrated reductions in verbal-linguistic activity over time, whereas anticipatory processing demonstrated reductions in imagery-based activity over time. Worry was limited to non-social topics to distinguish worry from anticipatory processing, and may not represent worry that is social in nature. Generalizability may also be limited by use of an undergraduate sample. Results from the present study provide support for Stöber's theory regarding the reduced concreteness of worry, and suggest that although worry and anticipatory processing share some features, they also contain characteristics unique to each process. Published by Elsevier Ltd.

  19. Interview Scheduling Strategies of New Ph.D. Economists.

    ERIC Educational Resources Information Center

    List, John A.

    2000-01-01

    Investigates the factors that affect procuring job interviews for new Ph.D. economists. Used a data set from the personal surveys of a cohort of first-time job seekers who attended the 1997 American Economic Association (AEA) meeting in New Orleans (Louisiana). States that estimation results suggest a heterogeneity in the interview decision across…

  20. Gender Differences in Research Patterns among PhD Economists

    ERIC Educational Resources Information Center

    Barbezat, Debra A.

    2006-01-01

    This study is based on a 1996 survey of PhD economists working in the academic and nonacademic sectors since 1989. Despite a raw gender difference in all types of research output, the male dummy variable proves statistically significant in predicting only one publication measure. In a full sample and faculty subsample, number of years since…

  1. Economists Concoct New Method for Comparing Graduation Rates

    ERIC Educational Resources Information Center

    Glenn, David

    2007-01-01

    A pair of economists at the College of William and Mary have devised a new way of comparing colleges' graduation rates--a method, borrowed from business analysis, that they believe is fairer and more useful than the techniques used by "U.S. News & World Report" and the Education Trust. That general technique of regression analysis underlies the…

  2. An Economist's Approach to Reforming the Uniform Methodology

    ERIC Educational Resources Information Center

    Barnes, Gary T.

    1977-01-01

    The standardized approach (Uniform Methodology) to estimating the expected parental contribution for dependent students is evaluated from an economist's perspective. The UM model is shown to fail to treat assets and income in a consistent manner, and recommendations for improvement are offered. (LBH)

  3. Football experts versus sports economists: Whose forecasts are better?

    PubMed

    Frick, Bernd; Wicker, Pamela

    2016-08-01

    Given the uncertainty of outcome in sport, predicting the outcome of sporting contests is a major topic in sport sciences. This study examines the accuracy of expert predictions in the German Bundesliga and compares their predictions to those of sports economists. Prior to the start of each season, a set of distinguished experts (head coaches and players) express their subjective evaluations of the teams in school grades. While experts may be driven by irrational sentiments and may therefore systematically over- or underestimate specific teams, sports economists use observable characteristics to predict season outcomes. The latter typically use team wage bills given the positive pay-performance relationship as well as other factors (average team age, tenure, appearances on national team, and attendance). Using data from 15 consecutive Bundesliga seasons, the predictive accuracy of expert evaluations and sports economists is analysed. The results of separate estimations show that relative grade and relative wage bill significantly affect relative points, while age, tenure, appearances, and attendance are insignificant. In a joint model, relative grade and relative wage bill are still statistically significant, suggesting that the two types of predictions are complements rather than substitutes. Consequently, football experts and sports economists seem to rely on completely different sources of information when making their predictions.

  4. Environmental Economics for Watershed Restoration: Valuation for Non-Economists

    EPA Science Inventory

    EPA economists completed research projects and summarized related valuation methods and case studies, mostly dealing with acid mine drainage. Their recent book (edited by Thurston, et al.) is intended to make stakeholders more comfortable talking about economic jargon and to info...

  5. Opportunity Cost and the Intelligence of Economists: A Comment

    ERIC Educational Resources Information Center

    Arce, Daniel G.

    2016-01-01

    In "Opportunity Cost: A Reexamination," Professor Parkin contrasts forgone physical quantities with forgone values as measures of the opportunity cost of basic economic decisions. The impetus for his study stems from an experiment conducted by Ferraro and Taylor (2005), in which professional economists could not reach a consensus over…

  6. Economists Concoct New Method for Comparing Graduation Rates

    ERIC Educational Resources Information Center

    Glenn, David

    2007-01-01

    A pair of economists at the College of William and Mary have devised a new way of comparing colleges' graduation rates--a method, borrowed from business analysis, that they believe is fairer and more useful than the techniques used by "U.S. News & World Report" and the Education Trust. That general technique of regression analysis underlies the…

  7. Gender Differences in Research Patterns among PhD Economists

    ERIC Educational Resources Information Center

    Barbezat, Debra A.

    2006-01-01

    This study is based on a 1996 survey of PhD economists working in the academic and nonacademic sectors since 1989. Despite a raw gender difference in all types of research output, the male dummy variable proves statistically significant in predicting only one publication measure. In a full sample and faculty subsample, number of years since…

  8. Robert Michels (1876-1936), Political Sociologist and Economist.

    ERIC Educational Resources Information Center

    Parker, Franklin

    A biographical sketch of Robert Michels (1876-1936), a political sociologist and economist who taught in Germany, Switzerland, Italy, and the United States is presented. In his best known work, "Political Parties: A Sociological Study of Oligarchical Tendencies of Modern Democracy," he put forth his "iron law of oligarchy"…

  9. Opportunity Cost and the Intelligence of Economists: A Comment

    ERIC Educational Resources Information Center

    Arce, Daniel G.

    2016-01-01

    In "Opportunity Cost: A Reexamination," Professor Parkin contrasts forgone physical quantities with forgone values as measures of the opportunity cost of basic economic decisions. The impetus for his study stems from an experiment conducted by Ferraro and Taylor (2005), in which professional economists could not reach a consensus over…

  10. Environmental Economics for Watershed Restoration: Valuation for Non-Economists

    EPA Science Inventory

    EPA economists completed research projects and summarized related valuation methods and case studies, mostly dealing with acid mine drainage. Their recent book (edited by Thurston, et al.) is intended to make stakeholders more comfortable talking about economic jargon and to info...

  11. Information-processing, storage characteristics and worry.

    PubMed

    Pratt, P; Tallis, F; Eysenck, M

    1997-11-01

    Eysenck (1984, Bulletin of the Psychonomic Society, 22, 545-548) suggested that storage characteristics may be an important determinant of worry, and postulated that prolonged worry occurs in individuals who have tightly organised clusters of worry-related information stored in long-term memory. These clusters reflect areas or domains of worry. Because the information is stored in tight clusters, it becomes more accessible, more rapidly activated and therefore retrieved more quickly. The Worry Domains Questionnaire (WDQ) (Tallis, 1991c) is used to determine which domain worried subjects most (Primary) and least (Secondary). Two experiments are reported using a word allocation task, which requires subjects to make categorical decisions, based on these worry domains. It is reported that priming facilitates the emergence of domain effects, thus providing support for a structural hypothesis. High worries take longer to reject negative words if they are from the Primary domain and have difficulty rejecting Primary domain words when they are under a congruent heading. In addition, high worriers are reported to show retarded latencies when attempting to process ambiguous information, consistent with Metzger et al.'s studies (1990, Journal of Clinical Psychology, 48, 76-88). It is suggested that the initiation and maintenance of worry is largely attributable to an elevated evidence requirement and this may link to the personality trait of perfectionism.

  12. Working memory, worry, and algebraic ability.

    PubMed

    Trezise, Kelly; Reeve, Robert A

    2014-05-01

    Math anxiety (MA)-working memory (WM) relationships have typically been examined in the context of arithmetic problem solving, and little research has examined the relationship in other math domains (e.g., algebra). Moreover, researchers have tended to examine MA/worry separate from math problem solving activities and have used general WM tasks rather than domain-relevant WM measures. Furthermore, it seems to have been assumed that MA affects all areas of math. It is possible, however, that MA is restricted to particular math domains. To examine these issues, the current research assessed claims about the impact on algebraic problem solving of differences in WM and algebraic worry. A sample of 80 14-year-old female students completed algebraic worry, algebraic WM, algebraic problem solving, nonverbal IQ, and general math ability tasks. Latent profile analysis of worry and WM measures identified four performance profiles (subgroups) that differed in worry level and WM capacity. Consistent with expectations, subgroup membership was associated with algebraic problem solving performance: high WM/low worry>moderate WM/low worry=moderate WM/high worry>low WM/high worry. Findings are discussed in terms of the conceptual relationship between emotion and cognition in mathematics and implications for the MA-WM-performance relationship.

  13. Illness perceptions, risk perception and worry in SDH mutation carriers.

    PubMed

    van Hulsteijn, L T; Kaptein, A A; Louisse, A; Biermasz, N R; Smit, J W A; Corssmit, E P M

    2014-03-01

    Succinate dehydrogenase (SDH) mutation carriers are predisposed for developing paragangliomas. This study aimed to explore illness perceptions, risk perception and disease-related worry in these individuals. All consecutive SDHB and SDHD mutation carriers followed at the Department of Endocrinology of the Leiden University Medical Center (LUMC), a tertiary referral center, were eligible for inclusion. Illness perceptions were assessed using the validated Illness Perception Questionnaire-Revised and compared to reference populations. Risk perception and worry were measured by two items each and associations with illness perceptions explored. Twenty SDHB and 118 SDHD mutation carriers responded. Compared with various reference groups, SDH mutation carriers perceived less controllability of their condition. SDHB mutation carriers considered their condition to be less chronic in nature (p = 0.005) and perceived more personal (p = 0.018) and treatment control (p = 0.001) than SDHD mutation carriers. Mutation carriers with manifest disease reported more negative illness perceptions and a higher risk perception of developing subsequent tumors than asymptomatic mutation carriers. Illness perceptions, risk perception and disease-related worry were strongly correlated. Risk perception and disease-related worry may be assessed through illness perceptions. The development of interventions targeting illness perceptions may provide tools for genetic counseling.

  14. Worry and anger rumination in fibromyalgia syndrome.

    PubMed

    Ricci, A; Bonini, S; Continanza, M; Turano, M T; Puliti, E M; Finocchietti, A; Bertolucci, D

    2016-12-31

    The aim of the present study was twofold: 1) to investigate the psychological profile of patients with fibromyalgia syndrome (FS) as compared to patients with other chronic pain syndromes (CP) and healthy subjects (HS); 2) to examine the associations between anxiety, depression, worry and angry rumination in FS patients. FS patients (N=30), CP patients (N=30) and HS (N=30) completed measurements of anxiety, depression, worry and angry rumination. FS patients showed higher levels of state and trait anxiety, worry and angry rumination than CP patients and HS, and higher levels of depression than HS. Worry and angry rumination were strongly associated in the FS group. FS patients may use worry and rumination as coping strategies to deal with their negative emotional experience, which might impair their emotional wellbeing. Findings from the present study add to our understanding of the psychological profile of FS patients, and have important implications for developing a tailored CBT protocol for pain management in FS patients.

  15. Worries about getting Alzheimer's: who's concerned?

    PubMed

    Cutler, Stephen J

    2015-09-01

    The prevalence of Alzheimer's disease (AD) is projected to grow dramatically, but efforts to treat its progression have been unsuccessful. Fear of AD among older persons is greater than fear of cancer, and lingering worries about developing AD can be detrimental to well-being. Yet, much remains to be known about such worries and their precursors. This study, based on data from the Health and Retirement Survey, examines correlates of worry. Results of multivariate analyses show the following to be independent and significant correlates: present memory ratings, perceived changes in memory, personal familiarity with AD, belief that being a first-degree relative of someone with AD heightens the chance of developing AD, and age. Interaction analyses show that memory ratings and perceived changes in memory functioning are associated with worry regardless of personal familiarity. These findings will enable practitioners to identify patients and clients at risk of being worried about getting AD.

  16. Values and worries of ovarian cancer patients.

    PubMed

    Pisu, Maria; Kenzik, Kelly M; Rim, Sun Hee; Funkhouser, Ellen M; Bevis, Kerri S; Alvarez, Ronald D; Cantuaria, Guilherme; Rocconi, Rodney P; Martin, Michelle Y

    2017-09-06

    Older women with ovarian cancer (OC) are less likely to receive guideline concordant treatment. Differences in values and worries about treatment may explain why. Women with OC in 2013-2015 were surveyed about values and worries at the time of initial treatment. Existing values (11 item, e.g., maintaining quality of life) and worries (12 items, e.g., treatment side effects) scales were adapted based on OC literature. Responses were very/somewhat/a little/not at all important or worried. Principal Component Analyses (PCA) identified groups of values and worries that best explained scales' variation. We examined proportions reporting very/somewhat important/worried on ≥1 item in each component by age (older ≥65years, younger <65years). Of 170 respondents, 42.3% were older. PCA components for values were: functional well-being (3 survey items, proportion of variance explained [PoVE] 26.3%), length of life and sexual functioning (3 items, PoVE 20.1%), attitudes (3 items, PoVE 14.2%), and not becoming a burden (2 items, PoVE 13.7%). PCA components for worries were: economic (4 items, PoVE 27.2%), uncertainty (6 items, PoVE 26.0%), and family impact (2 items, PoVE 16.3%). Older women were less likely to indicate very/somewhat worried to ≥1 item in the economic (51.4% vs 72.4%, p=0.006), uncertainty (80.6% vs. 98.0%, p=0.001), and family impact component (55.6% vs. 70.4%, p=0.03). No other age differences were found. While worry during OC treatment decision-making may differ across age groups, values do not. Research should assess how differences in worry might affect OC medical decision-making for older and younger women. Copyright © 2017. Published by Elsevier Inc.

  17. Effects of total-body digital photography on cancer worry in patients with atypical mole syndrome.

    PubMed

    Moye, Molly S; King, Sallyann M C; Rice, Zakiya P; DeLong, Laura K; Seidler, Anne M; Veledar, Emir; Curiel-Lewandrowski, Clara; Chen, Suephy C

    2015-02-01

    Cancer worry about developing melanoma in at-risk patients may affect one's quality of life and adherence to screening. Little is known about melanoma-related worry in patients with atypical mole syndrome (AMS). To quantify levels and elucidate predictors of worry related to developing melanoma in patients with AMS and to determine whether total-body digital photography (TBDP) in pigmented lesion clinics (PLCs) reduces worry. In this pretest-posttest study, patients with AMS from PLCs at 2 academic medical centers were recruited from June 1, 2005, through October 31, 2008, to answer questions about cancer worry before and after undergoing TBDP. Questionnaires used included the new melanoma and recurrent melanoma Revised Impact of Event Scale (RIES), the Melanoma Worry Scale (MWS), the Hospital Anxiety and Depression Scale, and the Life Orientation Test. All patients underwent TBDP. Changes in the MWS and new melanoma RIES scores. A total of 138 patients completed baseline questionnaires; 108 patients (78.3%) completed questionnaires after TBDP. Baseline levels of worry were low and reduced further after TBDP. In patients with a personal history of melanoma, worry was reduced on all scales. In patients without a personal history of melanoma, only the new melanoma RIES score was significantly decreased. Predictors of baseline MWS scores include female sex, personal history of melanoma, and higher Hospital Anxiety and Depression Scale scores, adjusted for demographics, family history of melanoma, and Life Orientation Test scores. Adjusted predictors of the baseline new melanoma RIES score were similar but also included lower educational level and did not include sex. Patients with AMS have low levels of melanoma-related worry, which is similar to data from other populations at high risk of cancers. We found that TBDP is a clinically useful tool that can be used in PLCs to help decrease worry about developing melanoma in at-risk patients.

  18. Cancer recurrence worry, risk perception, and informational-coping styles among Appalachian cancer survivors.

    PubMed

    Kelly, Kimberly M; Shedlosky-Shoemaker, Randi; Porter, Kyle; Desimone, Philip; Andrykowski, Michael

    2011-01-01

    Despite a growing literature on the psychosocial impact of the threat of cancer recurrence, underserved populations, such as those from the Appalachian region, have been understudied. To examine worry and perceived risk in cancer survivors, Appalachian and non-Appalachian cancer patients at an ambulatory oncology clinic in a university hospital were surveyed. Appalachians had significantly higher worry than non-Appalachians. Cancer type and lower need for cognition were associated with greater worry. Those with missing perceived risk data were generally older, less educated, and lower in monitoring, blunting, and health literacy. Additional resources are needed to assist Appalachians and those with cancers with poor prognoses (e.g., liver cancer, pancreatic cancer) to cope with worry associated with developing cancer again. More attention for cancer prevention is critical to improve quality of life in underserved populations where risk of cancer is greater.

  19. Melanoma Biopsy Results Can Differ, Worrying Patients

    MedlinePlus

    ... page: https://medlineplus.gov/news/fullstory_166955.html Melanoma Biopsy Results Can Differ, Worrying Patients Doctor discovers ... her dermatologist said her skin biopsy indicated possible melanoma, she knew just what to do -- get a ...

  20. [Spanish version of the Cancer Worry Scale (CWS). Cross cultural adaptation and validity and reliability analysis].

    PubMed

    Cabrera, Esther; Zabalegui, Adelaida; Blanco, Ignacio

    2011-01-15

    The worry for falling ill has been described as a key element in the change of preventive attitudes. Levels of cancer worry not well fitted have been associated with inadequate adherence to preventive strategies. There is not a Spanish validated scale to evaluate the degree of worry for the cancer in our population. The aim of the present study was to perform the cross cultural adaptation and validation of the Cancer Worry Scale described by Lerman. A translation, re-translation of the Cancer Worry Scale to Spanish was done. Validation of the Spanish scale was performed by means of the factorial analysis of principal components with the rotation varimax test in a sample of 200 healthy women with family history of breast cancer. The Escala de Preocupación por el Cáncer (EPC) is the Spanish version of the Cancer Worry Scale and it contains 6 items with a total value ranging from 6 (minimal worry) to 24 (maximum worry). The analysis of content validity demonstrated that the EPC is conceptually equivalent to the original scale. The factorial analysis showed a unique factor that explains 53.07% of the variance confirming the unique dimension. The EPC presented good reliability test - re-test with an Intraclass Correlation Coefficient of 0.777. The Cronbach's alpha was 0.835 for the complete of the scale. The EPC is a validated Spanish scale to measure the cancer worry in healthy individuals, which shows a correct content validity and reliability. Copyright © 2010 Elsevier España, S.L. All rights reserved.

  1. The Cancer Worry Scale Revised for Breast Cancer Genetic Counseling.

    PubMed

    Caruso, Anita; Vigna, Cristina; Gremigni, Paola

    2017-05-19

    The Cancer Worry Scale was revised to be used in breast cancer genetic counseling (CWS-GC). This scale is used to identify dimensions that are relevant in the genetic counseling context, such as worry about developing breast cancer, impact of worries on daily life, and risk perception in women attending a counseling session for BRCA1/2 mutations. The aim of this study was to estimate the psychometric properties of the CWS-GC in a sample of Italian women. A total of 304 women aged 19 to 90 years, 58% with history and 42% with no history of breast or ovarian cancer, participated in the study. Validity, reliability, and sensitivity to change of the CWS-GC were assessed. Confirmatory factor analysis suggested a 2-factor structure of the CWS-GC measuring cancer worry and risk perception and with Cronbach's α coefficients of .90 and .70, respectively. Criterion validity was attested by substantial yet not overlapping correlations with anxiety and fear of medical procedures. In a subsample of 50 women, test-retest reliability at a 4-week interval ranged from 0.70 to 0.87, and the CWS-GC was able to detect small to medium changes 1 month after genetic counseling. Overall, the CWS-GC showed good psychometric characteristics in this population. The CWS-GC would be appropriate for use by healthcare professionals to better understand how women react and adapt to information on genetic cancer risk to provide them with emotional support and encourage surveillance behaviors.

  2. Vagal influence during worry and cognitive challenge.

    PubMed

    Hammel, Jacinda C; Smitherman, Todd A; McGlynn, F Dudley; Mulfinger, Amanda M M; Lazarte, Alejandro A; Gothard, Kelly D

    2011-03-01

    The primary foci of the study were exploration of the linkage between cognitive and autonomic inflexibility of worry and generalized anxiety disorder (GAD) and examination of the effects of an analog cognitive restructuring task on this relationship. Cardiac responses of GAD and non-GAD participants were measured to examine the sympathetic and parasympathetic effects of worry and cognitive challenge. Diagnostic groups of undergraduate students were determined via administration of a structured interview, yielding a GAD group (n=16) and a control group (n=19) of individuals without GAD, depression, or panic disorder diagnoses. Cardiac autonomic responses were acquired via electrocardiogram during rest, worry, and cognitive challenge conditions by an experimenter blind to diagnosis. Metrics were compared between the two groups and across the three conditions. Individuals diagnosed with GAD did not differ significantly from controls on autonomic indices. Worry was associated with significantly decreased parasympathetic influence and increased sympathetic activity. Cognitive challenge did not result in significant increased cardiac responsivity. The results indicate that worry behavior is associated with decreased vagal activity, suggest a linkage between autonomic and cognitive inflexibility, and provide further suggestions for improving protocols to assess the autonomic effects of cognitive therapy techniques.

  3. Insomnia, worry, anxiety and depression as predictors of the occurrence and persistence of paranoid thinking.

    PubMed

    Freeman, Daniel; Stahl, Daniel; McManus, Sally; Meltzer, Howard; Brugha, Traolach; Wiles, Nicola; Bebbington, Paul

    2012-08-01

    Our theoretical model proposes that insomnia, worry, and negative affect are important determinants of paranoid thinking. Anxiety produces anticipation of threat, depression increases the sense of vulnerability, worry leads to implausible ideas, and insomnia exacerbates negative affect and creates an altered perceptual state. The study objective was to examine for the first time these factors as predictors of the onset of new paranoid thinking and of the persistence of existing paranoid thinking. A total of 2,382 participants in the 2000 British National Psychiatric Morbidity Survey were followed-up 18 months after their first assessment. Baseline assessments were used to predict the development and persistence of paranoid thinking at follow-up. Data were weighted to be representative of the general household population. Insomnia, worry, anxiety, depression and depressive ideas were each substantial predictors both of new inceptions of paranoia and of the persistence of existing paranoid thinking. Worry and insomnia were the strongest predictors. For example, insomnia at the first assessment led to a more than threefold increase in later inceptions of paranoid thinking. The study indicates that insomnia, worry, anxiety and depression are potential risk factors for new inceptions of paranoid thinking. The results also corroborate an emerging literature indicating that anxiety, worry and depression may encourage the persistence of paranoid thinking. The study provides the first longitudinal evidence linking insomnia and paranoia. The important clinical implication is that the use of interventions for common mental health difficulties in people with psychosis may have the additional benefit of reducing paranoia.

  4. Clustering of worry appraisals among college students.

    PubMed

    Schwab, Nicholas G; Cullum, Jerry C; Harton, Helen C

    2016-01-01

    The present study investigated the potential clustering of worry appraisals within college social networks. Participants living in campus residence buildings responded to online surveys across the course of several months. Worry appraisals were measured 10 weeks into the fall semester and again approximately 6 months later. Analysis of sociometric data suggests that the majority of participants' social interactions occurred within their respective residence building floors, indicating that proximity strongly influenced the development of social network ties and sources of social influence. Further, significant clustering of worry appraisals occurred across time, and more importantly, within residence building floors. The present findings compliment previous work suggesting that several physical and psychological states appear to spread and cluster within social networks. Implications for the study of emotional appraisals and future research are discussed.

  5. A Preliminary Investigation of Worry Content in Sexual Minorities

    PubMed Central

    Weiss, Brandon J.; Hope, Debra A.

    2011-01-01

    This preliminary study examined the nature of worry content of lesbians, gay men, and bisexual individuals and the relationship between worry related to sexual orientation and mental health. A community sample of 54 individuals identifying as sexual minorities was recruited from two cities in the Great Plains to complete a packet of questionnaires, including a modified Worry Domains Questionnaire (WDQ; Tallis, Eyseck, & Mathews, 1992) with additional items constructed to assess worry over discrimination related to sexual orientation, and participate in a worry induction and verbalization task. The content of self-reported worries was consistent with those reported in prior investigations of worry content, and worry related to sexual orientation was not found to be elevated compared to other topics. However, degree of worry related to sexual orientation was significantly associated with increased negative affect, depressive symptoms, and internalized homophobia and decreased quality of life and positive affect. Implications of these findings, limitations, and future research issues are discussed. PMID:21041061

  6. A preliminary investigation of worry content in sexual minorities.

    PubMed

    Weiss, Brandon J; Hope, Debra A

    2011-03-01

    This preliminary study examined the nature of worry content of lesbians, gay men, and bisexual individuals and the relationship between worry related to sexual orientation and mental health. A community sample of 54 individuals identifying as sexual minorities was recruited from two cities in the Great Plains to complete a packet of questionnaires, including a modified Worry Domains Questionnaire (WDQ; Tallis, Eysenck, & Mathews, 1992) with additional items constructed to assess worry over discrimination related to sexual orientation, and participate in a worry induction and verbalization task. The content of self-reported worries was consistent with those reported in prior investigations of worry content, and worry related to sexual orientation was not found to be elevated compared to other topics. However, degree of worry related to sexual orientation was significantly associated with increased negative affect, depressive symptoms, and internalized homophobia and decreased quality of life and positive affect. Implications of these findings, limitations, and future research issues are discussed.

  7. Eliciting probabilistic expectations: Collaborations between psychologists and economists

    PubMed Central

    Bruine de Bruin, Wändi

    2017-01-01

    We describe two collaborations in which psychologists and economists provided essential support on foundational projects in major research programs. One project involved eliciting adolescents’ expectations regarding significant future life events affecting their psychological and economic development. The second project involved eliciting consumers’ expectations regarding inflation, a potentially vital input to their investment, saving, and purchasing decisions. In each project, we sought questions with the precision needed for economic modeling and the simplicity needed for lay respondents. We identify four conditions that, we believe, promoted our ability to sustain these transdisciplinary collaborations and coproduce the research: (i) having a shared research goal, which neither discipline could achieve on its own; (ii) finding common ground in shared methodology, which met each discipline’s essential evidentiary conditions, but without insisting on its culturally acquired tastes; (iii) sharing the effort throughout, with common language and sense of ownership; and (iv) gaining mutual benefit from both the research process and its products. PMID:28270610

  8. Meta-worry, worry, and anxiety in children and adolescents: relationships and interactions.

    PubMed

    Esbjørn, B H; Lønfeldt, N N; Nielsen, S K; Reinholdt-Dunne, M L; Sømhovd, M J; Cartwright-Hatton, S

    2015-01-01

    The metacognitive model has increased our understanding of the development and maintenance of generalized anxiety disorders in adults. It states that the combination of positive and negative beliefs about worry creates and sustains anxiety. A recent review argues that the model can be applied to children, but empirical support is lacking. The aim of the 2 presented studies was to explore the applicability of the model in a childhood sample. The first study employed a Danish community sample of youth (n = 587) ages 7 to 17 and investigated the relationship between metacognitions, worry and anxiety. Two multiple regression analyses were performed using worry and metacognitive processes as outcome variables. The second study sampled Danish children ages 7 to 12, and compared the metacognitions of children with a GAD diagnosis (n = 22) to children with a non-GAD anxiety diagnosis (n = 19) and nonanxious children (n = 14). In Study 1, metacognitive processes accounted for an additional 14% of the variance in worry, beyond age, gender, and anxiety, and an extra 11% of the variance in anxiety beyond age, gender, and worry. The Negative Beliefs about Worry scale emerged as the strongest predictor of worry and a stronger predictor of anxiety than the other metacognitive processes and age. In Study 2, children with GAD have significantly higher levels of deleterious metacognitions than anxious children without GAD and nonanxious children. The results offer partial support for the downward extension of the metacognitive model of generalized anxiety disorders to children.

  9. Educational Insights of the Economist: Tibor Scitovsky on Education, Production and Creative Consumption

    ERIC Educational Resources Information Center

    Gilead, Tal

    2013-01-01

    In recent decades education is increasingly perceived as an instrument for generating economic growth and enhancing production. Unexpectedly, however, many prominent economists, throughout history, have rejected this view of education. This article examines the grounds on which Tibor Scitovsky, who was one of the leading economists of twentieth…

  10. Coverage of Major Topics in Economics in the Undergraduate Curriculum: Economists as Gatekeepers.

    ERIC Educational Resources Information Center

    Prescott, Suzanne

    Over the last 25 years, less attention has been devoted to the role of the economist as teacher or professor than to the role of economist as scholar or researcher. Teachers have been seen as passive recipients of advances in economics research that they simply hand on to their students. Yet teachers perform an important gatekeeping function when…

  11. Educational Insights of the Economist: Tibor Scitovsky on Education, Production and Creative Consumption

    ERIC Educational Resources Information Center

    Gilead, Tal

    2013-01-01

    In recent decades education is increasingly perceived as an instrument for generating economic growth and enhancing production. Unexpectedly, however, many prominent economists, throughout history, have rejected this view of education. This article examines the grounds on which Tibor Scitovsky, who was one of the leading economists of twentieth…

  12. Determinants among PhD Economists of Membership in a Professional Association.

    ERIC Educational Resources Information Center

    Diamond, Arthur M., Jr.; Haurin, Donald R.

    1994-01-01

    Tested hypotheses about the value of American Economic Association (AEA) membership. An AEA economist is likely to be male, from a highly ranked PhD school, active in publishing research, highly cited for publications, and not in either the business administration or the agriculture subfields. The study involved 913 economists who received their…

  13. Coverage of Major Topics in Economics in the Undergraduate Curriculum: Economists as Gatekeepers.

    ERIC Educational Resources Information Center

    Prescott, Suzanne

    Over the last 25 years, less attention has been devoted to the role of the economist as teacher or professor than to the role of economist as scholar or researcher. Teachers have been seen as passive recipients of advances in economics research that they simply hand on to their students. Yet teachers perform an important gatekeeping function when…

  14. A Brief Look at What Economists Are Saying about the Community College

    ERIC Educational Resources Information Center

    Romano, Richard M.

    2011-01-01

    This essay canvasses selected studies undertaken by economists on the community college. Key authors and journals are noted, followed by an examination of what economists contribute to our understanding of the community college in terms of costs, price and financial aid, economic and social benefits, and the institution's role in furthering…

  15. The dual effects of critical thinking disposition on worry.

    PubMed

    Sugiura, Yoshinori

    2013-01-01

    This study investigated the relationship between disposition (people's consistent motivation) toward critical thinking (CT) and worrying. In spite of its connection to psychopathology, worry is thought to represent an effort at problem-solving. Moreover, worry has been found to be underpinned by cognitive development, leading us to predict a positive relationship between worry and CT disposition. On the other hand, cognitive behavioral therapy, which involves techniques similar to CT, has been shown to be effective in reducing worrying, suggesting that increasing CT disposition decreases worrying. This study attempted to reconcile these seemingly contrasting predictions about the relationship between CT disposition and worrying by using multiple mediator analysis. A model was proposed wherein the mediators, responsibility to continue thinking and detached awareness of negative thinking, were related to two opposing predictions. The former is thought to lead to enhanced worrying and the latter to reduced worrying, with both positively related to CT disposition. A questionnaire study with university students (N = 760) revealed that CT disposition enhanced worrying by obliging people to continue thinking about a problem, but that it also reduced worrying by enhancing the detached and objective awareness of their negative thoughts. This study thus demonstrated the dual effects of CT disposition on worrying through different mediators. Thus, when enhancing CT disposition, it is important for educators to be aware of possible disadvantages apart from its worry-reducing effect. Future studies should therefore examine the underlying mechanisms of these two effects of CT disposition.

  16. The Dual Effects of Critical Thinking Disposition on Worry

    PubMed Central

    Sugiura, Yoshinori

    2013-01-01

    This study investigated the relationship between disposition (people’s consistent motivation) toward critical thinking (CT) and worrying. In spite of its connection to psychopathology, worry is thought to represent an effort at problem-solving. Moreover, worry has been found to be underpinned by cognitive development, leading us to predict a positive relationship between worry and CT disposition. On the other hand, cognitive behavioral therapy, which involves techniques similar to CT, has been shown to be effective in reducing worrying, suggesting that increasing CT disposition decreases worrying. This study attempted to reconcile these seemingly contrasting predictions about the relationship between CT disposition and worrying by using multiple mediator analysis. A model was proposed wherein the mediators, responsibility to continue thinking and detached awareness of negative thinking, were related to two opposing predictions. The former is thought to lead to enhanced worrying and the latter to reduced worrying, with both positively related to CT disposition. A questionnaire study with university students (N = 760) revealed that CT disposition enhanced worrying by obliging people to continue thinking about a problem, but that it also reduced worrying by enhancing the detached and objective awareness of their negative thoughts. This study thus demonstrated the dual effects of CT disposition on worrying through different mediators. Thus, when enhancing CT disposition, it is important for educators to be aware of possible disadvantages apart from its worry-reducing effect. Future studies should therefore examine the underlying mechanisms of these two effects of CT disposition. PMID:24278160

  17. Worry in Older Community-Residing Adults

    ERIC Educational Resources Information Center

    Brock, Kaye; Clemson, Lindy; Cant, Rosemary; Ke, Liang; Cumming, Robert G.; Kendig, Hal; Mathews, Mark

    2011-01-01

    With rising longevity, increasing numbers of older people are experiencing changes in their everyday family and social life, changes in their financial status, and a greater number of chronic conditions affecting their health. We took the opportunity to explore these relationships with worry in a group of volunteer community-living elderly (n =…

  18. Risking Hope in a Worried World

    ERIC Educational Resources Information Center

    Silin, Jonathan

    2017-01-01

    Hope is at the heart of the educational endeavour. Yet it is a challenge for educators to sustain a sense of hope in a worried world where terrorism, mass migrations, global warming and ultra-right political movements are on the rise. Acknowledging that hopefulness always involves risk, this article identifies three pedagogical practices which…

  19. Worry in Older Community-Residing Adults

    ERIC Educational Resources Information Center

    Brock, Kaye; Clemson, Lindy; Cant, Rosemary; Ke, Liang; Cumming, Robert G.; Kendig, Hal; Mathews, Mark

    2011-01-01

    With rising longevity, increasing numbers of older people are experiencing changes in their everyday family and social life, changes in their financial status, and a greater number of chronic conditions affecting their health. We took the opportunity to explore these relationships with worry in a group of volunteer community-living elderly (n =…

  20. Examining the Relationship between Worry and Trait Anxiety

    ERIC Educational Resources Information Center

    Kelly, William E.

    2004-01-01

    It is commonly assumed that worry and anxiety are synonymous. However, there is growing evidence that anxiety and worry are separate, yet related, constructs (i.e., Davey, Hampton, Farrell, & Davidson, 1992; Davey, 1993; Gana, Martin, & Canouet, 2001 ). Worry, is generally defined as a stream of negative thoughts (Kelly & Miller,…

  1. Examining the Relationship between Worry and Trait Anxiety

    ERIC Educational Resources Information Center

    Kelly, William E.

    2004-01-01

    It is commonly assumed that worry and anxiety are synonymous. However, there is growing evidence that anxiety and worry are separate, yet related, constructs (i.e., Davey, Hampton, Farrell, & Davidson, 1992; Davey, 1993; Gana, Martin, & Canouet, 2001 ). Worry, is generally defined as a stream of negative thoughts (Kelly & Miller,…

  2. Worry as a Phenomenon Relevant to the Elderly.

    ERIC Educational Resources Information Center

    Wisocki, Patricia A.

    Given the facilitating conditions and the characteristic qualities of worry, the elderly seem to be particularly susceptible to the experience of worry. The Worry Scale was developed in response to the concerns expressed about life events measures and as an attempt to address the needs of elderly people directly. Older adults (N=94) from 11 senior…

  3. Coping strategies as psychological risk factor for antenatal anxiety, worries, and depression among Greek women.

    PubMed

    Gourounti, Kleanthi; Anagnostopoulos, Fotios; Lykeridou, Katerina

    2013-10-01

    A range of psychosocial, medical, and demographic variables may influence pregnant women's psychological status. However the association between coping strategies, anxiety, worries, and depression during pregnancy is a relatively neglected area of research. Therefore, the aim of this study was to examine the relationship between coping strategies, antenatal anxiety, pregnancy worries, and depressive symptomatology after controlling for the effects of background variables. The study sample consisted of 163 pregnant women, with gestational age ranging from 11 to 26 weeks, attending antenatal screening at a Greek public hospital. Coping strategies were measured with Brief COPE, pregnancy worries were measured with Cambridge Worry Scale (CWS), anxiety was assessed using State-Trait Anxiety Inventory (STAI-X version), and depression was measured with Center for Epidemiologic Studies-Depression scale (CES-D). Pearson's correlation coefficients were calculated among all study variables, followed by hierarchical multiple linear regression. In the univariate analysis, low annual income, unemployment, conception after an IVF treatment, and a previous history of miscarriage were associated with anxiety, depression, and worries. Additionally, almost all coping strategies (denial, behavioral disengagement, self-blame, self-distraction, substance use, acceptance, positive reframing, active coping, and seeking emotional support) were significantly associated with antenatal anxiety, worries, and depression. Linear regression analysis showed that only previous history of miscarriage, conception after IVF, as well as denial, behavioral disengagement and acceptance coping strategies were significantly related to anxiety, worries and depressive symptomatology. The risk factors found in this study could help clinicians target anxiety and depression screening to high-risk populations of pregnant women. Provision of adequate training for obstetricians and midwives in the detection and

  4. Retrospective analysis of attitudes to ageing in the Economist: apocalyptic demography for opinion formers.

    PubMed

    Martin, Ruth; Williams, Caroline; O'Neill, Desmond

    2009-12-08

    To investigate the description of older people and ageing in a major weekly newspaper, influential in political and financial circles, to see whether it reflected ageing in a balanced manner, and to what extent it indulged in apocalyptic demography-the portrayal of population ageing as a financial burden rather than a scientific advance. Electronic search of the digital archive of the Economist of articles published between January 1997 and April 2008. Main outcomes measures Categorisation of articles as portraying population ageing as a burden or a benefit or with a balanced view. Of 6306 identified articles, 262 were relevant. Most featured pensions, demography, and politics. Of these 262, 64% portrayed population ageing as a burden and 12% as a benefit; 24% had a balanced view. Most articles therefore showed a predominantly ageist view of older people as a burden on society, often portraying them as frail non-contributors. Recurrent themes included pension and demographic "time bombs" and future unsustainable costs of health care for older people. This negative view of older people might be influential in shaping the attitudes of readers, who include opinion formers in political and economic circles. Gerontologists (including geriatricians) need to engage with influential media, as well as helping to promote a professional development of journalists that is informed and knowledgeable about the negative impact of ageism on the wellbeing of older people.

  5. The relation of worry to prefrontal cortex volume in older adults with and without generalized anxiety disorder.

    PubMed

    Mohlman, Jan; Price, Rebecca B; Eldreth, Dana A; Chazin, Daniel; Glover, Dorie M; Kates, Wendy R

    2009-08-30

    Despite the widespread prevalence of generalized anxiety disorder (GAD) in later life, almost nothing is known about the neural aspects of worry in adults over the age of 60. Given the ongoing rapid increase in the older adult population, the relatively poor response rates to current interventions for late life GAD, and the effects of age-related changes to the brain, additional research on worry neurobiology is needed. The study group comprised 15 older GAD patients and 15 matched controls who were compared on clinical measures and brain volumes. It was expected that prefrontal cortex (PFC) volumes [medial orbital cortex (mOFC), dorsolateral cortex (DLPFC)] would show positive relations to worry scores, and weaker relations to more general measures of anxiety and depression. Negative relations were expected between amygdala volumes and worry scores. As expected, mOFC volumes were positively related to worry scores; however, DLPFC and amygdala volumes were not. The mOFC is involved in emotional decision-making under uncertain conditions and has the ability to suppress the amygdala, both of which are hypothesized functions of worry. Results are partly consistent with GAD theory and suggest that worry may involve neural areas that are also involved in the successful control of anxiety.

  6. Cancer Survivors’ Health Worries and Associations with Lifestyle Practices

    PubMed Central

    Mosher, Catherine E.; Lipkus, Isaac M.; Sloane, Richard; Kraus, William E.; Snyder, Denise Clutter; Peterson, Bercedis; Jones, Lee W.; Demark-Wahnefried, Wendy

    2013-01-01

    This study examined among recently diagnosed breast and prostate cancer survivors (N = 678) associations between worry about a future diagnosis of heart disease or cancer and hypothetical and actual adherence to exercise and dietary guidelines. Greater worry about future illness was reported under the hypothetical scenario of non-adherence to guidelines relative to the scenario of adherence. Worry about potential heart disease was associated with actual adherence to guidelines, whereas worry about a potential cancer diagnosis was not. Findings suggest that the motivational properties of worry should be considered when developing interventions to reduce heart disease risk among cancer survivors. PMID:18987083

  7. Intolerance of uncertainty, fear of anxiety, and adolescent worry.

    PubMed

    Dugas, Michel J; Laugesen, Nina; Bukowski, William M

    2012-08-01

    A 5 year, ten wave longitudinal study of 338 adolescents assessed the association between two forms of cognitive vulnerability (intolerance of uncertainty and fear of anxiety) and worry. Multilevel mediational analyses revealed a bidirectional and reciprocal relation between intolerance of uncertainty and worry in which change in one variable partially explained change in the other. Fear of anxiety and worry also showed evidence of a bidirectional relation, although change in fear of anxiety had a much weaker mediational effect on change in worry than vice versa. The findings show that relative to fear of anxiety, intolerance of uncertainty may play a greater role in the etiology of worry in adolescents.

  8. Clinical correlates of generalized worry in multiple sclerosis.

    PubMed

    Bruce, Jared M; Arnett, Peter

    2009-08-01

    Anxiety disorders are common in multiple sclerosis (MS). Chronic worry is the defining feature of generalized anxiety. Despite this, only one study has examined the impact of chronic worry in MS. The present investigation explored the relationship between excessive worry and common physical, emotional, and neuropsychological symptoms in a community-based sample of 50 patients with relapsing-remitting and secondary progressive MS. As expected, MS patients reported significantly more worry than a group of 45 healthy controls. Correlational analyses revealed that MS patients' elevated worry was associated with fatigue, sleep disturbance, problem-solving deficits, pain, and disability status. Follow-up analyses indicated that worry and anxiety may represent related but distinct constructs. Clinicians are urged to regularly monitor and treat pathological worry in MS.

  9. The Role of the Home Economist as a Financial Counsellor in Transition Shelters.

    ERIC Educational Resources Information Center

    Quackenbush, Romy

    1991-01-01

    The role of the home economist as a financial counselor is essential to providing victims of wife abuse with a means of financial stability. The counselor can assist the victim with everything from financial stability to budgeting. (Author)

  10. The emotional experience associated with worrying: anxiety, depression, or stress?

    PubMed

    Szabó, Marianna

    2011-01-01

    Avoidance theories propose that worrying results in a reduction of the physiological arousal symptoms of anxiety. However, relatively little is known about the emotional symptoms that remain associated with worrying. This study explored whether the emotional states of anxiety, depression, or stress are specifically associated with excessive and uncontrollable worry. A group of 126 university students were selected to represent a wide range on the dimension of worry proneness. They completed a worry questionnaire, monitored the frequency and uncontrollability of their worry episodes for 1 week, and completed the Depression Anxiety Stress Scales (DASS) to indicate their level of negative affect during the monitoring period. Hierarchical regression analyses showed that all measures of worrying had a unique positive association with stress, over and above their associations with anxiety and depression. Item-level analyses showed that stress symptoms were uniformly strongly associated with worrying, while anxiety symptoms had the weakest associations. These results increase our knowledge regarding the phenomenology of worrying and underline the potential theoretical significance of the emotional state assessed by the DASS Stress scale. This scale fills the current need for a psychometrically sound instrument to assess the emotional experience associated with worrying.

  11. Statistics Anxiety and Worry: The Roles of Worry Beliefs, Negative Problem Orientation, and Cognitive Avoidance

    ERIC Educational Resources Information Center

    Williams, Amanda S.

    2015-01-01

    Statistics anxiety is a common problem for graduate students. This study explores the multivariate relationship between a set of worry-related variables and six types of statistics anxiety. Canonical correlation analysis indicates a significant relationship between the two sets of variables. Findings suggest that students who are more intolerant…

  12. Statistics Anxiety and Worry: The Roles of Worry Beliefs, Negative Problem Orientation, and Cognitive Avoidance

    ERIC Educational Resources Information Center

    Williams, Amanda S.

    2015-01-01

    Statistics anxiety is a common problem for graduate students. This study explores the multivariate relationship between a set of worry-related variables and six types of statistics anxiety. Canonical correlation analysis indicates a significant relationship between the two sets of variables. Findings suggest that students who are more intolerant…

  13. Self-conscious emotions in worry and generalized anxiety disorder.

    PubMed

    Schoenleber, Michelle; Chow, Philip I; Berenbaum, Howard

    2014-09-01

    Current theories regarding worry and generalized anxiety disorder (GAD) highlight the potential avoidance functions of worry, and it has been suggested that worry functions to avoid self-conscious emotions in particular. Therefore, the present study examined the roles of proneness and aversion to self-conscious emotions in worry and GAD. Cross-sectional data from two samples were collected: (1) a sample of 726 undergraduates, and (2) a selected sample of 51 community members, 37.3% of whom met DSM-IV criteria for GAD. Zero-order correlations and hierarchical multiple regression analyses were used to examine associations of self-conscious emotion constructs to worry and GAD. Proneness to guilt and shame (propensities for experiencing guilt and shame, respectively) were assessed via the Test of Self-Conscious Affect-3. Aversion to guilt and shame (perceptions of guilt and shame, respectively, as especially painful, undesirable emotions) were assessed using the Guilt Aversion Assessment and Shame-Aversive Reactions Questionnaire, respectively. Worry was assessed using the Penn State Worry Questionnaire, and GAD was assessed via the Structured Clinical Interview for DSM-IV-TR Axis I Disorders. Correlations indicated positive associations between self-conscious emotion constructs and worry/GAD. However, in the selected community sample, regression analyses indicated that only shame aversion was positively associated with worry/GAD, over and above all other self-conscious emotion constructs and depression. Results suggest a prominent role for an intolerance for shame in worry and GAD, which is broadly consistent with psychological models of worry. Future directions for research and clinical implications are discussed. Positive clinical implications: Evidence supporting the theorized importance of self-conscious emotions in worry and GAD. Specifically highlights the need to address intolerance for shame in treatment. Limitations: Small sample size in Study 2. Use of cross

  14. Worry Among Mexican American Caregivers of Community-Dwelling Elders

    PubMed Central

    Evans, Bronwynne C.; Coon, David W.; Belyea, Michael J.

    2015-01-01

    This mixed methods, multi-site, National Institute of Nursing Research (NINR)-funded, interdisciplinary, descriptive study aimed to identify expressions of worry in qualitative data obtained from caregiving Mexican American (MA) families assisting older adults. The purpose of this portion of the inquiry was to determine how worry is expressed, what happens to caregivers when they worry, and what adaptive strategies they used. We examined semi-structured interviews completed during six in-home visits with 116 caregivers. We identified 366 worry quotations from 639 primary documents in ATLAS.ti, entered them into matrices, and organized findings under thematic statements. Caregivers expressed cultural and contextual worries, worried about transitions and turning points in care, and identified adaptive strategies. Despite these strategies, worry persisted. Constant worry may be an allied, important aspect of caregiver burden. We need additional longitudinal research to better understand the experience of MA caregivers for older adults and to provide empirically supported interventions, programs, and services that reduce worry. PMID:27228120

  15. Worry and working memory influence each other iteratively over time.

    PubMed

    Trezise, Kelly; Reeve, Robert A

    2016-01-01

    Little research has examined whether the relationship between working memory (WM) and anxiety/worry remains stable or changes over time; and, if changes occur, the factor(s) influencing change. Claims about influence are typically inferred from data collected at a single time point, and may misrepresent the nature of influence. To investigate the iterative influence of WM and Worry and/or vice versa, 133 fourteen-year-olds completed WM and Worry measures several times over the course of a single day as they prepared for a math test. We used a bivariate latent difference score model to analyse possible changes in WM-Worry relationships. The best fitting model indicated high Worry predicts decreases in WM, and low or decreased WM predicts increases in Worry; high WM with low Worry predicts accurate problem solving; low WM with high Worry predicts inaccurate problem solving. Findings show relationships between WM and Worry varies considerably over a single day, and initial disadvantages become worse over time.

  16. “My Worries Are Rational, Climate Change Is Not”: Habitual Ecological Worrying Is an Adaptive Response

    PubMed Central

    Verplanken, Bas; Roy, Deborah

    2013-01-01

    Qualifications such as “global warming hysteria” and “energy policy schizophrenia” put forward by some climate change skeptics, usually outside the academic arena, may suggest that people who seriously worry about the environment suffer from psychological imbalance. The present study aimed to refute this thesis. While habitual worrying in general is strongly associated with psychopathological symptoms, in a survey a near-zero correlation was found between habitual ecological worrying and pathological worry. Instead, habitual ecological worrying was associated with pro-environmental attitudes and behaviors, and with a personality structure characterized by imagination and an appreciation for new ideas. The study had sufficient statistical power and measures were valid and reliable. The results confirm that those who habitually worry about the ecology are not only lacking in any psychopathology, but demonstrate a constructive and adaptive response to a serious problem. In the public domain, these findings may contribute to a more rational and less emotional debate on climate change and to the prevention of stigmatization of people who are genuinely concerned about our habitat and are prepared to do something about it (“habitual worriers are not crazy”). In the academic arena this study may contribute to environmental psychology (“habitual worrying is part of a green identity”), as well as to the literature on worry and anxiety (“habitual worrying can be a constructive response”). PMID:24023958

  17. What do parents worry about? Examination of the construct of parent worry and the relation to parent and child anxiety.

    PubMed

    Fisak, Brian; Holderfield, Kristen Grace; Douglas-Osborn, Erica; Cartwright-Hatton, Sam

    2012-10-01

    Previous research has indicated that parent cognition, including anxious beliefs and expectations, are associated with both parent and child anxiety symptoms and may be transferred from parent to child. However, the content and frequency of parent worry in relation to their children has yet to be examined as a potential form of anxious parent cognition, and little is known about normative parent worry. The purpose of the current study is to extend the research on parent cognition and child anxiety by focusing on parent worry (i.e. parent worry in relation to their children) as a potential predictor of child anxiety. A comprehensive self-report measure of parent worry was developed and administered to a community-based sample of parents. An exploratory factor analysis yielded a single factor solution. Parent worry was found to be a more robust predictor of child anxiety than parent anxiety symptoms, and parent worry mediated the association between parent anxiety symptoms and child anxiety. Most common worries reported by parents fell within the domains of life success and physical well-being. Overall, this study adds to the literature on parent cognitive biases and has the potential to inform parent-based interventions for the treatment of child anxiety. Further, this study provides initial data on normative parent worry.

  18. Evaluating animal models: some taxonomic worries.

    PubMed

    Degeling, Chris; Johnson, Jane

    2013-04-01

    The seminal 1993 article by LaFollette and Shanks "Animal Models in Biomedical Research: Some Epistemological Worries" introduced an influential taxonomy into the debate about the value of animal experimentation. The distinction they made between hypothetical and causal analog models served to highlight a concern regarding extrapolating results obtained in animal models to human subjects, which endures today. Although their taxonomy has made a significant contribution to the field, we maintain that it is flawed, and instead, we offer a new practice-oriented taxonomy of animal models as a means to allow philosophers, modelers, and other interested parties to discuss the epistemic merits and shortcomings, purpose, and predictive capacities of specific modeling practices.

  19. Homeschooling Worries: Trusting That the Dots Will Connect

    ERIC Educational Resources Information Center

    Rivero, Lisa

    2012-01-01

    Homeschooling parents worry a lot. And homeschooling parents of gifted children seem to worry even more than most. Parents who homeschool intense, smart, sensitive, and perfectionist children and teens are often themselves intense, smart, sensitive, and perfectionistic, even if they don't always think of themselves as gifted. One shouldn't be too…

  20. Big Worry: Implications of Anxiety in Indigenous Youth

    ERIC Educational Resources Information Center

    Adermann, Jenny; Campbell, Marilyn

    2007-01-01

    Excessive anxiety and worry can prevent young people from participating fully in school and life opportunities. Anxiety can involve fear of being apart from significant people or being left alone; avoidance of certain situations or activities for fear of embarrassment; worrying about normal life issues; repetitive thoughts and behaviours used as…

  1. Intolerance of Uncertainty, Fear of Anxiety, and Adolescent Worry

    ERIC Educational Resources Information Center

    Dugas, Michel J.; Laugesen, Nina; Bukowski, William M.

    2012-01-01

    A 5 year, ten wave longitudinal study of 338 adolescents assessed the association between two forms of cognitive vulnerability (intolerance of uncertainty and fear of anxiety) and worry. Multilevel mediational analyses revealed a bidirectional and reciprocal relation between intolerance of uncertainty and worry in which change in one variable…

  2. Intolerance of Uncertainty, Fear of Anxiety, and Adolescent Worry

    ERIC Educational Resources Information Center

    Dugas, Michel J.; Laugesen, Nina; Bukowski, William M.

    2012-01-01

    A 5 year, ten wave longitudinal study of 338 adolescents assessed the association between two forms of cognitive vulnerability (intolerance of uncertainty and fear of anxiety) and worry. Multilevel mediational analyses revealed a bidirectional and reciprocal relation between intolerance of uncertainty and worry in which change in one variable…

  3. Big Worry: Implications of Anxiety in Indigenous Youth

    ERIC Educational Resources Information Center

    Adermann, Jenny; Campbell, Marilyn

    2007-01-01

    Excessive anxiety and worry can prevent young people from participating fully in school and life opportunities. Anxiety can involve fear of being apart from significant people or being left alone; avoidance of certain situations or activities for fear of embarrassment; worrying about normal life issues; repetitive thoughts and behaviours used as…

  4. Homeschooling Worries: Trusting That the Dots Will Connect

    ERIC Educational Resources Information Center

    Rivero, Lisa

    2012-01-01

    Homeschooling parents worry a lot. And homeschooling parents of gifted children seem to worry even more than most. Parents who homeschool intense, smart, sensitive, and perfectionist children and teens are often themselves intense, smart, sensitive, and perfectionistic, even if they don't always think of themselves as gifted. One shouldn't be too…

  5. Examining Hispanic Counseling Students' Worries: A Qualitative Approach

    ERIC Educational Resources Information Center

    Cavazos, Javier, Jr.; Alvarado, Victor I.; Rodriguez, Iliana; Iruegas, John Robert

    2009-01-01

    This study examined the worries and concerns of 24 Hispanic counselors-in training. The four most reported worries were training and preparedness, non-counseling duties, finding a school counseling position, and effectiveness. Results indicate that although Hispanic counselors-in training are concerned about their effectiveness and competence as…

  6. The Treatment Worries Questionnaire: Conjoined measures for evaluating worries about psychosocial treatment in youth and their parents.

    PubMed

    Selles, Robert R; McBride, Nicole M; Dammann, Julie; Whiteside, Stephen P; Small, Brent J; Phares, Vicky; Storch, Eric A

    2017-04-01

    Treatment worries, which surround requirements and results of obtaining treatment, may represent an important construct; however, previous measures were limited by their specificity, format, and lack of parent report. Therefore the present study examined the initial outcomes and psychometrics of corresponding measures of treatment worries in youth (Treatment Worries Questionnaire - Child; TWQ-C) and their parents (Treatment Worries Questionnaire - Parent; TWQ-P). Participants were 94 youth (7-17-years old) and parent dyads presenting for treatment of an anxiety disorder. Dyads completed the TWQ-C and TWQ-P along with additional measures prior to initiating treatment. Treatment worries were endorsed in the mild-moderate range by youth and the TWQ-C demonstrated good-excellent internal consistency, a three-factor structure, and consistent convergent and divergent relationships. Treatment worries were endorsed in the low-mild range by parents and the TWQ-P demonstrated fair-good internal consistency, a four-factor structure, and consistent divergent relationships, but variable (by factor) convergent relationships. The results provide information on treatment worries and support the use of the TWQ-C and TWQ-P as broad assessments of the concept. Low endorsement of worries among parents likely relates to the treatment-seeking nature of the sample. Future investigations using the TWQ-C and TWQ-P in a variety of samples is warranted. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

  7. Perceived attachment: relations to anxiety sensitivity, worry, and GAD symptoms.

    PubMed

    Viana, Andres G; Rabian, Brian

    2008-06-01

    This investigation examined the relation between perceived alienation from parents and peers, anxiety sensitivity (AS), and current worry and generalized anxiety disorder (GAD) symptoms with the goal of expanding the knowledge base on factors that may contribute to the development of AS and its role in worry. The mediating role of AS between perceptions of alienation and current worry and GAD symptoms was also examined. Ninety-four non-clinical worriers completed self-report questionnaires assessing their perceptions of attachment, AS levels, and worry and GAD symptoms. Even after controlling for worry and GAD symptoms, greater perceptions of alienation from mothers and peers were significantly associated with higher AS symptoms. AS as a unitary construct mediated the relation between perceptions of alienation from mothers and peers and worry and GAD symptoms. The facets fear of publicly observable symptoms and fear of cognitive dyscontrol also mediated this relation. The role of alienation in relation to AS, worry, and GAD symptoms is discussed along with directions for future research.

  8. Opportunities for the Advancement of Home Economists in the Food Manufacturing Industry.

    ERIC Educational Resources Information Center

    Michael, Carol M.

    1999-01-01

    Responses from 133 home economists employed by food manufacturers showed that many have high aspirations but few have advanced to upper-level management. Factors influencing business success included years with company and in career and mentor/sponsor relationships. Many felt limited by lack of business background and the service orientation of…

  9. Health Care, Hospice, and Home Economists: A Programmatic Response to Demographic Trends.

    ERIC Educational Resources Information Center

    Balkwell, Carolyn; And Others

    1986-01-01

    Suggests ways that teams of home economists, integrating information from constituent fields of the discipline, may provide important services to hospices. Suggestions are included from the areas of human development and family relations, foods and nutrition, housing and interior design, clothing and textiles, and financial management and decision…

  10. The Interaction of Publications and Appointments: New Evidence on Academic Economists in Germany

    ERIC Educational Resources Information Center

    Beckmann, Klaus; Schneider, Andrea

    2013-01-01

    Using a new panel data set comprising publication and appointment data for 889 German academic economists over a quarter of a century, we confirm the familiar hypothesis that publications are important for professorial appointments, but find only a small negative effect of appointments on subsequent research productivity, in particular if one…

  11. Experience of Future Economists' Self-Study Organization in Foreign Higher Education Institutions

    ERIC Educational Resources Information Center

    Aliyev, Oktay

    2016-01-01

    The article consolidates information sources on the issues of future economists' self-study organization at foreign universities. There has been carried out the study of approaches to the interpretation of the term "self-study process" in the contemporary scientific thought abroad. There have been specified the productive ideas of…

  12. A 2004 unanswered letter to the Economist magazine requesting a retraction (and apology).

    PubMed

    Ling, Gilbert N

    2012-01-01

    This is a copy of (the bulk of) a letter I mailed on May 13, 2004 to Sir Robert P. Wilson, President, and three editors of the magazine, the Economist. With the letter, I also sent each recipient a copy of my latest book, "Life at the Cell and Below-Cell Level" as a gesture of good will.

  13. How to Support a One-Handed Economist: The Role of Modalisation in Economic Forecasting

    ERIC Educational Resources Information Center

    Donohue, James P.

    2006-01-01

    Economic forecasting in the world of international finance confronts economists with challenging cross-cultural writing tasks. Producing forecasts in English which convey confidence and credibility entails an understanding of linguistic conventions which typify the genre. A typical linguistic feature of commercial economic forecasts produced by…

  14. Interrelationships of a Home Economist: Legacy of an Extension Agent in New Mexico

    ERIC Educational Resources Information Center

    Makela, Carole J.

    2012-01-01

    Many pioneers in family and consumer sciences (FCS) are not recognized for what they accomplished. How evident this became as the author learned of a home economist who preceded many members and did so much for her state and its people during much of the 1900s. The author read an article from "New Mexico Magazine" which features three…

  15. Opportunities for the Advancement of Home Economists in the Food Manufacturing Industry.

    ERIC Educational Resources Information Center

    Michael, Carol M.

    1999-01-01

    Responses from 133 home economists employed by food manufacturers showed that many have high aspirations but few have advanced to upper-level management. Factors influencing business success included years with company and in career and mentor/sponsor relationships. Many felt limited by lack of business background and the service orientation of…

  16. NCTQ Square-Off: Are Teachers Underpaid? Two Economists Tackle an Intractable Controversy

    ERIC Educational Resources Information Center

    Podgursky, Michael; Mishel, Lawrence

    2005-01-01

    Over the past year, two economists--Michael Podgursky, currently Middlebush Professor and Chairman in the Departmentof Economics at the University of Missouri-Columbia, and Lawrence Mishel, President of the Economic Policy Institute in Washington, D.C.--have been debating whether or not teachers are adequately paid, at least compared to other…

  17. How to Support a One-Handed Economist: The Role of Modalisation in Economic Forecasting

    ERIC Educational Resources Information Center

    Donohue, James P.

    2006-01-01

    Economic forecasting in the world of international finance confronts economists with challenging cross-cultural writing tasks. Producing forecasts in English which convey confidence and credibility entails an understanding of linguistic conventions which typify the genre. A typical linguistic feature of commercial economic forecasts produced by…

  18. Experience of Future Economists' Self-Study Organization in Foreign Higher Education Institutions

    ERIC Educational Resources Information Center

    Aliyev, Oktay

    2016-01-01

    The article consolidates information sources on the issues of future economists' self-study organization at foreign universities. There has been carried out the study of approaches to the interpretation of the term "self-study process" in the contemporary scientific thought abroad. There have been specified the productive ideas of…

  19. The Interaction of Publications and Appointments: New Evidence on Academic Economists in Germany

    ERIC Educational Resources Information Center

    Beckmann, Klaus; Schneider, Andrea

    2013-01-01

    Using a new panel data set comprising publication and appointment data for 889 German academic economists over a quarter of a century, we confirm the familiar hypothesis that publications are important for professorial appointments, but find only a small negative effect of appointments on subsequent research productivity, in particular if one…

  20. The Linguistic Representation of Rhetorical Function: A Study of How Economists Present Their Knowledge Claims

    ERIC Educational Resources Information Center

    Dahl, Trine

    2009-01-01

    This article deals with how economists present their new knowledge claim in the genre of the research article. In the discipline of economics today, the claim is typically included not only in the obvious results/discussion section(s) but also in three other locations of the article: the abstract, the introduction, and the conclusion. The present…

  1. Knowledge and Attitudes of Selected Home Economists toward Irradiation in Food Preservation.

    ERIC Educational Resources Information Center

    Johnson, Faye C. Stucy

    1990-01-01

    A survey of the knowledge and attitudes of 485 California home economists toward the use of irradiation to preserve food revealed that they lacked the knowledge although they had a positive attitude toward it. An interactive teleconference on irradiation increased positive attitudes and improved knowledge. (JOW)

  2. Facing up to Realities: Harvard Economist Investigates the Racial Achievement Gap

    ERIC Educational Resources Information Center

    Roach, Ronald

    2004-01-01

    As an economist, Dr. Ronald F. Ferguson often applies quantitative analysis to public policy dilemmas, which yields data models and quantitative measures of complex issues. In tackling the racial achievement gap, the Harvard-based social policy expert has added investigation techniques from sociology and psychology to explore what might seem a…

  3. Interrelationships of a Home Economist: Legacy of an Extension Agent in New Mexico

    ERIC Educational Resources Information Center

    Makela, Carole J.

    2012-01-01

    Many pioneers in family and consumer sciences (FCS) are not recognized for what they accomplished. How evident this became as the author learned of a home economist who preceded many members and did so much for her state and its people during much of the 1900s. The author read an article from "New Mexico Magazine" which features three…

  4. How Do Economists Respond to the Storytellers? A Look at "The Rhetoric of Economics."

    ERIC Educational Resources Information Center

    Baake, Ken

    Teachers of college writing have a vested interest in the tremors of rhetoric surfacing from within the discipline of economics. In the past 15 years, some economists, philosophers of science, and humanists have challenged the positivist mantel of economics. They argue that economic methodology would be more ethical, more honest to the profession…

  5. Maximizing the Substance in the Soundbite: A Media Guide for Economists

    ERIC Educational Resources Information Center

    Hamermesh, Daniel S.

    2004-01-01

    With this guide, the author aims to induce more economists to talk to people in the media as a means of expanding educational outreach. The guide provides discussions of "do's" and "don'ts" and offers advice on which kinds of research are likely to interest reporters. The author suggests specific approaches to dealing with reporters in different…

  6. Is it not time for health economists to rethink equity and access?

    PubMed

    Mooney, Gavin

    2009-04-01

    This article considers two key issues in health economics regarding the question of equity. First, why have health economists not resolved better the issue of what are equity and access? Second, the paper draws attention to the relative lack of analyses of equity concerns outside of health care. The question of whose values should prevail in equity is also addressed. On the first issue, there is an obsession with quantification in economics with the result that in analysing equity, in practice often 'use' has been substituted for 'access'. The problem of defining access has thereby been by-passed. This has taken the pressure off trying to research access per se. Second, what is meant by equity and access are in part culturally determined. The continued efforts of health economists to treat equity as some universal construct are misplaced. The lack of effort on the part of health economists to look at equity more broadly than health care equity is concerning. Certainly, to be pursued in practice, equity in both health and health care need a shift in resources, which will be opposed by those who exercise power over decision making in health care and in society more generally. Currently health economists' analyses say all too little about power and property rights in health care and in society. It is argued that the relevant citizens or communities which a health service serves are best placed to judge the access barriers they face and their relative heights. A useful definition of equity established by a citizens' jury in Perth, Australia is used to exemplify this point. It is concluded that the often all too simplistic equity goals adopted in health economics (and sometimes public health discourse) need to be challenged. For health economists, there is a need for more of us to get involved in the issues around inequalities, class and power and the impact of these on health.

  7. The relationships between perfectionism, pathological worry and generalised anxiety disorder.

    PubMed

    Handley, Alicia K; Egan, Sarah J; Kane, Robert T; Rees, Clare S

    2014-04-02

    The relationships between perfectionism, pathological worry and generalised anxiety disorder (GAD) were investigated in a clinical sample presenting for treatment of perfectionism. This study explored the utility of perfectionism in predicting pathological worry in a sample of individuals with elevated perfectionism and GAD (n = 36). Following this, the study examined whether perfectionism could predict a principal GAD diagnosis in the full sample (n = 42). Scores on the perfectionism dimensions Concern over Mistakes, Personal Standards, and Clinical Perfectionism significantly predicted pathological worry among participants with GAD after controlling for gender and depression. The perfectionism dimension Doubts about Actions significantly predicted whether individuals from the full sample received a principal diagnosis of GAD. These findings support certain dimensions of perfectionism having significant associations with pathological worry and GAD.

  8. Generalized Anxiety Disorder: When Worry Gets Out of Control

    MedlinePlus

    ... your doctor about the best treatment for you. Psychotherapy A type of psychotherapy called cognitive behavioral therapy (CBT) is especially useful ... less anxious and worried. For more information on psychotherapy, visit http://www.nimh.nih.gov/health/topics/ ...

  9. Sharing Concerns: Interpersonal Worry Regulation in Romantic Couples

    PubMed Central

    2016-01-01

    Two dyadic studies investigated interpersonal worry regulation in heterosexual relationships. In Study 1, we video-recorded 40 romantic couples discussing shared concerns. Male partners’ worry positively predicted female partners’ interpersonal calming attempts, and negatively predicted female partners’ interpersonal alerting attempts (i.e., attempts to make their partners appreciate the seriousness of concerns). Video-cued recall data also indicated that changes in partner A’s worry over time positively predicted partner B’s motivation to reduce partner A’s worry, and that this effect was stronger when B was the female partner. Study 2 was a dyadic survey of 100 couples. Individual differences in partner A’s negative affect were positive predictors of partner B’s interpersonal calming, and individual differences in partner A’s expressive suppression were negative predictors of partner B’s interpersonal calming. Further, individual differences in male partners’ expressivity were significant positive predictors of female partners’ interpersonal calming, and individual differences in male partners’ reappraisal were significant positive predictors of female partners’ interpersonal alerting. These findings suggest that interpersonal worry regulation relates to partners’ expression and intrapersonal regulation of worry, but not equally for men and women. PMID:26882336

  10. Sharing concerns: Interpersonal worry regulation in romantic couples.

    PubMed

    Parkinson, Brian; Simons, Gwenda; Niven, Karen

    2016-06-01

    Two dyadic studies investigated interpersonal worry regulation in heterosexual relationships. In Study 1, we video-recorded 40 romantic couples discussing shared concerns. Male partners' worry positively predicted female partners' interpersonal calming attempts, and negatively predicted female partners' interpersonal alerting attempts (i.e., attempts to make their partners appreciate the seriousness of concerns). Video-cued recall data also indicated that changes in partner A's worry over time positively predicted partner B's motivation to reduce partner A's worry, and that this effect was stronger when B was the female partner. Study 2 was a dyadic survey of 100 couples. Individual differences in partner A's negative affect were positive predictors of partner B's interpersonal calming, and individual differences in partner A's expressive suppression were negative predictors of partner B's interpersonal calming. Further, individual differences in male partners' expressivity were significant positive predictors of female partners' interpersonal calming, and individual differences in male partners' reappraisal were significant positive predictors of female partners' interpersonal alerting. These findings suggest that interpersonal worry regulation relates to partners' expression and intrapersonal regulation of worry, but not equally for men and women. (PsycINFO Database Record

  11. The Effects of Worry and Rumination on Affect States and Cognitive Activity

    ERIC Educational Resources Information Center

    McLaughlin, Katie A.; Borkovec, Thomas D.; Sibrava, Nicholas J.

    2007-01-01

    The effects of worry and rumination on affective states and mentation type were examined in an unselected undergraduate sample in Study 1 and in a sample of individuals with high trait worry and rumination, high rumination, and low worry/rumination in Study 2. Participants engaged in worry and rumination inductions, counterbalanced in order across…

  12. Accidents and unpleasant incidents: worry in transport and prediction of travel behavior.

    PubMed

    Backer-Grøndahl, Agathe; Fyhri, Aslak; Ulleberg, Pål; Amundsen, Astrid Helene

    2009-09-01

    Worry on nine different means of transport was measured in a Norwegian sample of 853 respondents. The main aim of the study was to investigate differences in worry about accidents and worry about unpleasant incidents, and how these two sorts of worry relate to various means of transport as well as transport behavior. Factor analyses of worry about accidents suggested a division between rail transport, road transport, and nonmotorized transport, whereas analyses of worry about unpleasant incidents suggested a division between transport modes where you interact with other people and "private" transport modes. Moreover, mean ratings of worry showed that respondents worried more about accidents than unpleasant incidents on private transport modes, and more about unpleasant incidents than accidents on public transport modes. Support for the distinction between worry about accidents and unpleasant incidents was also found when investigating relationships between both types of worry and behavioral adaptations: worry about accidents was more important than worry about unpleasant incidents in relation to behavioral adaptations on private means of transport, whereas the opposite was true for public means of transport. Finally, predictors of worry were investigated. The models of worry about accidents and worry about unpleasant incidents differed as to what predictors turned out significant. Knowledge about peoples' worries on different means of transport is important with regard to understanding and influencing transport and travel behavior, as well as attending to commuters' welfare.

  13. Identifying changes in comfort and worry among pediatric nursing students following clinical rotations.

    PubMed

    Lassche, Madeline; Al-Qaaydeh, Sharifa; Macintosh, Christopher I; Black, Melissa

    2013-01-01

    Pediatric nursing clinicals often cause feelings of worry, thus hindering students' discovery. This study sought to identify worry-provoking elements before and after pediatric clinical rotations. Participants included 100 pediatric nursing students. A descriptive, exploratory, quantitative design was used to explore student worry using the Pediatric Student Comfort and Worry Assessment Tool. Pre- and post-test scores were calculated to evaluate changes in worry and comfort. The item that changed the most was comfort in assessment, whereas worry regarding causing a child pain changed the least. These data suggest the significant need in identifying worries to improve confidence in performance for pediatric clinical.

  14. The role of meta-cognition and parenting in adolescent worry.

    PubMed

    Wilson, Charlotte; Budd, Bob; Chernin, Ross; King, Heidi; Leddy, Adrian; Maclennan, Frances; Mallandain, Ian

    2011-01-01

    In the meta-cognitive model of worry, positive, and negative beliefs about worry interact to make worry problematic. These beliefs have been found to be associated with anxiety in adolescents, but it is unknown whether they are associated with worry. Furthermore, it may be via cognitive mechanisms such as these, or directly through behavior, that parents influence their child's worry. The current study aimed to explore whether adolescent meta-cognition and parenting behaviors and meta-cognitions were associated with adolescent worry. Results indicated that meta-cognitions were specifically associated with worry in adolescents, but there was little evidence that parenting was. Parental worry on the other hand was associated with both parent and child reported parenting. It is concluded that the meta-cognitive model of worry may be relevant in adolescents, but that further research is required to explore how parents influence adolescent worry.

  15. Which patients do I treat? An experimental study with economists and physicians

    PubMed Central

    2012-01-01

    This experiment investigates decisions made by prospective economists and physicians in an allocation problem which can be framed either medically or neutrally. The potential recipients differ with respect to their minimum needs as well as to how much they benefit from a treatment. We classify the allocators as either 'selfish', 'Rawlsian', or 'maximizing the number of recipients'. Economists tend to maximize their own payoff, whereas the physicians' choices are more in line with maximizing the number of recipients and with Rawlsianism. Regarding the framing, we observe that professional norms surface more clearly in familiar settings. Finally, we scrutinize how the probability of being served and the allocated quantity depend on a recipient's characteristics as well as on the allocator type. JEL Classification: A13, I19, C91, C72 PMID:22827912

  16. Development and preliminary validation of the Constructive and Unconstructive Worry Questionnaire: A measure of individual differences in constructive versus unconstructive worry.

    PubMed

    McNeill, Ilona M; Dunlop, Patrick D

    2016-11-01

    This article presents a measure of individual differences in the tendencies to worry constructively and unconstructively, called the Constructive and Unconstructive Worry Questionnaire (CUWQ). The measure is based on a control theory perspective of worry and separates the tendency to worry in a way that facilitates goal-pursuit and threat reduction (constructive worry) from the tendency to worry in a way that hinders goal-pursuit while sustaining threat awareness (unconstructive worry). CUWQ scores were validated in 2 independent nonclinical samples, including North American (Sample 1, N = 295) and Australian (Sample 2, N = 998) residents. Final factor items were selected based on Sample 1, and the measure showed good model fit through a confirmatory factor analysis in Sample 2. In addition, scores on the 2 worry factors showed criterion-related validity by statistically predicting a variety of outcomes in both samples: Constructive worry was positively associated with punctuality and wildfire preparedness and negatively associated with trait-anxiety and amount of worry. Unconstructive worry, on the other hand, was positively associated with trait-anxiety and amount of worry, and negatively associated with punctuality and wildfire preparedness. The 2 factor scores were uncorrelated in Sample 1 and positively correlated in Sample 2, thereby showing that having a tendency to worry in an unconstructive manner does not prohibit 1 from worrying in a constructive manner as well. Understanding how the 2 tendencies to worry differ from each other and separating their measurement enables a better understanding of the role of worry in both normal behavior and psychopathology. (PsycINFO Database Record

  17. Worries of childhood cancer survivors in young adulthood.

    PubMed

    Yi, Jaehee; Kim, Min Ah; Sang, Jina

    2016-04-01

    Childhood cancer survivors worry about many issues related to their cancer history. As they grow older, additional issues may emerge. This study of a sample of Korean young adults aims to understand childhood cancer survivors' worries. A purposeful sample of 28 childhood cancer survivors was recruited through survivor and parent-advocacy foundations and support groups in Korea. Qualitative in-depth interviews were conducted over the phone or in person. Participants ranged in age from 20 to 36, were diagnosed before age 19, and had completed treatment at the time of the study. Through qualitative interviews, survivors' worries were identified in the following five themes: romantic relationships and marriage, fertility and the health of future children, work and social life, family, and physical health. The study's findings support the importance of understanding the worries of childhood cancer survivors in young adulthood and the need for developing services and programs to help survivors acquire the appropriate social skills and coping strategies to mitigate their worries. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. Preventing Worry and Rumination by Induced Positive Emotion

    PubMed Central

    Bahrami, Fatemeh; Kasaei, Rahim; Zamani, Ahmadreza

    2012-01-01

    Background: Thus study aimed to test the hypothesis that positive emotion can quell or undo the lingering worry and rumination following induced negative emotion. Methods: 32 female students in grade 1 of high school were randomly recruited and assigned in two experimental and control groups. They completed questionnaires in a pretest that are listed herewith: (1) Rumination questionnaire; (2) Two scales of the big five factorial questionnaire (extraversion – introversion; (3) MMPI2; (4) Penn-state worry questionnaire. Then for the first group a sad movie, for the second group a cheerful movie, and for the third group a neutral movie was played, and the fourth group remained without intervention. Next day, all the group members completed the worry and rumination questionnaire again. Research findings were analyzed using covariance analysis and multivariate analysis of variance (MANOVA). Results: Those participants whose attention was turned toward the cheerful movie recovered from negative emotions (rumination and worry) more than those who saw either a neutral or sad movie or remained without intervention. Conclusions: Positive emotion is effective on negative emotion like worry and rumination. This effect is called the undoing effect of positive emotions PMID:22347606

  19. A worrying trend in Social Anxiety: To what degree are worry and its cognitive factors associated with youth Social Anxiety Disorder?

    PubMed

    Hearn, Cate S; Donovan, Caroline L; Spence, Susan H; March, Sonja

    2017-01-15

    Comorbidity between Social Anxiety Disorder (SAD) and Generalized Anxiety Disorder (GAD) is extremely common. This study investigated whether factors commonly associated with GAD, including worry, intolerance of uncertainty (IU), positive and negative beliefs about worry (PBW, NBW), negative problem orientation (NPO) and cognitive avoidance (CA) were associated with SAD severity, symptoms and overall functioning. Participants included 126 youth aged 8-17 years (M=11.29, SD=2.67, Males n=50) with a primary diagnosis of SAD. Participants and a parent underwent a diagnostic interview and completed questionnaires at pre- and 12-week post assessment, and 6-month follow-up. Correlations and hierarchical multiple regression analyses were conducted. Each of the cognitive variables, with the exception of PBW, was found to correlate with SAD symptoms, SAD severity and overall functioning. NPO emerged as an important predictor of SAD severity, self-reported ratings of SAD symptoms, and poorer levels of overall functioning. IU and worry also predicted self-rated SAD symptoms. Measures were chosen on the basis of their sound psychometrics however some were yet to undergo rigorous testing with youth populations. The study design is cross-sectional, which restricts firm conclusions regarding causal and temporal associations between the variables. Findings from this study have implications for the specificity of GAD and SAD in youth. Further research is required to understand whether these cognitive variables play a maintaining role in youth SAD and the extent to which they might influence treatment. Copyright © 2016 Elsevier B.V. All rights reserved.

  20. Worry and bother: factors in rural women's health decision making.

    PubMed

    McCulloch, B Jan; Jackson, Melanie N G; Lassig, Sara L

    2015-01-01

    This exploratory study examined older rural women's health decision making. Thirty-three rural women were recruited to participate in semistructured qualitative interviews. Major themes emerged that focused on rural women's comments regarding their concerns about not worrying or bothering their children with personal health matters. Themes were discussed in the context of an ethic of care. Results suggest that it is important for mental health professionals, family physicians, social workers, and other practitioners to be aware of the sense of worry and concern for others that older rural women bring to bear in decision making about personal health issues.

  1. PTSD and re-offending risk: the mediating role of worry and a negative perception of other people's support.

    PubMed

    Ardino, Vittoria; Milani, Luca; Di Blasio, Paola

    2013-01-01

    Studies of posttraumatic stress disorder (PTSD) are mainly focused on victims of trauma. Very few studies explored the links between PTSD symptoms and re-offending risk in perpetrators of violence. The aim of the study was to assess the effect of PTSD symptoms on re-offending risk in prisoner populations with a focus on indirect effects of worry and a negative perception of other people's support on the relationship between PTSD and re-offending risk. 75 prisoners (25 females, mean age: 44.36 years; 50 males, mean age: 34.7 years) were assessed for exposure to child abuse and neglect, PTSD symptoms, worry, a negative perception of other people's support and re-offending risk. Mediation analyses tested the indirect effects of worry and a negative perception of other people's support on the relationship between PTSD and re-offending risk. 72% participants presented PTSD symptoms and 30.7% were at risk of re-offending. Mediation analyses supported the hypothesis of a mediation pathway from PTSD to worry and a negative perception of other people's support to an increased risk of re-offending. The results indicate that prisoners report high rates of PTSD symptoms; furthermore, they highlight an important relationship between PTSD and re-offending risk. Findings suggest that future research should test further the indirect effects of negative cognitive and emotional states on the relationship of PTSD and re-offending risk and explore more in depth the role of PTSD to assess and treat prisoners.

  2. A randomised controlled trial of a worry intervention for individuals with persistent persecutory delusions

    PubMed Central

    Foster, Chloe; Startup, Helen; Potts, Laura; Freeman, Daniel

    2010-01-01

    Recent research has shown that worry is associated with distressing paranoia. Therefore, the aim was to target worry in a therapeutic intervention for individuals with delusions. It was predicted that a worry intervention would reduce levels of worry and paranoia distress. Twenty-four individuals with persistent persecutory delusions and high levels of worry were randomly assigned to receive a four session cognitive-behavioural worry intervention (W-CBT) or treatment as usual (TAU). The worry intervention was specifically designed not to target the content of delusions. In this open-label evaluation, assessments of worry and paranoia were conducted at baseline, at one month (end of treatment) and at two months. The worry intervention achieved a statistically significant reduction in worry which was maintained at two month follow up. A significant reduction in delusional distress was also reported. There was an indication that the worry intervention may also reduce the frequency of paranoid thoughts but this was not statistically significant. In the first trial specifically for persecutory delusions, a brief worry intervention was shown to have benefits. The results support a causal role for worry in paranoid experience. PMID:19818953

  3. How I Learned to Stop Worrying and Love Standardized Testing

    ERIC Educational Resources Information Center

    Moxey, Tim

    2005-01-01

    The benefits of standardized testing for a teacher are mentioned for which the teacher has to prepare for the students only for the test and not worry for preparing the students for college, work and life. Standardized testing takes away individualized instruction, does not allow creativity, does not measure true progress or advance critical…

  4. How I Learned to Stop Worrying and Love Standardized Testing

    ERIC Educational Resources Information Center

    Moxey, Tim

    2005-01-01

    The benefits of standardized testing for a teacher are mentioned for which the teacher has to prepare for the students only for the test and not worry for preparing the students for college, work and life. Standardized testing takes away individualized instruction, does not allow creativity, does not measure true progress or advance critical…

  5. Variations in Fearfulness and Worries of Xhosa Children

    ERIC Educational Resources Information Center

    Akande, Adebowale

    2010-01-01

    Xhosa-speaking South African children in school settings face several academic and emotional challenges. These may be due to family obligation, conformity to authority figures and over expectations from parents, teachers and society. This study examines the differences in the number and types of reported fears and worries in 200 South African…

  6. Age-Related Differences in Worry and Related Processes

    ERIC Educational Resources Information Center

    Basevitz, Paul; Pushkar, Dolores; Chaikelson, June; Conway, Michael; Dalton, Connie

    2008-01-01

    This study investigated the hypothesis that older adults would show age-related reductions in the tendency to worry in both their retrospective accounts and through cross-sectional age comparisons with a sample of younger adults. We also sought to determine whether age differences would be evident in psychological processes associated with a…

  7. Exploring Sex Differences in Worry with a Cognitive Vulnerability Model

    ERIC Educational Resources Information Center

    Zalta, Alyson K.; Chambless, Dianne L.

    2008-01-01

    A multivariate model was developed to examine the relative contributions of mastery, stress, interpretive bias, and coping to sex differences in worry. Rumination was incorporated as a second outcome variable to test the specificity of these associations. Participants included two samples of undergraduates totaling 302 men and 379 women. A path…

  8. Perfectionism, Rumination, Worry, and Depressive Symptoms in Early Adolescents

    ERIC Educational Resources Information Center

    Flett, Gordon L.; Coulter, Lisa-Marie; Hewitt, Paul L.; Nepon, Taryn

    2011-01-01

    The present study examined trait perfectionism, automatic perfectionistic thoughts, rumination, worry, and depressive symptoms in early adolescents. A group of 81 elementary school students in Grades 7 and 8 completed 5 questionnaires: the Child-Adolescent Perfectionism Scale, the Perfectionism Cognitions Inventory, the Children's Response Styles…

  9. Cervical cancer worry and screening among appalachian women.

    PubMed

    Kelly, Kimberly M; Schoenberg, Nancy; Wilson, Tomorrow D; Atkins, Elvonna; Dickinson, Stephanie; Paskett, Electra

    2015-04-01

    Although many have sought to understand cervical cancer screening (CCS) behavior, little research has examined worry about cervical cancer and its relationship to CCS, particularly in the underserved, predominantly rural Appalachian region. Our mixed method investigation aimed to obtain a more complete and theoretically-informed understanding of the role of cancer worry in CCS among Appalachian women, using the Self-Regulation Model (SRM). Our quantitative analysis indicated that the perception of being at higher risk of cervical cancer and having greater distress about cancer were both associated with greater worry about cancer. In our qualitative analysis, we found that, consistent with the SRM, negative affect had a largely concrete-experiential component, with many women having first-hand experience of the physical consequences of cervical cancer. Based on the results of this manuscript, we describe a number of approaches to lessen the fear associated with CCS. Intervention in this elevated risk community is merited and may focus on decreasing feelings of worry about cervical cancer and increasing communication of objective risk and need for screening. From a policy perspective, increasing the quantity and quality of care may also improve CCS rates and decrease the burden of cancer in Appalachia.

  10. Perfectionism, Rumination, Worry, and Depressive Symptoms in Early Adolescents

    ERIC Educational Resources Information Center

    Flett, Gordon L.; Coulter, Lisa-Marie; Hewitt, Paul L.; Nepon, Taryn

    2011-01-01

    The present study examined trait perfectionism, automatic perfectionistic thoughts, rumination, worry, and depressive symptoms in early adolescents. A group of 81 elementary school students in Grades 7 and 8 completed 5 questionnaires: the Child-Adolescent Perfectionism Scale, the Perfectionism Cognitions Inventory, the Children's Response Styles…

  11. Variations in Fearfulness and Worries of Xhosa Children

    ERIC Educational Resources Information Center

    Akande, Adebowale

    2010-01-01

    Xhosa-speaking South African children in school settings face several academic and emotional challenges. These may be due to family obligation, conformity to authority figures and over expectations from parents, teachers and society. This study examines the differences in the number and types of reported fears and worries in 200 South African…

  12. Parental perceptions of teen driving: Restrictions, worry and influence.

    PubMed

    Jewett, Amy; Shults, Ruth A; Bhat, Geeta

    2016-12-01

    Parents play a critical role in preventing crashes among teens. Research of parental perceptions and concerns regarding teen driving safety is limited. We examined results from the 2013 Summer ConsumerStyles survey that queried parents about restrictions placed on their teen drivers, their perceived level of "worry" about their teen driver's safety, and influence of parental restrictions regarding their teen's driving. We produced frequency distributions for the number of restrictions imposed, parental "worry," and influence of rules regarding their teen's driving, reported by teen's driving license status (learning to drive or obtained a driver's license). Response categories were dichotomized because of small cell sizes, and we ran separate log-linear regression models to explore whether imposing all four restrictions on teen drivers was associated with either worry intensity ("a lot" versus "somewhat, not very much or not at all") or perceived influence of parental rules ("a lot" versus "somewhat, not very much or not at all"). Among the 456 parent respondents, 80% reported having restrictions for their teen driver regarding use of safety belts, drinking and driving, cell phones, and text messaging while driving. However, among the 188 parents of licensed teens, only 9% reported having a written parent-teen driving agreement, either currently or in the past. Worrying "a lot" was reported less frequently by parents of newly licensed teens (36%) compared with parents of learning teens (61%). Parents report having rules and restrictions for their teen drivers, but only a small percentage formalize the rules and restrictions in a written parent-teen driving agreement. Parents worry less about their teen driver's safety during the newly licensed phase, when crash risk is high as compared to the learning phase. Further research is needed into how to effectively support parents in supervising and monitoring their teen driver. Published by Elsevier Ltd.

  13. Generalized Anxiety Disorder, worry and attention to threat: A systematic review.

    PubMed

    Goodwin, Huw; Yiend, Jenny; Hirsch, Colette R

    2017-06-01

    Among anxious populations, attention has been demonstrated to be preferentially biased to threatening material compared to neutral or other valenced material. Individuals who have high levels of trait worry, such as those with Generalized Anxiety Disorder (GAD), may be biased to threat but research has produced equivocal findings. This review aimed to systematically review the extant experimental literature to establish the current evidence of attentional bias to threat among trait worriers compared to healthy controls and other clinical populations. Twenty-nine published articles were included in the final review. There was strong evidence of a bias to threat among GAD patients compared to other groups and this was found across most experimental paradigms. Few studies had investigated this bias in non-clinical trait worriers. Among GAD patients this bias to threat was most strongly evidenced when visual threat material was in a verbal-linguistic format (i.e., words) rather than when in pictorial form (i.e., images or faces). The bias was also found across several domains of negative material, supporting the general nature of worry. Further research should look to examine the specific components of the threat bias in GAD, as well as investigating the bias to threat in trait worriers. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. Worry as a Predictor of Nutrition Behaviors: Results from a Nationally Representative Survey

    ERIC Educational Resources Information Center

    Ferrer, Rebecca A.; Bergman, Hannah E.; Klein, William M. P.

    2013-01-01

    Worry has been shown to predict a variety of health behaviors, such as cancer screening, yet there are few studies linking worry and nutrition. This study used nationally representative data from National Cancer Institute's Food Attitudes and Behavior Survey ("n" = 3,397) to examine the association between health-related worry and a variety of…

  15. Worry as a Predictor of Nutrition Behaviors: Results from a Nationally Representative Survey

    ERIC Educational Resources Information Center

    Ferrer, Rebecca A.; Bergman, Hannah E.; Klein, William M. P.

    2013-01-01

    Worry has been shown to predict a variety of health behaviors, such as cancer screening, yet there are few studies linking worry and nutrition. This study used nationally representative data from National Cancer Institute's Food Attitudes and Behavior Survey ("n" = 3,397) to examine the association between health-related worry and a variety of…

  16. The Worries Adult Children and Their Parents Experience for One Another

    ERIC Educational Resources Information Center

    Hay, Elizabeth L.; Fingerman, Karen L.; Lefkowitz, Eva S.

    2008-01-01

    This study examined the worries adults and their parents experience for one another. To date, relatively little research has considered the experience of worry in this relationship. A small number of studies, however, suggest worry is relatively common in this relationship (Boutain, 2001; Cicirelli, 1988; Parker, Call, Dunkle, & Vaitkus, 2002).…

  17. Writing about testing worries boosts exam performance in the classroom.

    PubMed

    Ramirez, Gerardo; Beilock, Sian L

    2011-01-14

    Two laboratory and two randomized field experiments tested a psychological intervention designed to improve students' scores on high-stakes exams and to increase our understanding of why pressure-filled exam situations undermine some students' performance. We expected that sitting for an important exam leads to worries about the situation and its consequences that undermine test performance. We tested whether having students write down their thoughts about an upcoming test could improve test performance. The intervention, a brief expressive writing assignment that occurred immediately before taking an important test, significantly improved students' exam scores, especially for students habitually anxious about test taking. Simply writing about one's worries before a high-stakes exam can boost test scores.

  18. Worry spreads: interpersonal transfer of problem-related anxiety.

    PubMed

    Parkinson, Brian; Simons, Gwenda

    2012-01-01

    This paper distinguishes processes potentially contributing to interpersonal anxiety transfer, including object-directed social appraisal, empathic worry, and anxiety contagion, and reviews evidence for their operation. We argue that these anxiety-transfer processes may be exploited strategically when attempting to regulate relationship partners' emotion. More generally, anxiety may serve as either a warning signal to other people about threat (alerting function) or an appeal for emotional support or practical help (comfort-seeking function). Tensions between these two interpersonal functions may account for mutually incongruent interpersonal responses to expressed anxiety, including mistargeted interpersonal regulation attempts. Because worry waxes and wanes over time as a function of other people's ongoing reactions, interpersonal interventions may help to alleviate some of its maladaptive consequences.

  19. Modern health worries - the dark side of spirituality?

    PubMed

    Köteles, Ferenc; Simor, Péter; Czető, Márton; Sárog, Noémi; Szemerszky, Renáta

    2016-08-01

    Modern health worries (MHWs) are widespread in modern societies. MHWs were connected to both negative and positive psychological characteristics in previous studies. The study aimed to investigate the relationships among intuitive-experiential information processing style, spirituality, MHWs, and psychological well-being. Members of the Hungarian Skeptic Society (N = 128), individuals committed to astrology (N = 601), and people from a non-representative community sample (N = 554) completed questionnaires assessing intuitive-experiential information processing style, spirituality, modern health worries (MHWs), and psychological well-being. Astrologers showed higher levels of spirituality, intuitive-experiential thinking, and modern health worries than individuals from the community sample; and skeptics scored even lower than the latter group with respect to all three constructs. Within the community sample, medium level connections between measures of spirituality and the experiential thinking style, and weak to medium level correlations between spirituality and MHWs were found. The connection between MHWs and experiential thinking style was completely mediated by spirituality. Individuals with higher levels of spirituality are particularly vulnerable to overgeneralized messages on health related risks. Official communication of potential risks based on rational scientific reasoning is not appropriate to persuade them as it has no impact on the intuitive-experiential system. © 2016 Scandinavian Psychological Associations and John Wiley & Sons Ltd.

  20. The Relationship Between Worry and Dimensions of Anxiety Symptoms in Children and Adolescents.

    PubMed

    Rabner, Jonathan; Mian, Nicholas D; Langer, David A; Comer, Jonathan S; Pincus, Donna

    2017-03-01

    Worry is a common feature across many anxiety disorders. It is important to understand how and when worry presents from childhood to adolescence to prevent long-term negative outcomes. However, most of the existing studies that examine the relationship between worry and anxiety disorders utilize adult samples. The present study aimed to assess the level of worry in children and adolescents and how relationships between worry and symptoms of separation anxiety disorder (SAD) and social anxiety disorder (Soc) may present differently at different ages. 127 children (age 8-12 years) and adolescents (age 13-18 years), diagnosed with any anxiety disorder, presenting at a child anxiety out-patient clinic, completed measures of worry, anxiety and depression. Worry scores did not differ by age group. Soc symptoms were significantly correlated with worry in both age groups; however, SAD symptoms were only significantly correlated with worry in younger participants. After the inclusion of covariates, SAD symptoms but not Soc symptoms remained significant in the regression model with younger children, and Soc symptoms remained significant in the regression model with older children. The finding that worry was comparable in both groups lends support for worry as a stable construct associated with anxiety disorders throughout late childhood and early adolescence.

  1. Emotional Control Mediates the Association Between Dimensions of Perfectionism and Worry in Children.

    PubMed

    Affrunti, Nicholas W; Woodruff-Borden, Janet

    2017-02-01

    Previous research has shown that perfectionism predicts for increased worry in children. Theoretically, children with high levels of perfectionism may show a decreased ability to control their emotions during times of perceived failure. Children may then worry as a maladaptive attempt to cope with intense emotions. The current study sought to test the mediating role of emotional control on the relation between perfectionism dimensions and worry in children. Participants were 66 parent-child dyads. Children were 7-13 years (50 % male; 77.3 % Caucasian, 9.1 % African American). Overall the model fit the data well. Results indicated that perfectionism domains predicted for emotional control deficits and increased worry. Emotional control also partially mediated the relation between perfectionism dimensions and worry. These results suggest that emotional control may be one mechanism through which perfectionism exerts its effect on worry and perfectionistic children may worry due to difficulty controlling their emotional responses.

  2. Effects of a training in mental imagery on worry: A proof-of-principle study.

    PubMed

    Skodzik, Timo; Leopold, Alexandra; Ehring, Thomas

    2017-01-01

    Worry is characterized by a predominance of verbal thinking and relatively little mental imagery. This cognitive bias of verbal and abstract processing has been found to impair emotional processing of worry topics so that worrisome thoughts are maintained. On the other hand, engaging in mental imagery during the worry process fosters emotional processing of worry themes. In the present study, we examined whether training high worriers (n=71) to use more mental imagery in their everyday lives is an effective intervention to reduce pathological worry. Results indicated that our novel training in mental imagery (TMI) led to a significant reduction of worry and impairment, assessed both one and five weeks after the training. Furthermore, in highly anxious participants TMI had beneficial effects on controllability of worry, state anxiety, and positive mood. Theoretical and clinical implications of our findings and methodological limitations of this proof-of-principle study are discussed.

  3. Economists, capitalists, and the making of globalization: North American free trade in comparative-historical perspective.

    PubMed

    Fairbrother, Malcolm

    2014-03-01

    Why did globalization happen? Current explanations point to a variety of conditions under which states have made the free market policy changes driving international economic integration since the 1980s. Such accounts disagree, however, about the key actors involved. This article provides a reconciliation, showing how two different combinations of actors, and two different political economic pathways, have led to globalization in recent decades. In developed countries, mobilization by business has been central; elsewhere, technocrats both constrained and empowered by international finance have pursued globalization more independently of business. In both contexts, economists' technical authority has helped legitimate liberalization, despite the limited diffusion of their ideas. The article validates and elaborates this model using a comparative-historical study of how the United States, Canada, and Mexico proposed, negotiated, and ratified agreements for free trade in North America.

  4. Common cent$ 1: One-armed economists and the invisible hand.

    PubMed

    Wilkinson, I

    2001-01-01

    This article is the first in a series called Common Cent$. There is a need for leaders and managers to have a basic understanding--Common Cent$--of elementary economics. The limited, retrospective view of the accountant must be supplemented by the broader, prospective view of the economist. The limits and scope of economics are defined. The First and Second Fundamental Theorems of Welfare Economics are introduced. The mythology behind the mechanism of action of Adam Smith's Invisible Hand is dissected, and the mechanism of the free market is explained in terms of the effect of marginal cost on net market efficiency. The apparently simple case of the effect of legislating a minimum wage on a free market is discussed. This provides an example of the real-world complexity of economies and of applying economic concepts to the business world.

  5. The ethics of data and of data science: an economist's perspective.

    PubMed

    Cave, Jonathan

    2016-12-28

    Data collection and modelling are increasingly important in social science and science-based policy, but threaten to crowd out other ways of thinking. Economists recognize that markets embody and shed light on human sentiments. However, their ethical consequences have been difficult to interpret, let alone manage. Although economic mechanisms are changed by data intensity, they can be redesigned to restore their benefits. We conclude with four cautions: if data are good, more may not be better; scientifically desirable data properties may not help policy; consent is a double-edged tool; and data exist only because someone thought to capture and codify them.This article is part of the themed issue 'The ethical impact of data science'.

  6. Scientific authority in policy contexts: Public attitudes about environmental scientists, medical researchers, and economists.

    PubMed

    O'Brien, Timothy L

    2013-10-01

    This paper uses data from the US General Social Survey to examine public support for scientists in policy contexts and its link to scientific disciplines. An analysis of attitudes about the amount of influence that environmental scientists, two kinds of medical researchers, and economists should have over policy decisions reveals that in each discipline the extent to which scientists are thought to serve the nation's best interests is the strongest determinant of attitudes about scientists as policy advisors. Perceptions of scientists' technical knowledge and the level of consensus in the scientific community also have direct, albeit weaker effects on opinions about scientists' appropriate roles in policy settings. Whereas previous research has stressed the importance of local variability in understanding the transfer of scientific authority across institutional boundaries, these results point to considerable homogeneity in the social bases of scientific authority in policy contexts.

  7. What Guidance are Economists Given on How to Present Economic Evaluations for Policymakers? A Systematic Review.

    PubMed

    Sullivan, Shannon M; Wells, George; Coyle, Doug

    2015-09-01

    To systematically review health economic guidelines for information on how to present health economic evaluations and consider implications for nontechnical audiences such as policymakers. Electronic databases and supplementary sources were searched for economic evaluation guidelines. Guidelines were critically appraised. Descriptive characteristics, standard formats, supports for nontechnical audiences, presentation approaches, and common reporting recommendations were extracted. Frequencies were tabulated and trends identified. Thirty-one guidelines were included. Twenty-two guidelines include a standard reporting format with some sample tables and graphs. Common presentation approaches include well-cited tables of data sources, transparent model diagrams and descriptions, disaggregated results, and tabular and graphical displays of sensitivity analyses. Despite most guidelines being funded by policymakers, only five guidelines provided advice on presenting economic evaluations to noneconomists. However, 11 guidelines included a glossary of economic terminology for nontechnical readers. Common concepts that may require further explanation include differences in economic perspectives, appropriateness of time horizons, how economic outcomes such as quality-adjusted life-years relate to their component clinical outcomes, and choice of sensitivity analyses. Health economists have consistent presentation formats and common reporting elements that should be considered when developing user-friendly explanations for general audiences. These overlap with policymakers' informational needs but may not be sufficient for understanding by nontechnical audiences. Developing presentation formats and tools that incorporate viewpoints of both economists and noneconomists will allow for better application of the results of economic evaluations and enhance the transparency and legitimacy of decision-making processes that are informed by economic evaluations. Copyright © 2015

  8. Does Worrying Mean Caring Too Much? Interpersonal Prototypicality of Dimensional Worry Controlling for Social Anxiety and Depressive Symptoms.

    PubMed

    Erickson, Thane M; Newman, Michelle G; Siebert, Erin C; Carlile, Jessica A; Scarsella, Gina M; Abelson, James L

    2016-01-01

    Worry, social anxiety, and depressive symptoms are dimensions that have each been linked to heterogeneous problems in interpersonal functioning. However, the relationships between these symptoms and interpersonal difficulties remain unclear given that most studies have examined diagnostic categories, not accounted for symptoms' shared variability due to general distress, and investigated only interpersonal problems (neglecting interpersonal traits, interpersonal goals, social behavior in daily life, and reports of significant others). To address these issues, students (Study 1; N=282) endorsed symptoms and interpersonal circumplex measures of traits and problems, as well as event-contingent social behaviors during one week of naturalistic daily interactions (N=184; 7,036 records). Additionally, depressed and anxious patients (N=47) reported symptoms and interpersonal goals in a dyadic relationship, and significant others rated patients' interpersonal goals and impact (Study 2). We derived hypotheses about prototypical interpersonal features from theories about the functions of particular symptoms and social behaviors. As expected, worry was uniquely associated with prototypically affiliative tendencies across all self-report measures in both samples, but predicted impacting significant others in unaffiliative ways. As also hypothesized, social anxiety was uniquely and prototypically associated with low dominance across measures, and general distress was associated with cold-submissive tendencies. Findings for depressive symptoms provided less consistent evidence for unique prototypical interpersonal features. Overall, results suggest the importance of multimethod assessment and accounting for general distress in interpersonal models of worry, social anxiety, and depressive symptoms. Copyright © 2015. Published by Elsevier Ltd.

  9. Why Do Children Worry about Their Academic Achievement? An Expectancy-Value Perspective on Elementary Students' Worries about Their Mathematics and Reading Performance

    ERIC Educational Resources Information Center

    Lauermann, Fani; Eccles, Jacquelynne S.; Pekrun, Reinhard

    2017-01-01

    Children's worrying about their academic performance has profound implications for their learning and wellbeing in school. Understanding the contextual and psychological antecedents of students' worry thus represents an important area of research. Drawing on Eccles and colleagues' expectancy-value theory and Pekrun's control-value theory and using…

  10. Nuclear War as a Source of Adolescent Worry: Relationships with Age, Gender, Trait Emotionality, and Drug Use.

    ERIC Educational Resources Information Center

    Hamilton, Scott B.; And Others

    1988-01-01

    Compares the extent to which adolescents worry about nuclear war to their frequency of worry about other issues. Looks at the empirical relationships among worry and grade level, gender, trait emotionality, and drug use. Results indicate that adolescents worry more often about school performance and social interactions than about nuclear war.…

  11. Validation of the Worry about Sexual Outcomes Scale for Use in STI/HIV Prevention Interventions for Adolescent Females

    ERIC Educational Resources Information Center

    Sales, Jessica M.; Spitalnick, Josh; Milhausen, Robin R.; Wingood, Gina M.; Diclemente, Ralph J.; Salazar, Laura F.; Crosby, Richard A.

    2009-01-01

    This study examined the psychometric properties of a new scale to measure adolescents' worry regarding outcomes of risky sexual behavior (i.e. sexually transmitted infections, including HIV [STI/HIV], and unintended pregnancy). The 10-item worry about sexual outcomes (WASO) scale, resulting in two subscales STI/HIV worry and pregnancy worry, was…

  12. Nuclear War as a Source of Adolescent Worry: Relationships with Age, Gender, Trait Emotionality, and Drug Use.

    ERIC Educational Resources Information Center

    Hamilton, Scott B.; And Others

    1988-01-01

    Compares the extent to which adolescents worry about nuclear war to their frequency of worry about other issues. Looks at the empirical relationships among worry and grade level, gender, trait emotionality, and drug use. Results indicate that adolescents worry more often about school performance and social interactions than about nuclear war.…

  13. Health-Related Worries, Self-Image, and Life Outlooks of Long-Term Survivors of Childhood Cancer.

    ERIC Educational Resources Information Center

    Zebrack, Brad J.; Chesler, Mark

    2001-01-01

    This article poses three questions: What do childhood cancer survivors worry about? What characteristics prompt some to worry more and others less? What effect do worries have on survivors' self-image and life outlooks? Data demonstrated significant relationships among worries, "objective" factors like physical after-effects or relapse,…

  14. Validation of the Worry about Sexual Outcomes Scale for Use in STI/HIV Prevention Interventions for Adolescent Females

    ERIC Educational Resources Information Center

    Sales, Jessica M.; Spitalnick, Josh; Milhausen, Robin R.; Wingood, Gina M.; Diclemente, Ralph J.; Salazar, Laura F.; Crosby, Richard A.

    2009-01-01

    This study examined the psychometric properties of a new scale to measure adolescents' worry regarding outcomes of risky sexual behavior (i.e. sexually transmitted infections, including HIV [STI/HIV], and unintended pregnancy). The 10-item worry about sexual outcomes (WASO) scale, resulting in two subscales STI/HIV worry and pregnancy worry, was…

  15. Diagnostic utility of worry and rumination: a comparison between generalized anxiety disorder and major depressive disorder.

    PubMed

    Yang, Min-Jeong; Kim, Bin-Na; Lee, Eun-Ho; Lee, Dongsoo; Yu, Bum-Hee; Jeon, Hong Jin; Kim, Ji-Hae

    2014-09-01

    Although previous reports have addressed worry and rumination as prominent cognitive processes in generalized anxiety disorder (GAD) and major depressive disorder (MDD) and their distinct correlation with anxious and depressive symptoms, the differential association of worry and rumination with the diagnosis of GAD and MDD remains unclear. The purpose of this study was to investigate the distinct features of worry and rumination in factor structure and their predictive validity for the diagnosis of GAD and MDD. Four hundred and sixty-eight patients with GAD (n = 148) and MDD (n = 320) were enrolled and the diagnoses were confirmed with the Structured Clinical Interview for DSM-IV. Participants completed the Penn State Worry Questionnaire and Ruminative Response Scale and the severity of anxiety and depressive symptoms was assessed via clinician ratings. In joint factor analysis using the Penn State Worry Questionnaire and Ruminative Response Scale items, worry and rumination emerged as distinct factors. In logistic regression analyses, worry contributed to a higher probability of the diagnosis of GAD than rumination, as rumination did in MDD than worry. This is the first comprehensive study investigating the diagnostic utility of worry and rumination in a well-defined clinical sample of both GAD and MDD. Our results suggest that worry and rumination are distinct cognitive processes and play a differential role in the diagnosis of GAD and MDD, distinguishing them at the cognitive level. © 2014 The Authors. Psychiatry and Clinical Neurosciences © 2014 Japanese Society of Psychiatry and Neurology.

  16. Worry experienced during the 2015 Middle East Respiratory Syndrome (MERS) pandemic in Korea

    PubMed Central

    Ro, Jun-Soo; Lee, Jin-Seok; Kang, Sung-Chan; Jung, Hye-Min

    2017-01-01

    Background Korea failed in its risk communication during the early stage of the Middle East Respiratory Syndrome (MERS) outbreak; consequently, it faced difficulties in managing MERS, while disease-related worry increased. Disease-related worry can help disease prevention and management, but can also have a detrimental effect. This study measured the overall level of disease-related worry during the MERS outbreak period in Korea and the influencing factors and levels of disease-related worry during key outbreak periods. Methods The cross-sectional survey included 1,000 adults who resided in Korea. An ordinal logistic regression was performed for the overall level of MERS-related worry, and influencing factors of worry were analyzed. A reliability test was performed on the levels of MERS-related worry during key outbreak periods. Results The overall level of MERS-related worry was 2.44. Multivariate analysis revealed that women and respondents w very poor subjective health status had higher levels of worry. Respondents with very high stress in daily life had higher levels of worry than those who reported having little stress. The reliability test results on MERS-related worry scores during key outbreak periods showed consistent scores during each period. Conclusion Level of worry increased in cases having higher perceived susceptibility and greater trust in informal information, while initial stage of outbreak was closely associated with that at later stages. These findings suggest the importance of managing the level of worry by providing timely and accurate disease-related information during the initial stage of disease outbreak. PMID:28273131

  17. Characterization of worry according to severity of anxiety in elderly living in the community.

    PubMed

    Montorio, I; Nuevo, R; Márquez, M; Izal, M; Losada, A

    2003-09-01

    The goals of this study were to analyse the characteristics of the phenomenon of worry in old age, to analyse differential characteristics of worry in the elderly according to severity of anxiety, and to explore the discriminative ability of different DSM-IV criteria for generalized anxiety disorder (GAD) to reveal the presence of this disorder. Starting from a randomized sample of 97 individuals, those 85 representing three levels of severity of the anxiety were retained: 74 non-clinical, four with sub-threshold anxiety and seven with GAD. They were assessed with different variables typically considered to be relevant for the analysis and characterization of worry. Results indicate that the most remarkable differences in contents of worry as a function of severity of anxiety occurred in the domains of worries about health and personal worries. Furthermore, elderly people with high levels of anxiety worry more frequently, and about more issues, and perceive less control over their worrying. Significant differences between groups in past and present orientation of worry were found. Worries were more frequent in GAD and they were oriented mainly towards the present and minor everyday problems in both GAD and non-clinical people. Moreover, worry about minor things together with the extent to which worry interferes in daily life were the best discriminant variables for GAD, being better than the core DSM-IV GAD criteria. We conclude that this pattern of results suggests that the potential of a specific worry to affect daily well-being and quality of life is strongly related to the presence of a disorder.

  18. PTSD and re-offending risk: the mediating role of worry and a negative perception of other people's support

    PubMed Central

    Ardino, Vittoria; Milani, Luca; Di Blasio, Paola

    2013-01-01

    Background Studies of posttraumatic stress disorder (PTSD) are mainly focused on victims of trauma. Very few studies explored the links between PTSD symptoms and re-offending risk in perpetrators of violence. Objective The aim of the study was to assess the effect of PTSD symptoms on re-offending risk in prisoner populations with a focus on indirect effects of worry and a negative perception of other people’s support on the relationship between PTSD and re-offending risk. Methods 75 prisoners (25 females, mean age: 44.36 years; 50 males, mean age: 34.7 years) were assessed for exposure to child abuse and neglect, PTSD symptoms, worry, a negative perception of other people’s support and re-offending risk. Mediation analyses tested the indirect effects of worry and a negative perception of other people’s support on the relationship between PTSD and re-offending risk. Results 72% participants presented PTSD symptoms and 30.7% were at risk of re-offending. Mediation analyses supported the hypothesis of a mediation pathway from PTSD to worry and a negative perception of other people’s support to an increased risk of re-offending. Conclusions The results indicate that prisoners report high rates of PTSD symptoms; furthermore, they highlight an important relationship between PTSD and re-offending risk. Findings suggest that future research should test further the indirect effects of negative cognitive and emotional states on the relationship of PTSD and re-offending risk and explore more in depth the role of PTSD to assess and treat prisoners. PMID:24371516

  19. Parental perceptions of teen driving: Restrictions, worry and influence☆

    PubMed Central

    Jewett, Amy; Shults, Ruth A.; Bhat, Geeta

    2016-01-01

    Introduction Parents play a critical role in preventing crashes among teens. Research of parental perceptions and concerns regarding teen driving safety is limited. We examined results from the 2013 Summer ConsumerStyles survey that queried parents about restrictions placed on their teen drivers, their perceived level of “worry” about their teen driver’s safety, and influence of parental restrictions regarding their teen’s driving. Methods We produced frequency distributions for the number of restrictions imposed, parental “worry,” and influence of rules regarding their teen’s driving, reported by teen’s driving license status (learning to drive or obtained a driver’s license). Response categories were dichotomized because of small cell sizes, and we ran separate log-linear regression models to explore whether imposing all four restrictions on teen drivers was associated with either worry intensity (“a lot” versus “somewhat, not very much or not at all”) or perceived influence of parental rules (“a lot” versus “somewhat, not very much or not at all”). Results Among the 456 parent respondents, 80% reported having restrictions for their teen driver regarding use of safety belts, drinking and driving, cell phones, and text messaging while driving. However, among the 188 parents of licensed teens, only 9% reported having a written parent-teen driving agreement, either currently or in the past. Worrying “a lot” was reported less frequently by parents of newly licensed teens (36%) compared with parents of learning teens (61%). Conclusions and Practical Applications Parents report having rules and restrictions for their teen drivers, but only a small percentage formalize the rules and restrictions in a written parent-teen driving agreement. Parents worry less about their teen driver’s safety during the newly licensed phase, when crash risk is high as compared to the learning phase. Further research is needed into how to effectively

  20. Weak economy and politics worry US coal operators

    SciTech Connect

    Fiscor, S.

    2009-01-15

    A potential decrease in demand, a new administration, and production constraints have coal operators worried about prospects for 2009. This and other interesting facts are revealed in this 2009 forecast by the journal Coal Age. Results are presented of the survey answered by 69 of the 646 executives contacted, on such questions about expected coal production, coal use, attitude in the coal industry, capital expenditure on types of equipment and productive capacity. Coal Age forecasts a 2.3% decline in coal production in 2009, down to 1.145 billion tons from 1.172 billion tons. 8 figs.

  1. Debiasing comparative optimism and increasing worry for health outcomes.

    PubMed

    Rose, Jason P

    2012-11-01

    Comparative optimism - feeling at less personal risk for negative outcomes than one's peers - has been linked to reduced prevention efforts. This study examined a novel debiasing technique aimed at simultaneously reducing both indirectly and directly measured comparative optimism. Before providing direct comparative estimates, participants provided absolute self and peer estimates in a joint format (same computer screen) or a separate format (different computer screens). Relative to the separate format condition, participants in the joint format condition showed (1) lower comparative optimism in absolute/indirect measures, (2) lower direct comparative optimism, and (3) heightened worry. Implications for risk perception screening are discussed.

  2. Waiting for Godot: wishes and worries in managed care.

    PubMed

    Kronick, R

    1999-10-01

    Managed care has done a better job at reducing expenditure growth than it has in improving quality. Although reduced expenditure growth is not appreciated by many, it has real benefits. For the majority of Americans who are privately insured, it results in greater disposable income for goods and services other than health care (although the illusion of employer-paid health insurance obscures this reality for many). For Medicaid programs, slower growth of expenditures facilitates efforts at expanding coverage. For low-income workers, slower expenditure growth results in larger numbers of people retaining insurance coverage than would have been the case if premiums rose more quickly. While there are some victories to which managed care organizations can point, we cannot credibly argue that overall levels of quality and health outcomes are improving as the health care system is massively disrupted by changes in health care finance and delivery. The disruptions create real hardships for some physicians and other health care workers, and worries for many consumers. These worries fuel the managed care backlash. The danger is that politicians will respond to these worries with policies that inhibit the development of high-quality delivery systems. The opportunity is for relatively modest public policy changes--external review organizations, better public-sector purchasing capabilities, public investment in producing and publicizing information on health plan and medical group performance, and establishment of a public ombudsperson--to respond to consumer worries and lead to improvements in health care quality and outcomes. Finally, I would be remiss without a reminder that the single most effective action politicians could take to improve health care quality and outcomes would be to change the rules of health care financing to assure that all Americans are covered by managed care. Even with all of its inadequacies, managed care is much superior to the patchwork care

  3. Shared and Distinct Cognitive/Affective Mechanisms in Intrusive Cognition: An Examination of Worry and Obsessions

    PubMed Central

    Macatee, Richard J.; Allan, Nicholas P.; Gajewska, Agnieszka; Norr, Aaron M.; Raines, Amanda Medley; Albanese, Brian J.; Boffa, Joseph W.; Schmidt, Norman B.; Cougle, Jesse R.

    2015-01-01

    Generalized anxiety disorder and obsessive-compulsive disorder are defined by chronic intrusive thoughts. The aim of the present study was to evaluate the relationship between cognitive (attentional control) and motivational (negative urgency) mechanisms potentially underlying worry and obsessions. Participants (N = 526) completed an online questionnaire battery consisting of self-report measures of worry, OCD symptoms, attentional control (AC), negative urgency (NU), and trait negative affect. After controlling for trait negative affect, self-reported AC was negatively related to worry, repugnant obsessions, and ordering symptoms. Greater NU was associated with increased worry and repugnant obsessions. Further, self-reported AC and NU interacted such that greater NU was associated with greater worry at high but not low levels of AC. AC and NU were independently associated with repugnant obsessions. Perceived executive functioning impairments may confer risk for intrusive thoughts, particularly worries, whereas distress-driven impulsivity may contribute to the involuntary, ego-dystonic features of intrusions. PMID:26957678

  4. Examining the latent structure of worry and generalized anxiety in a clinical sample.

    PubMed

    Kertz, Sarah J; McHugh, R Kathryn; Lee, Josephine; Björgvinsson, Thröstur

    2014-01-01

    Generalized anxiety disorder (GAD) is characterized by "pathological" worry, suggesting that GAD worriers differ qualitatively from non-GAD worriers. However, results from taxometric studies of worry in undergraduate and community samples have been mixed and to date, no studies have utilized clinical samples. The current study examined the latent structure of worry and GAD symptoms in a diagnostically heterogeneous clinical sample. Indicators were selected from the Penn State Worry Questionnaire-Abbreviated (n=1175) and the GAD-7 (n=638) and submitted to three taxometric procedures: MAXCOV, MAMBAC, and L-Mode. Results from all three procedures suggested that both worry and generalized anxiety are best conceptualized as dimensional constructs. Findings also indicated that ongoing conceptualization, assessment, and treatment of worry and GAD may be hampered by the application of a categorical framework.

  5. Long-Term Worries after Colposcopy: Which Women Are at Increased Risk?

    PubMed

    Sharp, Linda; Cotton, Seonaidh C; Cruickshank, Margaret E; Gray, Nicola M; Neal, Keith; Rothnie, Kieran; Thornton, Alison J; Walker, Leslie G; Little, Julian

    2015-01-01

    A colposcopy examination is the main management option for women with an abnormal cervical screening test result. Although some women experience adverse psychological effects after colposcopy, those at greatest risk are unknown. We investigated predictors of worries about cervical cancer, sex, future fertility and general health during 12 to 30 months after colposcopy. We invited 1,515 women, aged 20 to 59 years with low-grade cervical cytology who attended colposcopy to complete questionnaires at recruitment (∼8 weeks after cytology result) and after 12, 18, 24, and 30 months of follow up. Outcomes were worries about having cervical cancer, having sex, future fertility, and general health at any time during follow-up. Factors significantly associated with each outcome were identified using multiple logistic regression. At one or more time points during follow-up, 40% of women reported worries about having cervical cancer, 26% about having sex, 24% about future fertility, and 60% about general health. For all outcomes except sex, worries reported at recruitment were associated with significantly increased risk of worries during follow-up. Significant anxiety at recruitment was associated with all worries during follow-up. Women diagnosed with CIN2+ had significantly higher risks of worries about cervical cancer and future fertility. Management received was associated significantly with worries about cervical cancer and having sex. Younger women significantly more often reported worries about future fertility, whereas women who had children had reduced risk of future fertility worries but increased risk of cervical cancer worries. Clinical, sociodemographic, lifestyle, and psychological factors predicted risk of reporting worries after colposcopy. Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  6. The neural correlates of worry in association with individual differences in neuroticism.

    PubMed

    Servaas, Michelle Nadine; Riese, Harriëtte; Ormel, Johan; Aleman, André

    2014-09-01

    The tendency to worry is a facet of neuroticism that has been shown to mediate the relationship between neuroticism and symptoms of depression and anxiety. The aim of the current study was to investigate the neural correlates of state worry in association with neuroticism. One-hundred twenty participants were selected from an initially recruited sample of 240 women based on their neuroticism score. First, participants completed a questionnaire to assess the excessiveness and uncontrollability of pathological worry. Second, we measured brain activation with functional magnetic resonance imaging (fMRI) while participants were randomly presented with 12 worry-inducing sentences and 12 neutral sentences in a mood induction paradigm. Individuals scoring higher on neuroticism reported to worry more in daily life and to have generated more worry-related thoughts after the presentation of a worry-inducing sentence. Furthermore, imaging results showed the involvement of default mode and emotional brain areas during worry, previously associated with self-related processing and emotion regulation. Specifically, cortical midline structures and the anterior insula showed more activation during worry, when individuals indicated to have generated more worry-related thoughts. Activation in the retrosplenial and visual cortex was decreased in individuals scoring higher on neuroticism during worry, possibly suggesting reduced autobiographical specificity and visual mental imagery. In the literature, both these processes have been related to the cognitive avoidance of emotional distress. Excessive worry features in a number of emotional disorders and results from studies that elucidate its neural basis may help explain how and why neuroticism contributes to vulnerability for psychopathology.

  7. Provider perspectives on presenting risk information and managing worry about recurrence among breast cancer survivors.

    PubMed

    Janz, Nancy K; Leinberger, Rebecca L; Zikmund-Fisher, Brian J; Hawley, Sarah T; Griffith, Kent; Jagsi, Reshma

    2015-05-01

    Although worry about recurrence is a persistent concern among breast cancer survivors, little is known about physicians' confidence about presenting recurrence risk information, identifying women with considerable worry, and helping women manage worry. Between January and June 2012, we surveyed 750 surgeons and 750 medical oncologists randomly sampled from the American Medical Association Physician Masterfile. We tested differences between surgeons and medical oncologists on confidence of presenting risk, identifying and managing worry using chi-square statistic and Student's t-tests and developed multiple variable logistic regression models to explain odds regarding confidence and use of different strategies for managing worry. The analytic sample included 403 surgeons and 363 medical oncologists (n = 766; response rate = 60%). Compared with surgeons, medical oncologists were significantly more likely to report confidence in: presenting risk information (87.5% vs 73.2%), identifying women who are worried (74.1% vs 63.9%), and managing worry (66.9% vs 52.4%). Confidence in managing worry was associated with more regular inquiry about worry (p = 0.009). Models of the likelihood of using different management strategies varied by provider type (e.g., surgeons more likely than medical oncologists to recommend support group or online resources, oncologists more likely to refer to psychologist or use medications, all p < 0.05). Cancer providers, particularly surgeons, may benefit from educational training to raise confidence in identifying women with high levels of worry and managing women with considerable worry. Communication between specialties and primary care physicians on efforts to manage worry is necessary for coordinated, quality care for women with breast cancer. Copyright © 2014 John Wiley & Sons, Ltd.

  8. Effects of cognitive behaviour therapy for worry on persecutory delusions in patients with psychosis (WIT): a parallel, single-blind, randomised controlled trial with a mediation analysis

    PubMed Central

    Freeman, Daniel; Dunn, Graham; Startup, Helen; Pugh, Katherine; Cordwell, Jacinta; Mander, Helen; Černis, Emma; Wingham, Gail; Shirvell, Katherine; Kingdon, David

    2015-01-01

    Summary Background Worry might be a contributory causal factor in the occurrence of persecutory delusions in patients with psychotic disorders. Therefore we postulated that reducing worry with cognitive behaviour therapy (CBT) would reduce persecutory delusions. Methods For our two-arm, assessor-blinded, randomised controlled trial (Worry Intervention Trial [WIT]), we recruited patients aged 18–65 years with persistent persecutory delusions but non-affective psychosis from two centres: the Oxford Health National Health Service (NHS) Foundation Trust (Oxford, UK) and the Southern Health NHS Foundation Trust (Southampton, UK). The key inclusion criteria for participants were a score of at least 3 on the Psychotic Symptoms Rating Scale (PSYRATS) denoting a current persecutory delusion; that the delusion had persisted for at least 3 months; a clinical diagnosis of schizophrenia, schizoaffective disorder, or delusional disorder; and a clinically significant level of worry. We randomly assigned (1:1) eligible patients, using a randomly permuted block procedure with variable block sizes and division by four strata, to either six sessions of worry-reduction CBT intervention done over 8 weeks added to standard care (the CBT-intervention group), or to standard care alone (the control group). The assessors were masked to patient allocations and did their assessments at week 0 (baseline), 8 weeks (end of treatment), and 24 weeks, follow-up. The primary outcomes were worry measured by the Penn State Worry Questionnaire (PSWQ) and delusions measured by the PSYRATS-delusion scale; we did the analyses in the intention-to-treat population, and also did a planned mediation analysis. This trial is registered with the ISRCTN Registry (number ISRCTN23197625) and is closed to new participants. Findings From Nov 1, 2011, to Sept 9, 2013, we recruited 150 eligible participants and randomly assigned 73 to the CBT intervention group, and 77 to the control group. 143 patients (95

  9. On the worrying fate of Data Deficient amphibians.

    PubMed

    Nori, Javier; Loyola, Rafael

    2015-01-01

    The 'Data Deficient' (DD) category of the IUCN Red List assembles species that cannot be placed in another category due to insufficient information. This process generates uncertainty about whether these species are safe or actually in danger. Here, we give a global overview on the current situation of DD amphibian species (almost a quarter of living amphibians) considering land-use change through habitat modification, the degree of protection of each species and the socio-political context of each country harboring DD species. We found that DD amphibians have, on average, 81% of their ranges totally outside protected areas. Worryingly, more than half of DD species have less than 1% of their distribution represented in protected areas. Furthermore, the percentage of overlap between species' range and human-modified landscapes is high, at approximately 58%. Many countries harboring a large number of DD species show a worrying socio-political trend illustrated by substantial, recent incremental increases in the Human Development Index and lower incremental increases in the establishment of protected areas. Most of these are African countries, which are located mainly in the central and southern regions of the continent. Other countries with similar socio-political trends are in southeastern Asia, Central America, and in the northern region of South America. This situation is concerning, but it also creates a huge opportunity for considering DD amphibians in future conservation assessments, planning, and policy at different levels of government administration.

  10. On the Worrying Fate of Data Deficient Amphibians

    PubMed Central

    Nori, Javier; Loyola, Rafael

    2015-01-01

    The ‘Data Deficient’ (DD) category of the IUCN Red List assembles species that cannot be placed in another category due to insufficient information. This process generates uncertainty about whether these species are safe or actually in danger. Here, we give a global overview on the current situation of DD amphibian species (almost a quarter of living amphibians) considering land-use change through habitat modification, the degree of protection of each species and the socio-political context of each country harboring DD species. We found that DD amphibians have, on average, 81% of their ranges totally outside protected areas. Worryingly, more than half of DD species have less than 1% of their distribution represented in protected areas. Furthermore, the percentage of overlap between species’ range and human-modified landscapes is high, at approximately 58%. Many countries harboring a large number of DD species show a worrying socio-political trend illustrated by substantial, recent incremental increases in the Human Development Index and lower incremental increases in the establishment of protected areas. Most of these are African countries, which are located mainly in the central and southern regions of the continent. Other countries with similar socio-political trends are in southeastern Asia, Central America, and in the northern region of South America. This situation is concerning, but it also creates a huge opportunity for considering DD amphibians in future conservation assessments, planning, and policy at different levels of government administration. PMID:25965422

  11. Worry as an adaptive avoidance strategy in healthy controls but not in pathological worriers.

    PubMed

    Ottaviani, Cristina; Borlimi, Rosita; Brighetti, Gianni; Caselli, Gabriele; Favaretto, Ettore; Giardini, Irene; Marzocchi, Camilla; Nucifora, Valeria; Rebecchi, Daniela; Ruggiero, Giovanni M; Sassaroli, Sandra

    2014-09-01

    The cognitive avoidance model of worry assumes that worry has the adaptive function to keep under control the physiological arousal associated with anxiety. This study aimed to test this model by the use of a fear induction paradigm in both pathological and healthy individuals. Thirty-one pathological worriers and 36 healthy controls accepted to be exposed to a fear induction paradigm (white noise) during three experimental conditions: worry, distraction, and reappraisal. Skin conductance (SCR) and heart rate variability (HRV) were measured as indices of sympathetic and parasympathetic nervous system functioning. Worriers showed increased sympathetic and decreased parasympathetic activation during the worry condition compared to non-worriers. There were no differences between groups for the distraction and reappraisal conditions. SCRs to the white noises during worry were higher in worriers versus controls throughout the entire worry period. Intolerance of uncertainty - but not metacognitive beliefs about worry - was a significant moderator of the relationship between worry and LF/HF-HRV in pathological worriers. Results support the cognitive avoidance model in healthy controls, suggesting that worry is no longer a functional attitude when it becomes the default/automatic and pathological response. Copyright © 2014 Elsevier B.V. All rights reserved.

  12. Is worry different from rumination? Yes, it is more predictive of psychopathology!

    PubMed Central

    Hoyer, Jürgen; Gloster, Andrew T.; Herzberg, Philipp Yorck

    2009-01-01

    Objective: Although worry and rumination are everyday phenomena as well as common symptoms across numerous psychopathological disorders, the theoretical and clinical delineations of both concepts need more clarification. This study explored the degree of overlap between worry and rumination on the levels of standardized questionnaires and a priori lay concepts. Method: The subjective conceptualization of worry and of rumination of 221 undergraduate and graduate students was assessed with the semantic differential technique, together with the frequency and intensity with which they experienced worry and rumination (based on their lay concepts). Standardized self-report measures for worry, rumination, depression, and anxiety were also administered. Results: Worry was viewed as more negative than rumination and was more predictive of anxiety as well as of depression than rumination, especially when the assessment was based on the subjective lay concepts. The different measures of worry and rumination were only moderately correlated with each other. Conclusion: It is concluded that the lay concepts worry and rumination and the hypothetical constructs worry and rumination should not be confused in personality and clinical research. PMID:19949448

  13. Exploratory factor analysis of the pediatric nursing student clinical comfort and worry assessment tool.

    PubMed

    Al-Qaaydeh, Sharifa; Lassche, Madeline; Macintosh, Christopher I

    2012-10-01

    Pediatric nursing clinical often causes feelings of fear, thus hindering students' performance. This sparked the creation of the "pediatric nursing student clinical comfort and worry assessment tool," which can be utilized to identify worry-provoking elements before and after pediatric clinical rotations. The purpose of this study is to describe the development and psychometric testing of this tool. Psychometric tests used to assess data quality, reliability, and construct validity demonstrated that the pediatric nursing student clinical comfort and worry assessment tool can be used to evaluate nursing students' comfort and worry in pediatric nursing clinical rotations.

  14. Economist intelligence unit democracy index in relation to health services accessibility: a regression analysis.

    PubMed

    Walker, Mary Ellen; Anonson, June; Szafron, Michael

    2015-01-01

    The relationship between political environment and health services accessibility (HSA) has not been the focus of any specific studies. The purpose of this study was to address this gap in the literature by examining the relationship between political environment and HSA. This relationship that HSA indicators (physicians, nurses and hospital beds per 10 000 people) has with political environment was analyzed with multiple least-squares regression using the components of democracy (electoral processes and pluralism, functioning of government, political participation, political culture, and civil liberties). The components of democracy were represented by the 2011 Economist Intelligence Unit Democracy Index (EIUDI) sub-scores. The EIUDI sub-scores and the HSA indicators were evaluated for significant relationships with multiple least-squares regression. While controlling for a country's geographic location and level of democracy, we found that two components of a nation's political environment: functioning of government and political participation, and their interaction had significant relationships with the three HSA indicators. These study findings are of significance to health professionals because they examine the political contexts in which citizens access health services, they come from research that is the first of its kind, and they help explain the effect political environment has on health. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  15. Stigma, career worry, and mental illness symptomatology: Factors influencing treatment-seeking for Operation Enduring Freedom and Operation Iraqi Freedom soldiers and veterans.

    PubMed

    Brown, Nicholas B; Bruce, Steven E

    2016-05-01

    Mental health related stigma, as well as mental illness symptomatology, have been shown to negatively impact treatment-seeking within military populations. However, few studies have delineated the 2 forms of stigma (self-stigma and public stigma), and none have differentiated between stigma and career-related consequences (career worry). The aim of this study was to increase our understanding of low treatment-seeking rates among soldiers and veterans by expanding upon previous measurements of the stigma construct and examining factors influencing willingness to seek treatment. The sample consisted of 276 Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) soldiers and veterans. Individual levels of self-stigma, public stigma, and career worry were measured, as were levels of willingness to seek treatment. Symptoms of PTSD, depression, and substance abuse were also evaluated to account for the influence of mental illness on treatment-seeking. A confirmatory factor analysis indicated that a 3-factor model including self-stigma, public stigma, and career worry fit the data significantly better than a 1- or 2- factor model. A multiple regression analysis also revealed that these 3 factors, combined with mental illness symptomatology, significantly predicted individual levels of willingness to seek treatment. Career worry was the strongest predictor, particularly for individuals with no treatment history. This study confirmed that career worry is a factor independent of self-stigma and public stigma. Findings indicate that a fear of negatively affecting one's career is the most influential factor in determining willingness to seek mental health treatment for the military population. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  16. Nurses' 'worry' as predictor of deteriorating surgical ward patients: A prospective cohort study of the Dutch-Early-Nurse-Worry-Indicator-Score.

    PubMed

    Douw, Gooske; Huisman-de Waal, Getty; van Zanten, Arthur R H; van der Hoeven, Johannes G; Schoonhoven, Lisette

    2016-07-01

    Nurses' 'worry' is used as a calling criterion in many Rapid Response Systems, however it is valued inconsistently. Furthermore, barriers to call the Rapid Response Team can cause delay in escalating care. The literature identifies nine indicators which trigger nurses to worry about a patient's condition. The objective of this study is to determine the significance of nurses' 'worry' and/or indicators underlying 'worry' to predict unplanned Intensive-Care/High-Dependency-Unit admission or unexpected mortality among surgical ward patients. A prospective cohort study. A 500-bed tertiary University affiliated teaching hospital. Adult, native speaking surgical patients, admitted to three surgical wards (traumatology, vascular- and abdominal/oncological surgery). We excluded patients with a non-ICU policy or with no curative treatment. Mentally incapacitated patients were also excluded. We developed a new clinical assessment tool, the Dutch-Early-Nurse-Worry-Indicator-Score (DENWIS) based on signs underlying 'worry'. Nurses systematically scored their 'worry' and the DENWIS once per shift or at any moment of 'worry'. DENWIS measurements were linked to routinely measured vital signs. The composite endpoint was unplanned Intensive-Care/High-Dependency-Unit admission or unexpected mortality. The DENWIS-indicators were included in a univariate and multivariate logistic regression analysis, subsequently inserting 'worry' and the Early Warning Score into the model. We calculated the area under the receiver-operating characteristics curve. In 3522 patients there were 102 (2.9%) patients with unplanned Intensive Care Unit/High Dependency Unit-admissions or unexpected mortality. 'Worry' (0.81) and the DENWIS-model (0.85) had a lower area under the receiver-operating characteristics curve than the Early Warning Score (0.86). Adding 'worry' and the Early Warning Score to the DENWIS-model resulted in higher areas under the receiver operating characteristics curves (0.87 and 0

  17. Why we should continue to worry about the therapeutic misconception.

    PubMed

    Churchill, Larry R; King, Nancy M P; Henderson, Gail E

    2013-01-01

    In a recent article in The Journal of Clinical Ethics, David Wendler argues that worries about the therapeutic misconception (TM) are not only misconceived, but detract from the larger agenda of a proper informed consent for subjects involved in clinical research.1 By contrast, we argue that Wendler mischaracterizes those who support TM research, and that his arguments are fragmentary, often illogical, and neglect a critical difference between clinical care and clinical research. A clear explanation about the chief aim of research is, in fact, what gives the other elements in a consent process their meaning. We argue that informed consent must be both trial-specific and context-sensitive, and that concern about the TM is needed now more than ever.

  18. Testing the Validity and Reliability of the Worry Survey among Urban African American Youth.

    ERIC Educational Resources Information Center

    D'Andrea, Michael; Daniels, Judy; Gaughen, Kiaka J. S.

    1998-01-01

    Examines the Worry Survey (adapted from the Adolescent Health Survey) as regards the developmental concerns of urban African American youths (N=495). Results show that internal consistency of the factor-item ratings on the Personal and Family Worry subscales were acceptable. Less evidence of the reliability was noted among the Peer and…

  19. Health Worry, Physical Activity Participation, and Walking Difficulty among Older Adults: A Mediation Analysis

    ERIC Educational Resources Information Center

    Li, Kin-Kit; Cardinal, Bradley J.; Vuchinich, Samuel

    2009-01-01

    This study examined the effect of health worry (i.e., cognitive aspect of anxiety resulting from concern for health) on walking difficulty in a nationally representative sample (N = 7,527) of older adults (M age = 76.83 years). The study further tested whether physical activity mediates the effect of health worry on walking difficulty in a 6-year…

  20. Measuring Parental Daily Rewards and Worries in the Transition to Adulthood

    ERIC Educational Resources Information Center

    Glidden, Laraine M.; Jobe, Brian M.

    2007-01-01

    Psychometric properties are described for an inventory that measures the daily rewards and worries that parents experience as their sons and daughters transition to adulthood. In a series of 4 studies involving 847 respondents, we explored and confirmed the factor structure of the Transition Daily Rewards and Worries Questionnaire (TDRWQ) in a…

  1. The Relation between Self-Reported Worry and Annoyance from Air and Road Traffic

    PubMed Central

    van den Berg, Frits; Verhagen, Claudia; Uitenbroek, Daan

    2015-01-01

    Negative perceptions such as fear or worry are known to be an important determinant of annoyance. Annoyance caused by noise and odour has been analysed in relation to worry about safety or health due to environmental hazards, using responses to a health survey. In the survey area high environmental impacts come from air and road traffic. The survey results show a correlation between worry due to the airport or passing aircraft and noise and odour annoyance from aircraft (correlation coefficient (c.c.) close to 0.6). For the relation between worry about a busy street and annoyance from road traffic the correlation is lower (c.c. 0.4–0.5). Worries about different situations, such as living below sea level, close to an airport, busy street or chemical industry, are highly correlated (c.c. 0.5–0.9), also for situations that are not obviously related. Personal factors can also lead to more worry: being female, above 35 years of age, having a high risk for anxiety/depression and being in bad health increase the odds for being worried. The results thus suggest that worry about safety or health is correlated to both personal and environmental factors. PMID:25723645

  2. Research Note: Development of a Worry Questionnaire for Nursing Home Residents

    ERIC Educational Resources Information Center

    Hertzsprung, Emerenciana A.; Konnert, Candace; Brinker, Jaylene

    2004-01-01

    This paper describes a new measure, the Worry Questionnaire for Nursing Home Residents (WQNHR), designed to assess the frequency of specific worries. It was administered to 67 residents. Psychometric evaluation showed an average item-to-total correlation of 0.20 (range = 0.15 to 0.58), an internal consistency estimate of 0.79, and a test-retest…

  3. Worry in Children: Changing Associations with Fear, Thinking, and Problem-Solving

    ERIC Educational Resources Information Center

    Carr, Imogen; Szabó, Marianna

    2015-01-01

    Worry in adults has been conceptualized as a thinking process involving problem-solving attempts about anticipated negative outcomes. This process is related to, though distinct from, fear. Previous research suggested that compared to adults, children's experience of worry is less strongly associated with thinking and more closely related to fear.…

  4. Worry and Rumination in Generalized Anxiety Disorder and Obsessive Compulsive Disorder.

    PubMed

    Dar, Kaiser A; Iqbal, Naved

    2015-01-01

    Ample work has already been conducted on worry and rumination as negative thought processes involved in the etiology of most of the anxiety and mood related disorders. However, minimal effort has been exerted to investigate whether one type of negative thought process can make way for another type of negative thought process, and if so, how it subsequently results in experiencing a host of symptoms reflective of one or the other type of psychological distress. Therefore, the present study was taken up to investigate whether rumination mediates the relationship between worry and generalized anxiety disorder (GAD), and between worry and obsessive compulsive disorder (OCD) in two clinical groups. Self-report questionnaires tapping worry, rumination, generalized anxiety disorder (GAD), and obsessive compulsive disorder (OCD) were administered to a clinical sample of 60 patients aged 30-40. Worry, rumination, generalized anxiety disorder (GAD), and obsessive compulsive disorder (OCD) correlated substantially with each other, however, rumination did not mediate the relationship between worry and generalized anxiety disorder (GAD) and between worry and obsessive compulsive disorder (OCD). We also analyzed differences of outcome variables within two clinical groups. These results showed that worry and rumination were significantly different between GAD and OCD groups.

  5. Worry in Children: Changing Associations with Fear, Thinking, and Problem-Solving

    ERIC Educational Resources Information Center

    Carr, Imogen; Szabó, Marianna

    2015-01-01

    Worry in adults has been conceptualized as a thinking process involving problem-solving attempts about anticipated negative outcomes. This process is related to, though distinct from, fear. Previous research suggested that compared to adults, children's experience of worry is less strongly associated with thinking and more closely related to fear.…

  6. Relationships among Perceived Racial Stress, Intolerance of Uncertainty, and Worry in a Black Sample

    ERIC Educational Resources Information Center

    Rucker, LaTanya S.; West, Lindsey M.; Roemer, Lizabeth

    2010-01-01

    The purpose of this study was to explore the relationships among chronic worry, perceived racial stress, and intolerance of uncertainty in a sample of adults who racially identify as Black. Intolerance of uncertainty has been associated with worry and generalized anxiety disorder in predominantly White samples. Given that racial stress is likely…

  7. A Preliminary Investigation of Stimulus Control Training for Worry: Effects on Anxiety and Insomnia

    ERIC Educational Resources Information Center

    McGowan, Sarah Kate; Behar, Evelyn

    2013-01-01

    For individuals with generalized anxiety disorder, worry becomes associated with numerous aspects of life (e.g., time of day, specific stimuli, environmental cues) and is thus under poor discriminative stimulus control (SC). In addition, excessive worry is associated with anxiety, depressed mood, and sleep difficulties. This investigation sought…

  8. The power of positive thinking: Pathological worry is reduced by thought replacement in Generalized Anxiety Disorder.

    PubMed

    Eagleson, Claire; Hayes, Sarra; Mathews, Andrew; Perman, Gemma; Hirsch, Colette R

    2016-03-01

    Worry in Generalized Anxiety Disorder (GAD), takes a predominantly verbal form, as if talking to oneself about possible negative outcomes. The current study examined alternative approaches to reducing worry by allocating volunteers with GAD to conditions in which they either practiced replacing the usual form of worry with images of possible positive outcomes, or with the same positive outcomes represented verbally. A comparison control condition involved generating positive images not related to worries. Participants received training in the designated method and then practiced it for one week, before attending for reassessment, and completing follow-up questionnaires four weeks later. All groups benefited from training, with decreases in anxiety and worry, and no significant differences between groups. The replacement of worry with different forms of positive ideation, even when unrelated to the content of worry itself, seems to have similar beneficial effects, suggesting that any form of positive ideation can be used to effectively counter worry. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  9. Worry about Terror in Israel: Differences between Jewish and Arab Adolescents and Young Adults

    ERIC Educational Resources Information Center

    Peleg, Ora

    2010-01-01

    The current study examines group differences in (1) levels of worry about terror and (2) trait anxiety among a sample of high-school and university students, where groups are defined by cultural affiliation, religious commitment, place of residence, gender and age. The revealed group differences in levels of worry about terror point to the ability…

  10. Do Metacognitions and Intolerance of Uncertainty Predict Worry in Everyday Life? An Ecological Momentary Assessment Study.

    PubMed

    Thielsch, Carolin; Andor, Tanja; Ehring, Thomas

    2015-07-01

    Cognitive models of generalized anxiety disorder (GAD) suggest that excessive worry is due to positive and negative metacognitive beliefs and/or intolerance of uncertainty. Empirical support mainly derives from cross-sectional studies with limited conclusiveness, using self-report measures and thereby possibly causing recall biases. The aim of the present study therefore was to examine the power of these cognitive variables to predict levels of worry in everyday life using Ecological Momentary Assessment (EMA). Metacognitions and intolerance of uncertainty were assessed using well-established self-report questionnaires in 41 nonclinical participants who subsequently completed ratings on worry intensity and burden on a portable device for 1week at seven times a day once every 2hours. Results showed significant associations of negative metacognitive beliefs and intolerance of uncertainty, but not positive metacognitive beliefs, with worry in everyday life. In multilevel regression analyses, a substantial proportion of variance of everyday worry could be accounted for by negative metacognitions over and above trait worry and daily hassles. Intolerance of uncertainty likewise emerged as a valid predictor when tested in isolation, but did not explain additional variance once negative metacognitions were controlled. The findings support current cognitive models of excessive worry and highlight the role of negative metacognitions. By using EMA to assess levels of worry in everyday life, they extend earlier findings focusing exclusively on retrospective questionnaire measures. Copyright © 2015. Published by Elsevier Ltd.

  11. A Preliminary Investigation of Stimulus Control Training for Worry: Effects on Anxiety and Insomnia

    ERIC Educational Resources Information Center

    McGowan, Sarah Kate; Behar, Evelyn

    2013-01-01

    For individuals with generalized anxiety disorder, worry becomes associated with numerous aspects of life (e.g., time of day, specific stimuli, environmental cues) and is thus under poor discriminative stimulus control (SC). In addition, excessive worry is associated with anxiety, depressed mood, and sleep difficulties. This investigation sought…

  12. Relationships among Perceived Racial Stress, Intolerance of Uncertainty, and Worry in a Black Sample

    ERIC Educational Resources Information Center

    Rucker, LaTanya S.; West, Lindsey M.; Roemer, Lizabeth

    2010-01-01

    The purpose of this study was to explore the relationships among chronic worry, perceived racial stress, and intolerance of uncertainty in a sample of adults who racially identify as Black. Intolerance of uncertainty has been associated with worry and generalized anxiety disorder in predominantly White samples. Given that racial stress is likely…

  13. Role of worry in patients with chronic tinnitus and sensorineural hearing loss: a preliminary study.

    PubMed

    Caldirola, Daniela; Teggi, Roberto; Daccò, Silvia; Sangiorgio, Erika; Bussi, Mario; Perna, Giampaolo

    2016-12-01

    Tinnitus-related distress appears to be more strongly associated with multiple psychological factors than with any perceptual properties of tinnitus. Prior studies have not investigated the role of worry in tinnitus sufferers. Worry is a dispositional cognitive trait that involves a pervasive, non-specific, future-oriented proneness to fretting, which can foster negative affective states and catastrophic thinking about a specific trouble when the trouble is actual and present. We examined the relationship between worry and self-perceived anxiety and depressive symptoms and handicap in 54 outpatients with chronic tinnitus and sensorineural hearing loss who had been previously recruited for a randomized double-blind study on the efficacy of transmeatal low-level laser therapy for tinnitus. We measured the current anxiety and depressive symptoms with the State-Trait Anxiety Inventory Form Y-1/Self-evaluation Depression Scale, the handicap with the Tinnitus Handicap Inventory, and the proneness to worry with the Penn State Worry Questionnaire. For the psychoacoustic tinnitus measures, we considered the loudness match and the minimum masking level. We found that tinnitus-related anxiety and depressive symptoms and handicap were significantly associated with proneness to worry (linear regression models, p < 0.01), whereas no associations were found with the psychoacoustic measures. This suggests the usefulness of worry assessment when managing chronic tinnitus in clinical practice. Early therapeutic interventions for reducing proneness to worry may facilitate better adaptation to tinnitus.

  14. Psychometric Properties of the Penn State Worry Questionnaire for Children in a Large Clinical Sample

    ERIC Educational Resources Information Center

    Pestle, Sarah L.; Chorpita, Bruce F.; Schiffman, Jason

    2008-01-01

    The Penn State Worry Questionnaire for Children (PSWQ-C; Chorpita, Tracey, Brown, Collica, & Barlow, 1997) is a 14-item self-report measure of worry in children and adolescents. Although the PSWQ-C has demonstrated favorable psychometric properties in small clinical and large community samples, this study represents the first psychometric…

  15. The effect of state worry and trait anxiety on working memory processes in a normal sample.

    PubMed

    Walkenhorst, Elizabeth; Crowe, Simon F

    2009-03-01

    This study investigated the effects of trait anxiety and state worry on working memory performance in a normal sample. Phase one investigated the effects of trait anxiety and state worry on the capacity of specific working memory components. Phase two investigated the validity of Eysenck and Calvo's (1992) Processing Efficiency Theory of worry. Sixty adult participants (40 females and 20 males with a mean age of 26 years) were assigned to a 2 (trait anxiety: Low vs. high)x2 (state worry: Low vs. high) between-subjects design. Contrary to prediction, worry did not lead to a decrement in performance on verbal working memory tasks but unexpectedly enhanced performance on visual tasks in participants with low trait anxiety (LTA). The results were also in opposition to expectations for Phase two. Individuals in the conditions of high trait anxiety and/or high state worry (LTA/HW, HTA/LW, and HTA/HW) displayed shorter response latencies than individuals in the LTA and low state worry (LTA/LW) condition on both verbal and spatial working memory (i.e., N-back) tasks. Although non-pathological worry is predominantly a verbal-linguistic activity, it may also be complemented by the processing of visual imagery which facilitates problem-solving and adaptive functions.

  16. Psychometric Properties of the Penn State Worry Questionnaire for Children in a Large Clinical Sample

    ERIC Educational Resources Information Center

    Pestle, Sarah L.; Chorpita, Bruce F.; Schiffman, Jason

    2008-01-01

    The Penn State Worry Questionnaire for Children (PSWQ-C; Chorpita, Tracey, Brown, Collica, & Barlow, 1997) is a 14-item self-report measure of worry in children and adolescents. Although the PSWQ-C has demonstrated favorable psychometric properties in small clinical and large community samples, this study represents the first psychometric…

  17. Efficacy of self-administered treatments for pathological academic worry: A randomized controlled trial.

    PubMed

    Wolitzky-Taylor, Kate B; Telch, Michael J

    2010-09-01

    Research on treatments for reducing pathological worry is limited. In particular, academic worry is a common theme in generalized anxiety disorder (GAD) samples as well as non-clinical student samples. Given the high cost of anxiety disorders to society, research is needed to examine the efficacy of self-administered treatments designed to reduce pathological worry. The primary goal of this study was to investigate the benefits of three self-administered interventions for reducing academic worry. College students (N = 113) experiencing clinically significant academic worry were randomized to either: (a) worry exposure (WE); (b) expressive writing (EW); (c) relaxation consisting of pulsed audio-photic stimulation (APS); or (d) waitlist control (WLC). Participants were instructed to practice their interventions three times per week for one month and completed home practice logs online to track treatment adherence. Academic worry, general anxiety, and perceived stress were assessed at baseline and post-treatment. Academic worry and general anxiety were also assessed at a three-month follow-up. Those assigned to the WE and APS conditions showed significant improvement relative to EW and WLC at post-treatment. All treatment conditions showed continued improvement by follow-up, with no between-group differences. Treatment and public health implications are discussed.

  18. Worry about Terror in Israel: Differences between Jewish and Arab Adolescents and Young Adults

    ERIC Educational Resources Information Center

    Peleg, Ora

    2010-01-01

    The current study examines group differences in (1) levels of worry about terror and (2) trait anxiety among a sample of high-school and university students, where groups are defined by cultural affiliation, religious commitment, place of residence, gender and age. The revealed group differences in levels of worry about terror point to the ability…

  19. Mycobacterium tuberculosis outbreak strain of Danish origin spreading at worrying rates among greenland-born persons in Denmark and Greenland.

    PubMed

    Lillebaek, T; Andersen, A B; Rasmussen, E M; Kamper-Jørgensen, Z; Pedersen, M K; Bjorn-Mortensen, K; Ladefoged, K; Thomsen, V O

    2013-12-01

    Transmission of Mycobacterium tuberculosis continues at high rates among Greenland-born persons in Greenland and Denmark, with 203 and 450 notified cases per 10(5) population, respectively, in the year 2010. Here, we document that the predominant M. tuberculosis outbreak strain C2/1112-15 of Danish origin has been transmitted to Greenland-born persons in Denmark and subsequently to Greenland, where it is spreading at worrying rates and adding to the already heavy tuberculosis burden in this population group. It is now clear that the C2/1112-15 strain is able to gain new territories using a new population group as the "vehicle." Thus, it might have the ability to spread even further, considering the potential clinical consequences of strain diversity such as that seen in the widely spread Beijing genotype. The introduction of the predominant M. tuberculosis outbreak strain C2/1112-15 into the Arctic circumpolar region is a worrying tendency which deserves attention. We need to monitor whether this strain already has, or will, spread to other countries.

  20. The Role of Anxiety Sensitivity in the Relation Between Trait Worry and Smoking Behavior

    PubMed Central

    Olvera, Hyaneyoung; Garey, Lorra; Jardin, Charles; Schmidt, Norman B.; Zvolensky, Michael J.

    2015-01-01

    Introduction: Smoking and anxiety disorders frequently co-occur. Trait worry is a core symptom of anxiety disorders. While research suggests worry processes may be important to certain smoking behaviors, the mechanisms explicating these relations remain unknown. Method: The current study examined anxiety sensitivity (AS) as a potential mediator for the relation between trait worry and number of years being a daily smoker, latency to first cigarette of the day, smoking rate, heaviness of smoking, and nicotine dependence among treatment-seeking daily smokers (N = 376; 47% female; M age = 37.76, SD = 13.46). Results: Consistent with prediction, AS significantly mediated the relations between trait worry and the studied smoking variables. Conclusion: The present findings suggest it may be useful to clinically address AS among worry-prone, treatment-seeking daily smokers in order to address smoking behavior. PMID:25367093

  1. Recovery of Utility Fixed Costs: Utility, Consumer, Environmental and Economist Perspectives

    SciTech Connect

    Wood, Lisa; Hemphill, Ross; Howat, John; Cavanagh, Ralph; Borenstein, Severin; Deason, Jeff; Schwartz, Lisa; Schwartz, Lisa

    2016-06-14

    Utilities recover costs for providing electric service to retail customers through a combination of rate components that together comprise customers’ monthly electric bills. Rates and rate designs are set by state regulators and vary by jurisdiction, utility and customer class. In addition to the fundamental tenet of setting fair and reasonable rates, rate design balances economic efficiency, equity and fairness, customer satisfaction, utility revenue stability, and customer price and bill stability.1 At the most basic level, retail electricity bills in the United States typically include a fixed monthly customer charge — a set dollar amount regardless of energy usage — and a volumetric energy charge for each kilowatt-hour consumed.2 The energy charge may be flat across all hours, vary by usage level (for example, higher rates at higher levels of usage), or vary based on time of consumption.3 While some utility costs, such as fuel costs, clearly vary according to electricity usage, other costs are “fixed” over the short run — generally, those that do not vary over the course of a year. Depending on your point of view, and whether the state’s electricity industry has been restructured or remains vertically integrated, the set of costs that are “fixed” may be quite limited. Or the set may extend to all capacity costs for generation, transmission and distribution. In the long run, all costs are variable. In the context of flat or declining loads in some regions, utilities are proposing a variety of changes to retail rate designs, particularly for residential customers, to recover fixed costs. In this report, authors representing utility (Chapter 1), consumer (Chapter 2), environmentalist (Chapter 3) and economist (Chapter 4) perspectives discuss fixed costs for electric utilities and set out their principles for recovering those costs. The table on the next page summarizes each author’s relative preferences for various options for fixed cost

  2. A Taxometric Investigation of the Latent Structure of Worry: Dimensionality and Associations with Depression, Anxiety, and Stress

    ERIC Educational Resources Information Center

    Olatunji, Bunmi O.; Broman-Fulks, Joshua J.; Bergman, Shawn M.; Green, Bradley A.; Zlomke, Kimberly R.

    2010-01-01

    Worry has been described as a core feature of several disorders, particularly generalized anxiety disorder (GAD). The present study examined the latent structure of worry by applying 3 taxometric procedures (MAXEIG, MAMBAC, and L-Mode) to data collected from 2 large samples. Worry in the first sample (Study 1) of community participants (n = 1,355)…

  3. A Taxometric Investigation of the Latent Structure of Worry: Dimensionality and Associations with Depression, Anxiety, and Stress

    ERIC Educational Resources Information Center

    Olatunji, Bunmi O.; Broman-Fulks, Joshua J.; Bergman, Shawn M.; Green, Bradley A.; Zlomke, Kimberly R.

    2010-01-01

    Worry has been described as a core feature of several disorders, particularly generalized anxiety disorder (GAD). The present study examined the latent structure of worry by applying 3 taxometric procedures (MAXEIG, MAMBAC, and L-Mode) to data collected from 2 large samples. Worry in the first sample (Study 1) of community participants (n = 1,355)…

  4. Worry in children is related to perceived parental rearing and attachment.

    PubMed

    Muris, P; Meesters, C; Merckelbach, H; Hülsenbeck, P

    2000-05-01

    In a sample of 159 primary school children, the relationship between perceived parental rearing behaviours and self-reported attachment style, on the one hand, and worry, on the other hand, was investigated. Children completed (a) the EMBU, a questionnaire measuring perceptions of parental rearing behaviours, (b) a single-item measure of attachment style, and (c) the Penn State Worry Questionnaire for Children (PSWQ-C), an index of severity of worrying. Results showed that parental rearing behaviours, in particular rejection and anxious rearing, were positively associated with worry. Thus, children who perceived their parents as more rejective and anxious reported higher levels of worry. Furthermore, self-reported attachment style appeared to be related to worry. More specifically, children who classified themselves as avoidantly or ambivalently attached displayed higher levels of worry than did children who classified themselves as securely attached. These findings are consistent with the notion that family environment factors such as parental rearing and attachment style contribute to the severity of anxiety symptoms in children.

  5. Heterogeneity in Autonomic Arousal Level in Perseverative Worry: The Role of Cognitive Control and Verbal Thought

    PubMed Central

    Toh, Gim Y.; Vasey, Michael W.

    2017-01-01

    One puzzle in high worry and generalized anxiety disorder (GAD) is the heterogeneity in the level of autonomic arousal symptoms seen among affected individuals. While current models agree that worry persists, in part, because it fosters avoidance of unpleasant internal experiences, they disagree as to whether worry does so by suppressing activation of autonomic arousal or by fostering persistent autonomic hyperarousal. Our Cognitive Control Model predicts that which pattern of autonomic arousal occurs depends on whether or not a worrier has sufficient cognitive control capacity to worry primarily in a verbal versus imagery-based manner. Because this model has been supported by only one study to date, the present study sought to replicate and extend that study’s findings. Results from an online survey in an unselected sample of over 900 college students provide further support for our model’s central tenet and initial support for its prediction that higher effortful control is associated with a higher percentage of verbal thought during worry. Finally, we report tentative evidence that autonomic arousal symptoms in worry and GAD vary as a function of individual differences in cognitive control capacity because higher capacity is linked to a greater predominance of verbal thought during worry. PMID:28348525

  6. The extent and nature of imagery during worry and positive thinking in generalized anxiety disorder.

    PubMed

    Hirsch, Colette R; Hayes, Sarra; Mathews, Andrew; Perman, Gemma; Borkovec, Tom

    2012-02-01

    Clients in treatment for Generalized Anxiety Disorder (GAD) were compared to a control group to assess the extent and nature of imagery during worry or while thinking about a personally relevant positive future event. Two methods were used to assess mentation and were completed in counter balanced order within the worry and positive conditions. One method assessed the occurrence of imagery by requiring participants to categorize their mentation as verbal thoughts or images every 10 s. The other method involved participants estimating the duration of any imagery that occurred in the previous 10 s. Imagery during worry occurred less often than while thinking about a positive event for both groups, but GAD clients had a more pronounced deficit of imagery during worry than the control group. Images that occurred were briefer during worry than while thinking about a positive future event and were briefer in the GAD than the control group for both worry and positive conditions. The results thus confirmed that imagery is less common during worry in clients with GAD but also demonstrated that the imagery that does occur in GAD is briefer.

  7. Relations among perceived parental rearing behaviors, attachment style, and worry in anxious children.

    PubMed

    Brown, Amy M; Whiteside, Stephen P

    2008-01-01

    The present study extended the findings of Muris et al. [Muris, P., Meesters, C., Merckelbach, H., & Hulsenbeck, P. (2000). Worry in children is related to perceived parental rearing and attachment. Behavior Research and Therapy, 38, 487-497] regarding the relations between perceived parental rearing behaviors, self-reported attachment style, and worry in a community sample to a clinical sample of anxious children. Sixty-four children and adolescents, aged 7-18 years, with a primary anxiety disorder completed (a) the EMBU-C, a questionnaire measuring perceptions of parental rearing behaviors, (b) a single-item measure of attachment style, and (c) an index of worry severity. Findings revealed that child rated parental rearing behaviors, particularly parental rejection, were positively related to child worry. Self-reported attachment style was also related to worry, such that children who classified themselves as ambivalently attached reported higher levels of worry than did children who classified themselves as securely attached. Parenting style and attachment were found to make independent contributions to worry. The results are compared to those from Muris et al.'s community study, and implications for future research are discussed.

  8. Annoyance and Worry in a Petrochemical Industrial Area—Prevalence, Time Trends and Risk Indicators

    PubMed Central

    Axelsson, Gösta; Stockfelt, Leo; Andersson, Eva; Gidlof-Gunnarsson, Anita; Sallsten, Gerd; Barregard, Lars

    2013-01-01

    In 1992, 1998, and 2006, questionnaires were sent to stratified samples of residents aged 18–75 years living near petrochemical industries (n = 600–800 people on each occasion) and in a control area (n = 200–1,000). The aims were to estimate the long-term prevalence and change over time of annoyance caused by industrial odour, industrial noise, and worries about possible health effects, and to identify risk indicators. In 2006, 20% were annoyed by industrial odour, 27% by industrial noise (1–4% in the control area), and 40–50% were worried about health effects or industrial accidents (10–20% in the control area). Multiple logistic regression analyses revealed significantly lower prevalence of odour annoyance in 1998 and 2006 than in 1992, while industrial noise annoyance increased significantly over time. The prevalence of worry remained constant. Risk of odour annoyance increased with female sex, worry of health effects, annoyance by motor vehicle exhausts and industrial noise. Industrial noise annoyance was associated with traffic noise annoyance and worry of health effects of traffic. Health-risk worry due to industrial air pollution was associated with female sex, having children, annoyance due to dust/soot in the air, and worry of traffic air pollution. PMID:23552810

  9. Treating chronic worry: Psychological and physiological effects of a training programme based on mindfulness.

    PubMed

    Delgado, Luis Carlos; Guerra, Pedro; Perakakis, Pandelis; Vera, María Nieves; Reyes del Paso, Gustavo; Vila, Jaime

    2010-09-01

    The present study examines psychological and physiological indices of emotional regulation in non-clinical high worriers after a mindfulness-based training programme aimed at reducing worry. Thirty-six female university students with high Penn State Worry Questionnaire scores were split into two equal intervention groups: (a) mindfulness, and (b) progressive muscle relaxation plus self-instruction to postpone worrying to a specific time of the day. Assessment included clinical questionnaires, daily self-report of number/duration of worry episodes and indices of emotional meta-cognition. A set of somatic and autonomic measures was recorded (a) during resting, mindfulness/relaxation and worrying periods, and (b) during cued and non-cued affective modulation of defence reactions (cardiac defence and eye-blink startle). Both groups showed equal post-treatment improvement in the clinical and daily self-report measures. However, mindfulness participants reported better emotional meta-cognition (emotional comprehension) and showed improved indices of somatic and autonomic regulation (reduced breathing pattern and increased vagal reactivity during evocation of cardiac defense). These findings suggest that mindfulness reduces chronic worry by promoting emotional and physiological regulatory mechanisms contrary to those maintaining chronic worry. 2010 Elsevier Ltd. All rights reserved.

  10. Heterogeneity in Autonomic Arousal Level in Perseverative Worry: The Role of Cognitive Control and Verbal Thought.

    PubMed

    Toh, Gim Y; Vasey, Michael W

    2017-01-01

    One puzzle in high worry and generalized anxiety disorder (GAD) is the heterogeneity in the level of autonomic arousal symptoms seen among affected individuals. While current models agree that worry persists, in part, because it fosters avoidance of unpleasant internal experiences, they disagree as to whether worry does so by suppressing activation of autonomic arousal or by fostering persistent autonomic hyperarousal. Our Cognitive Control Model predicts that which pattern of autonomic arousal occurs depends on whether or not a worrier has sufficient cognitive control capacity to worry primarily in a verbal versus imagery-based manner. Because this model has been supported by only one study to date, the present study sought to replicate and extend that study's findings. Results from an online survey in an unselected sample of over 900 college students provide further support for our model's central tenet and initial support for its prediction that higher effortful control is associated with a higher percentage of verbal thought during worry. Finally, we report tentative evidence that autonomic arousal symptoms in worry and GAD vary as a function of individual differences in cognitive control capacity because higher capacity is linked to a greater predominance of verbal thought during worry.

  11. Neural correlates of emotion acceptance vs worry or suppression in generalized anxiety disorder

    PubMed Central

    Barlow, David H.; Whitfield-Gabrieli, Susan; Gabrieli, John D.E.; Deckersbach, Thilo

    2017-01-01

    Abstract Recent emotion dysregulation models of generalized anxiety disorder (GAD) propose chronic worry in GAD functions as a maladaptive attempt to regulate anxiety related to uncertain or unpredictable outcomes. Emotion acceptance is an adaptive emotion regulation strategy increasingly incorporated into newer cognitive behavioral therapy (CBT) approaches to GAD to counter chronic worry. The current study explores the mechanisms of emotion acceptance as an alternate emotion regulation strategy to worry or emotion suppression using functional magnetic resonance imaging. Twenty-one female participants diagnosed with GAD followed counterbalanced instructions to regulate responses to personally relevant worry statements by engaging in either emotion acceptance, worry or emotion suppression. Emotion acceptance resulted in lower ratings of distress than worry and was associated with increased dorsal anterior cingulate cortex (dACC) activation and increased ventrolateral prefrontal cortex (VLPFC)-amygdala functional connectivity. In contrast, worry showed significantly greater distress ratings than acceptance or suppression and was associated with increased precuneus, VLPFC, amygdala and hippocampal activation. Suppression did not significantly differ from acceptance in distress ratings or amygdala recruitment, but resulted in significantly greater insula and VLPFC activation and decreased VLPFC-amygdala functional connectivity. Emotion acceptance closely aligned with activation and connectivity patterns reported in studies of contextual extinction learning and mindful awareness. PMID:28402571

  12. Why Do Health Economists Promote Technology Adoption Rather Than the Search for Efficiency? A Proposal for a Change in Our Approach to Economic Evaluation in Health Care.

    PubMed

    Scotland, Graham; Bryan, Stirling

    2017-02-01

    At a time of intense pressure on health care budgets, the technology management challenge is for disinvestment in low-value technologies and reinvestment in higher value alternatives. The aim of this article is to explore ways in which health economists might begin to redress the observed imbalance between the evaluation of new and existing in-use technologies. The argument is not against evaluating new technologies but in favor of the "search for efficiency," where the ultimate objective is to identify reallocations that improve population health in the face of resource scarcity. We explore why in-use technologies may be of low value and consider how economic evaluation analysts might embrace a broader efficiency lens, first through "technology management" (a process of analysis and evidence-informed decision making throughout a technology's life cycle) and progressing through "pathway management" (the search for efficiency gains across entire clinical care pathways). A number of model-based examples are used to illustrate the approaches.

  13. Should Excessive Worry Be Required for a Diagnosis of Generalized Anxiety Disorder? Results from the US National Comorbidity Survey Replication

    PubMed Central

    Ruscio, Ayelet Meron; Lane, Michael; Roy-Byrne, Peter; Stang, Paul E.; Stein, Dan J.; Wittchen, Hans-Ulrich; Kessler, Ronald C.

    2007-01-01

    Background Excessive worry is required by DSM-IV, but not ICD-10, for a diagnosis of generalized anxiety disorder (GAD). No large-scale epidemiological study has ever examined the implications of this requirement for estimates of prevalence, severity, or correlates of GAD. Methods Data were analyzed from the US National Comorbidity Survey Replication, a nationally representative, face-to-face survey of adults in the US household population that was fielded in 2001–2003. DSM-IV GAD was assessed with Version 3.0 of the WHO Composite International Diagnostic Interview. Non-excessive worriers meeting all other DSM-IV criteria for GAD were compared with respondents who met full GAD criteria as well as with other survey respondents to consider the implications of removing the excessiveness requirement. Results The estimated lifetime prevalence of GAD increases by approximately 40% when the excessiveness requirement is removed. Excessive GAD begins earlier in life, has a more chronic course, and is associated with greater symptom severity and psychiatric comorbidity than non-excessive GAD. However, non-excessive cases nonetheless evidence substantial persistence and impairment of GAD as well as significantly elevated comorbidity compared to respondents without GAD. Non-excessive cases also have socio-demographic characteristics and familial aggregation of GAD comparable to excessive cases. Conclusions Although individuals who meet all criteria for GAD other than excessiveness have a somewhat milder presentation than those with excessive worry, their syndromes are sufficiently similar to those with excessive worry to warrant a GAD diagnosis. PMID:16300690

  14. Mode effects in assessing cancer worry and risk perceptions: Is social desirability bias at play?1

    PubMed Central

    Persoskie, Alexander; Leyva, Bryan; Ferrer, Rebecca A.

    2014-01-01

    Background Risk perceptions and worry are important determinants of health behavior. Despite extensive research on these constructs, it is unknown whether people’s self-reports of perceived risk and worry are biased by their concerns about being viewed negatively by others (social desirability). Methods In this study, we examined whether reports of perceived risk and worry about cancer varied across survey modes differing in the salience of social desirability cues. We used data from the National Cancer Institute’s 2007 Health Information National Trends Survey, which assessed perceived cancer risk and worry in one of two survey modes: an interviewer-administered telephone survey (higher likelihood of socially desirable responding; n = 3,678) and a self-administered mail survey (lower likelihood of socially desirable responding; n = 3,445). Data were analyzed by regressing perceived risk and worry on survey mode and demographic factors. Results Analyses showed no effect of survey mode on cancer risk perceptions (B = 0.02, p = .55, d = .02). However, cancer worry was significantly higher in the self-administered mode than in the interviewer-administered mode (B = 0.24, p < .001, d = .26). Education moderated this effect, with respondents lower in education exhibiting a stronger mode effect. When cancer worry was dichotomized, the odds of reporting cancer worry were approximately twice as high in the self-administered mode compared to the interviewer-administered mode (OR = 2.13, p < .001). Conclusions These results bolster the veracity of self-reported cancer risk perceptions. They also suggest that interviewer-administered surveys may underestimate the frequency of cancer worry, particularly for samples lower in socioeconomic status. Studies are needed to test for this effect in clinical contexts. PMID:24718657

  15. Factors associated with cancer worries in individuals participating in annual pancreatic cancer surveillance.

    PubMed

    Konings, Ingrid C A W; Harinck, Femme; Kuenen, Marianne A; Sidharta, Grace N; Kieffer, Jacobien M; Aalfs, Cora M; Poley, Jan-Werner; Smets, Ellen M A; Wagner, Anja; van Rens, Anja; Vleggaar, Frank P; Ausems, Margreet G E M; Fockens, Paul; van Hooft, Jeanin E; Bruno, Marco J; Bleiker, Eveline M A

    2017-01-01

    It is important to adequately and timely identify individuals with cancer worries amongst participants in a pancreatic ductal adenocarcinoma (PDAC) surveillance program, because they could benefit from psychosocial support to decrease distress. Therefore, the aim of this study was to assess both psychosocial and clinical factors associated with cancer worries. High-risk individuals participating in PDAC-surveillance were invited to annually complete a cancer worry scale (CWS) questionnaire which was sent after counseling by the clinical geneticist (T0), after intake for participation in PDAC-surveillance (T1), and then annually after every MRI and endoscopic ultrasonography (EUS) (T2 and further). Analyses were performed to identify factors associated with cancer worries in the second year of surveillance (T3). We found a significant intra-individual decrease in cancer worries (β = -0.84, P < 0.001), nevertheless, 33 % of individuals had a CWS-score ≥14 at T3. We found one factor significantly associated with cancer worries at T3: having a family member affected by PDAC <50 years of age (β = 0.22, P = 0.03). The detection of a cystic lesion, a shortened surveillance interval, or undergoing pancreatic surgery did not lead to more cancer worries (P = 0.163, P = 0.33, and P = 0.53, respectively). In conclusion, this study identified 'a family history of PDAC <50 years of age' as the only predictor of cancer worries experienced after 2 years of surveillance in individuals at high risk of developing PDAC. This knowledge could help clinicians to timely identify individuals 'at risk' for high levels of cancer worries who would likely benefit from psychosocial support.

  16. Mode Effects in Assessing Cancer Worry and Risk Perceptions: Is Social Desirability Bias at Play?

    PubMed

    Persoskie, Alexander; Leyva, Bryan; Ferrer, Rebecca A

    2014-07-01

    Risk perceptions and worry are important determinants of health behavior. Despite extensive research on these constructs, it is unknown whether people's self-reports of perceived risk and worry are biased by their concerns about being viewed negatively by others (social desirability). In this study, we examined whether reports of perceived risk and worry about cancer varied across survey modes differing in the salience of social desirability cues. We used data from the National Cancer Institute's 2007 Health Information National Trends Survey, which assessed perceived cancer risk and worry in 1 of 2 survey modes: an interviewer-administered telephone survey (higher likelihood of socially desirable responding; n = 3678) and a self-administered mail survey (lower likelihood of socially desirable responding; n = 3445). Data were analyzed by regressing perceived risk and worry on survey mode and demographic factors. Analyses showed no effect of survey mode on cancer risk perceptions (B = 0.02, P = 0.55, d = 0.02). However, cancer worry was significantly higher in the self-administered mode than in the interviewer-administered mode (B = 0.24, P < 0.001, d = 0.26). Education moderated this effect, with respondents lower in education exhibiting a stronger mode effect. When cancer worry was dichotomized, the odds of reporting cancer worry were approximately twice as high in the self-administered mode compared with the interviewer-administered mode (OR = 2.13, P < 0.001). These results bolster the veracity of self-reported cancer risk perceptions. They also suggest that interviewer-administered surveys may underestimate the frequency of cancer worry, particularly for samples lower in socioeconomic status. Studies are needed to test for this effect in clinical contexts. © The Author(s) 2014.

  17. Worrying Thoughts Limit Working Memory Capacity in Math Anxiety.

    PubMed

    Shi, Zhan; Liu, Peiru

    2016-01-01

    Sixty-one high-math-anxious persons and sixty-one low-math-anxious persons completed a modified working memory capacity task, designed to measure working memory capacity under a dysfunctional math-related context and working memory capacity under a valence-neutral context. Participants were required to perform simple tasks with emotionally benign material (i.e., lists of letters) over short intervals while simultaneously reading and making judgments about sentences describing dysfunctional math-related thoughts or sentences describing emotionally-neutral facts about the world. Working memory capacity for letters under the dysfunctional math-related context, relative to working memory capacity performance under the valence-neutral context, was poorer overall in the high-math-anxious group compared with the low-math-anxious group. The findings show a particular difficulty employing working memory in math-related contexts in high-math-anxious participants. Theories that can provide reasonable interpretations for these findings and interventions that can reduce anxiety-induced worrying intrusive thoughts or improve working memory capacity for math anxiety are discussed.

  18. Worrying Thoughts Limit Working Memory Capacity in Math Anxiety

    PubMed Central

    Shi, Zhan; Liu, Peiru

    2016-01-01

    Sixty-one high-math-anxious persons and sixty-one low-math-anxious persons completed a modified working memory capacity task, designed to measure working memory capacity under a dysfunctional math-related context and working memory capacity under a valence-neutral context. Participants were required to perform simple tasks with emotionally benign material (i.e., lists of letters) over short intervals while simultaneously reading and making judgments about sentences describing dysfunctional math-related thoughts or sentences describing emotionally-neutral facts about the world. Working memory capacity for letters under the dysfunctional math-related context, relative to working memory capacity performance under the valence-neutral context, was poorer overall in the high-math-anxious group compared with the low-math-anxious group. The findings show a particular difficulty employing working memory in math-related contexts in high-math-anxious participants. Theories that can provide reasonable interpretations for these findings and interventions that can reduce anxiety-induced worrying intrusive thoughts or improve working memory capacity for math anxiety are discussed. PMID:27788235

  19. Population

    EPA Science Inventory

    Population growth influences many stressors on Narragansett Bay and its Watershed, including all landscape and chemical stressors discussed in other chapters of this report. In numerous ways, population growth affects the condition of the Bay ecosystem, Watershed ecosystem, and h...

  20. Goal Directed Worry Rules Are Associated with Distinct Patterns of Amygdala Functional Connectivity and Vagal Modulation during Perseverative Cognition

    PubMed Central

    Meeten, Frances; Davey, Graham C. L.; Makovac, Elena; Watson, David R.; Garfinkel, Sarah N.; Critchley, Hugo D.; Ottaviani, Cristina

    2016-01-01

    Excessive and uncontrollable worry is a defining feature of Generalized Anxiety Disorder (GAD). An important endeavor in the treatment of pathological worry is to understand why some people are unable to stop worrying once they have started. Worry perseveration is associated with a tendency to deploy goal-directed worry rules (known as “as many as can” worry rules; AMA). These require attention to the goal of the worry task and continuation of worry until the aims of the “worry bout” are achieved. This study examined the association between the tendency to use AMA worry rules and neural and autonomic responses to a perseverative cognition induction. To differentiate processes underlying the AMA worry rule use from trait worry, we also examined the relationship between scores on the Penn State Worry Questionnaire (PSWQ) and neural and autonomic responses following the same induction. We used resting-state functional magnetic resonance brain imaging (fMRI) while measuring emotional bodily arousal from heart rate variability (where decreased HRV indicates stress-related parasympathetic withdrawal) in 19 patients with GAD and 21 control participants. Seed-based analyses were conducted to quantify brain changes in functional connectivity (FC) with the amygdala. The tendency to adopt an AMA worry rule was associated with validated measures of worry, anxiety, depression and rumination. AMA worry rule endorsement predicted a stronger decrease in HRV and was positively associated with increased connectivity between right amygdala and locus coeruleus (LC), a brainstem noradrenergic projection nucleus. Higher AMA scores were also associated with increased connectivity between amygdala and rostral superior frontal gyrus. Higher PSWQ scores amplified decreases in FC between right amygdala and subcallosal cortex, bilateral inferior frontal gyrus, middle frontal gyrus, and areas of parietal cortex. Our results identify neural mechanisms underlying the deployment of AMA

  1. [Population].

    PubMed

    1979-01-01

    Data on the population of Venezuela between 1975 and 1977 are presented in descriptive tables and graphs. Information is included on the employed population according to category, sex, and type of economic activity, and by sex, age, and area on the employment rate and the total, the economically active, and the unemployed population.

  2. Population.

    ERIC Educational Resources Information Center

    King, Pat; Landahl, John

    This pamphlet has been prepared in response to a new problem, a rapidly increasing population, and a new need, population education. It is designed to help teachers provide their students with some basic population concepts with stress placed on the elements of decision making. In the first section of the pamphlet, some of the basic concepts of…

  3. Emotion as a boost to metacognition: how worry enhances the quality of confidence.

    PubMed

    Massoni, Sébastien

    2014-10-01

    Emotion and cognition are known to interact during human decision processes. In this study we focus on a specific kind of cognition, namely metacognition. Our experiment induces a negative emotion, worry, during a perceptual task. In a numerosity task subjects have to make a two alternative forced choice and then reveal their confidence in this decision. We measure metacognition in terms of discrimination and calibration abilities. Our results show that metacognition, but not choice, is affected by the level of worry anticipated before the decision. Under worry individuals tend to have better metacognition in terms of the two measures. Furthermore understanding the formation of confidence is better explained with taking into account the level of worry in the model. This study shows the importance of an emotional component in the formation and the quality of the subjective probabilities.

  4. Neurasthenia, Generalized Anxiety Disorder, and the Medicalization of Worry in a Vietnamese Psychiatric Hospital.

    PubMed

    Tran, Allen L

    2016-04-26

    This article examines two forms of the medicalization of worry in an outpatient psychiatric clinic in Ho Chi Minh City, Vietnam. Biomedical psychiatrists understand patients' symptoms as manifestations of the excessive worry associated with generalized anxiety disorder (GAD). Drawing on an ethnopsychology of emotion that reflects increasingly popular models of neoliberal selfhood, these psychiatrists encourage patients to frame psychic distress in terms of private feelings to address the conditions in their lives that lead to chronic anxiety. However, most patients attribute their symptoms to neurasthenia instead of GAD. Differences between doctors' and patients' explanatory models are not just rooted in their understandings of illness but also in their respective conceptualizations of worry in terms of emotion and sentiment. Patients with neurasthenia reject doctors' attempts to psychologize distress and maintain a model of worry that supports a sense of moral selfhood based on notions of obligation and sacrifice.

  5. From science to popularization, and back--the science and journalism of the Belgian economist Gustave de Molinari.

    PubMed

    Van Dijck, Maarten

    2008-09-01

    Sociologists and historians of science, such as Richard Whitley and Stephen Hilgartner, identified a culturally dominant discourse of science popularization in the broader society. In this dominant view, a clear distinction is maintained between scientific knowledge and popularized knowledge. Popularization of science is seen as the process of transmitting real science to a lay public. This discourse on science popularization was criticized by Whitley and Hilgartner as an inadequate simplification. Yet, the battered traditional model of popularization remains remarkably resistant to these theoretical attacks. In this paper I will argue, based on research of the output of the Belgian economist Gustave de Molinari (1819-1912), and more specifically, his opinion on the role of government in economic life, that the boundary between science and popularization in political economy is not clear and that the status of scientists fluctuates over time and in different contexts. It is therefore impossible for historians or economists to distinguish science from popularization based on the essential characteristics or intrinsic quality of the work. De Molinari's ideas are followed through the different media of science and journalism. Although de Molinari himself differentiated between his scientific and "popular" work, the boundary between science and popularization proves to be highly permeable, in both directions.

  6. When We Should Worry More: Using Cognitive Bias Modification to Drive Adaptive Health Behaviour

    PubMed Central

    Notebaert, Lies; Chrystal, Jessica; Clarke, Patrick J. F.; Holmes, Emily A.; MacLeod, Colin

    2014-01-01

    A lack of behavioural engagement in health promotion or disease prevention is a problem across many health domains. In these cases where people face a genuine danger, a reduced focus on threat and low levels of anxiety or worry are maladaptive in terms of promoting protection or prevention behaviour. Therefore, it is possible that increasing the processing of threat will increase worry and thereby enhance engagement in adaptive behaviour. Laboratory studies have shown that cognitive bias modification (CBM) can increase or decrease anxiety and worry when increased versus decreased processing of threat is encouraged. In the current study, CBM for interpretation (CBM-I) is used to target engagement in sun protection behaviour. The goal was to investigate whether inducing a negative rather than a positive interpretation bias for physical threat information can enhance worry elicited when viewing a health campaign video (warning against melanoma skin cancer), and consequently lead to more adaptive behaviour (sun protection). Participants were successfully trained to either adopt a positive or negative interpretation bias using physical threat scenarios. However, contrary to expectations results showed that participants in the positive training condition reported higher levels of worry elicited by the melanoma video than participants in the negative training condition. Video elicited worry was, however, positively correlated with a measure of engagement in sun protection behaviour, suggesting that higher levels of worry do promote adaptive behaviour. These findings imply that more research is needed to determine under which conditions increased versus decreased processing of threat can drive adaptive worry. Various potential explanations for the current findings and suggestions for future research are discussed. PMID:24416344

  7. When we should worry more: using cognitive bias modification to drive adaptive health behaviour.

    PubMed

    Notebaert, Lies; Chrystal, Jessica; Clarke, Patrick J F; Holmes, Emily A; MacLeod, Colin

    2014-01-01

    A lack of behavioural engagement in health promotion or disease prevention is a problem across many health domains. In these cases where people face a genuine danger, a reduced focus on threat and low levels of anxiety or worry are maladaptive in terms of promoting protection or prevention behaviour. Therefore, it is possible that increasing the processing of threat will increase worry and thereby enhance engagement in adaptive behaviour. Laboratory studies have shown that cognitive bias modification (CBM) can increase or decrease anxiety and worry when increased versus decreased processing of threat is encouraged. In the current study, CBM for interpretation (CBM-I) is used to target engagement in sun protection behaviour. The goal was to investigate whether inducing a negative rather than a positive interpretation bias for physical threat information can enhance worry elicited when viewing a health campaign video (warning against melanoma skin cancer), and consequently lead to more adaptive behaviour (sun protection). Participants were successfully trained to either adopt a positive or negative interpretation bias using physical threat scenarios. However, contrary to expectations results showed that participants in the positive training condition reported higher levels of worry elicited by the melanoma video than participants in the negative training condition. Video elicited worry was, however, positively correlated with a measure of engagement in sun protection behaviour, suggesting that higher levels of worry do promote adaptive behaviour. These findings imply that more research is needed to determine under which conditions increased versus decreased processing of threat can drive adaptive worry. Various potential explanations for the current findings and suggestions for future research are discussed.

  8. Worry about skin cancer mediates the relation of perceived cancer risk and sunscreen use.

    PubMed

    Kiviniemi, Marc T; Ellis, Erin M

    2014-12-01

    Preventive health behaviors are believed to be motivated in part by a person's perception of risk for a particular health problem. Risk contains a cognitive component, beliefs about the chances of a health problem occurring, and an affective component, fear or worry about the health problem. Although both have been shown to influence behavior, the nature of their interrelation as an influence on behavior has not been examined. Data from the 2005 Health Information National Trends Survey, a US nationally-representative telephone survey was analyzed. Participants reported perceived absolute and comparative risk for skin cancer, feelings of worry about skin cancer, and sunscreen use behavior. Analyses examined main effects models for the relation between perceived risk, worry, and sunscreen use, as well as both moderated and mediated models. For both absolute and comparative risk, the relation between cognitively-based perceived risk for skin cancer and sunscreen use was fully mediated by feelings of worry, as evidenced by significant direct effects of worry (bs > 0.046, ps < 0.01) and indirect effects of risk through worry (bs > 0.19, ps < 0.01). When worry was included in the models, direct effects of risk perceptions were non-significant (bs < 0.11, ps < 0.10). No evidence was found for moderated effects of worry on the relation between risk and behavior. While cognitive risk appraisals do influence decision making and may be addressed by interventions, these findings demonstrate that affectively-based risk components play a key role in behavior regulation. Affectively-based risk might be an effective target for interventions and should be incorporated more fully in decision-making models.

  9. Factors Associated With Cancer Worry Among People Aged 50 or Older, Spain, 2012–2014

    PubMed Central

    Sotos, Joseba Rabanales; Herráez, María José Simarro; Rosa, Monchi Campos; López, Jaime López-Torres; Ortiz, María Pilar Sánchez

    2015-01-01

    Introduction Cancer worry varies among patients and may influence their participation in preventive activities. We tested whether sociodemographic characteristics, lifestyle, locus of control, comorbidity, and perceived health status were associated with the level of cancer worry among adults aged 50 or older. Methods We conducted an observational cross-sectional study of 666 adults in Spain aged 50 or older. Participants were selected by simple random sampling and asked to visit their designated health center for a personal interview. The study variables were level of cancer worry (measured by Cancer Worry Scale [CWS]), sociodemographic characteristics, lifestyle, personal history or family history of cancer, comorbidity, self-perceived health, locus of control, and social support. Results More than half of participants, 58.1%, were women; mean age was 60.5 years (standard deviation [SD], 6.8 y). Measurement of the frequency and severity of cancer worry (possible scale of 6–24 points) yielded a mean CWS score of 9.3 (95% confidence interval, 9.0–9.5); 31.9% of participants reported being concerned about cancer. Scores were higher among women (9.7 [SD, 3.3]) than men (8.7 [SD, 2.7]) (P < .001) and among participants in rural settings (10.0 [SD, 3.4]) than in urban settings (9.0 [SD, 3.0]) (P < .001). Multiple linear regression showed a greater degree of cancer worry among people with personal or family history of cancer, more health problems, worse self-perceived health, and lower social support. Conclusion Cancer worry is frequent among older adults, and the level of such concern is related not only to personal characteristics but also to lifestyle and health status. Further research is required to understand how contextual factors can influence cancer worry and how such concern changes behavior patterns related to cancer prevention activities. PMID:26704444

  10. "I Cannot Be Worried": Living with Chagas Disease in Tropical Bolivia

    PubMed Central

    2017-01-01

    Background Chagas disease (CD) profoundly affects the social and emotional dimensions of patients’ lives, and disproportionately impacts poor, marginalized populations in Latin America. Biomedical treatment for CD fails to reach up to 99% of the people affected, and in any case seldom addresses the emotional health or socioeconomic conditions of patients. This study examines patient strategies for coping with CD in the department of Santa Cruz, Bolivia. Methodology In this ethnographic study, semistructured interviews took place from March-June 2013 with 63 patients who had previously tested positive for CD. During the fieldwork period, participant observation was conducted and patient family members, providers, community members, and public health officials were consulted. Principal Findings Patients often experienced emotional distress when diagnosed with CD, yet were generally unable to find biomedical treatment. Respondents stressed the need to avoid powerful emotions which would worsen the impact of CD symptoms. To manage CD, patients embraced a calm state of mind, described in Spanish as tranquilidad, which partially empowered them to return to a normal existence. Conclusions In the perceived absence of biomedical treatment options, patients seek their own means of coping with CD diagnosis. Rather than fatalism or resignation, patients’ emphasis on maintaining calm and not worrying about CD represents a pragmatic strategy for restoring a sense of normalcy and control to their lives. Programs focused on treatment of CD should remain mindful of the emotional and social impact of the disease on patients. PMID:28099488

  11. "I Cannot Be Worried": Living with Chagas Disease in Tropical Bolivia.

    PubMed

    Forsyth, Colin J

    2017-01-01

    Chagas disease (CD) profoundly affects the social and emotional dimensions of patients' lives, and disproportionately impacts poor, marginalized populations in Latin America. Biomedical treatment for CD fails to reach up to 99% of the people affected, and in any case seldom addresses the emotional health or socioeconomic conditions of patients. This study examines patient strategies for coping with CD in the department of Santa Cruz, Bolivia. In this ethnographic study, semistructured interviews took place from March-June 2013 with 63 patients who had previously tested positive for CD. During the fieldwork period, participant observation was conducted and patient family members, providers, community members, and public health officials were consulted. Patients often experienced emotional distress when diagnosed with CD, yet were generally unable to find biomedical treatment. Respondents stressed the need to avoid powerful emotions which would worsen the impact of CD symptoms. To manage CD, patients embraced a calm state of mind, described in Spanish as tranquilidad, which partially empowered them to return to a normal existence. In the perceived absence of biomedical treatment options, patients seek their own means of coping with CD diagnosis. Rather than fatalism or resignation, patients' emphasis on maintaining calm and not worrying about CD represents a pragmatic strategy for restoring a sense of normalcy and control to their lives. Programs focused on treatment of CD should remain mindful of the emotional and social impact of the disease on patients.

  12. Momentary Work Worries, Marital Disclosure and Salivary Cortisol Among Parents of Young Children

    PubMed Central

    Slatcher, Richard B.; Robles, Theodore F.; Repetti, Rena L.; Fellows, Michelle D.

    2010-01-01

    Objective To investigate whether worries about work are linked to people’s own cortisol levels and their spouses’ cortisol levels in everyday life, and whether marital factors may moderate these links. While research has shown that satisfying marriages can buffer the physiological effects of everyday stress, the specific mechanisms through which marriage influences the processing and transmission of stress have not yet been identified. Methods Thirty-seven healthy married couples completed baseline measures and then provided saliva samples and indicated their worries about work for 6 times a day from a Saturday morning through a Monday evening. Results Wives’ cortisol levels were positively associated with their own work worries (p = .008) and with their husbands’ work worries (p = .006). Husbands’ cortisol levels were positively associated only with their own work worries (p = .015). Wives low in both marital satisfaction and disclosure showed a stronger association between work worries and cortisol compared to wives reporting either high marital satisfaction and/or high marital disclosure. Conclusions These results suggest that momentary feelings of stress affect not only one’s own cortisol levels, but affect close others’ cortisol levels as well. Further, they suggest that for women, the stress-buffering effects of a happy marriage may be partially explained by the extent to which they disclose their thoughts and feelings with their spouses. PMID:20841560

  13. Respiratory sinus arrhythmia during worry forecasts stress-related increases in psychological distress.

    PubMed

    Gouin, Jean-Philippe; Deschênes, Sonya S; Dugas, Michel J

    2014-09-01

    Respiratory sinus arrhythmia (RSA) has been conceptualized as an index of emotion regulation abilities. Although resting RSA has been associated with both concurrent and prospective affective responses to stress, the impact of RSA reactivity on emotional responses to stress is inconsistent across studies. The type of emotional stimuli used to elicit these phasic RSA responses may influence the adaptive value of RSA reactivity. We propose that RSA reactivity to a personally relevant worry-based stressor might forecast future affective responses to stress. To evaluate whether resting RSA and RSA reactivity to worry inductions predict stress-related increases in psychological distress, an academic stress model was used to prospectively examine changes in psychological distress from the well-defined low- and high-stress periods. During the low-stress period, 76 participants completed self-report mood measures and had their RSA assessed during a resting baseline, free worry period and worry catastrophizing interview. Participants completed another mood assessment during the high-stress period. Results indicated that baseline psychological distress predicted larger decreases in RSA during the worry inductions. Lower resting RSA and greater RSA suppression to the worry inductions at baseline prospectively predicted larger increases in psychological distress from the low- to high-stress period, even after accounting for the impact of baseline distress on RSA. These results provide further evidence that RSA may represent a unique index of emotion regulation abilities in times of stress.

  14. [The Role of Worry and Rumination in the Symptoms of Anxiety and Depression].

    PubMed

    Yılmaz, Adviye Esin

    2015-01-01

    The aim of this study is to examine the unique and interactive role of worry and rumination in anxiety and depression symptoms. A total of 328 university students responded to questionnaires assessing worry (Penn State Worry Questionnaire), rumination (Ruminative Response Styles Questionnaire-Short Form), anxiety (Beck Anxiety Inventory and Trait Anxiety Inventory), and depression (Beck Depression Inventory). The results of regression analyses demonstrated that the relationship between worry and depressive symptoms is significant only if individuals engage in high levels of brooding type rumination. The main effect of worry was a significant predictor of trait anxiety, but it did not make a significant contribution to somatic anxiety. Brooding was found to be associated not only with depressive symptoms but also with both types of anxiety. Finally, the reflection type of rumination did not significantly predict depressive symptoms, somatic anxiety, or trait anxiety. Findings indicated that worry and rumination are related to both anxiety and depression. Clinical implications of these results were discussed in the light of the current literature.

  15. Beliefs about worry and intrusions: the Meta-Cognitions Questionnaire and its correlates.

    PubMed

    Cartwright-Hatton, S; Wells, A

    1997-01-01

    This report describes the development of the Meta-Cognitions Questionnaire to measure beliefs about worry and intrusive thoughts. Factor analyses of the scale demonstrated five empirically distinct and relatively stable dimensions of meta-cognition. Four of the factors representing beliefs were: Positive Beliefs About Worry: Negative Beliefs About the Controllability of Thoughts and Corresponding Danger; Cognitive Confidence; and Negative Beliefs about Thoughts in General, including Themes of Superstition, Punishment and Responsibility. The fifth factor represented Meta-Cognitive processes-Cognitive Self-Consciousness-a tendency to be aware of and monitor thinking. The measure showed good psychometric properties on a range of indices of reliability and validity. Scores on the questionnaire subscales predicted measures of worry proneness, proneness to obsessional symptoms, and anxiety. Regression analyses showed that the independent predictors of worry were: Positive Beliefs about Worry; Negative Beliefs About the Controllability of Thoughts and Corresponding Danger: and Cognitive Confidence. Significant differences in particular MCQ subscales were demonstrated between patients with intrusive thoughts, clinical controls and normals. The implications of these findings for models of worry and intrusive thoughts are discussed.

  16. Prefrontal-limbic connectivity during worry in older adults with generalized anxiety disorder.

    PubMed

    Mohlman, Jan; Eldreth, Dana A; Price, Rebecca B; Staples, Alison M; Hanson, Catherine

    2017-04-01

    Although generalized anxiety disorder (GAD) is one of the most prevalent anxiety disorders in older adults, very little is known about the neurobiology of worry, the hallmark symptom of GAD in adults over the age of 60. This study investigated the neurobiology and neural circuitry of worry in older GAD patients and controls. Twenty older GAD patients and 16 age-matched controls (mean age = 67.88) were compared on clinical measures and neural activity during worry using functional magnetic resonance imaging. As expected, worry elicited activation in frontal regions, amygdala, and insula within the GAD group, with a similar but less prominent frontal pattern was observed in controls. Effective connectivity analyses revealed a positive directional circuit in the GAD group extending from ventromedial through dorsolateral prefrontal cortices, converging on the amygdala. A less complex circuit was observed in controls with only dorsolateral prefrontal regions converging on the amygdala; however, a separate circuit passing through the orbitofrontal cortex converged on the insula. Results elucidate a different neurobiology of pathological versus normal worry in later life. A limited resource model is implicated wherein worry in GAD competes for the same neural resources (e.g. prefrontal cortical areas) that are involved in the adaptive regulation of emotion through cognitive and behavioral strategies.

  17. A Preliminary Investigation into Worry about Mental Health: Development of the Mental Health Anxiety Inventory.

    PubMed

    Commons, Della; Greenwood, Kenneth Mark; Anderson, Rebecca A

    2016-05-01

    Worry about physical health is broadly referred to as health anxiety and can range from mild concern to severe or persistent anxiety such as that found in DSM-IV hypochondriasis. While much is known about anxiety regarding physical health, little is known about anxiety regarding mental health. However, recent conceptualizations of health anxiety propose that individuals can experience severe and problematic worry about mental health in similar ways to how people experience extreme worry about physical health. Given the paucity of research in this area, the aim of the current study was to explore anxiety regarding mental health through validation of the Mental Health Anxiety Inventory (MHAI), a modified version of the Short Health Anxiety Inventory. The MHAI, and measures of state anxiety (Depression, Anxiety and Stress Scales-21), trait worry (Penn State Worry Questionnaire), and health anxiety (Short Health Anxiety Inventory) were administered to 104 adult volunteers from the general community. The MHAI demonstrated high internal consistency, acceptable test-retest reliability, and good construct validity when correlated with other measures of anxiety. Results also indicated that participants worried about their mental health and physical health equally, and that almost 9% of participants reported levels of mental health anxiety that were potentially problematic. Preliminary results suggest that a small proportion of adults in the community may experience high levels of mental health anxiety requiring treatment, and that the MHAI, if validated further, could be a useful tool for assessing this form of anxiety.

  18. Electrocortical consequences of image processing: The influence of working memory load and worry.

    PubMed

    White, Evan J; Grant, DeMond M

    2017-03-30

    Research suggests that worry precludes emotional processing as well as biases attentional processes. Although there is burgeoning evidence for the relationship between executive functioning and worry, more research in this area is needed. A recent theory suggests one mechanism for the negative effects of worry on neural indicators of attention may be working memory load, however few studies have examined this directly. The goal of the current study was to document the influence of both visual and verbal working memory load and worry on attention allocation during processing of emotional images in a cued image paradigm. It was hypothesized that working memory load will decrease attention allocation during processing of emotional images. This was tested among 38 participants using a modified S1-S2 paradigm. Results indicated that both the visual and verbal working memory tasks resulted in a reduction of attention allocation to the processing of images across stimulus types compared to the baseline task, although only for individuals low in worry. These data extend the literature by documenting decreased neural responding (i.e., LPP amplitude) to imagery both the visual and verbal working memory load, particularly among individuals low in worry.

  19. Generalized anxiety disorder and online intelligence: A phenomenological account of why worrying is unhelpful

    PubMed Central

    2011-01-01

    Worrying is the central feature of generalized anxiety disorder (GAD). Many people worry from time to time, but in GAD the worrying is prolonged and difficult to control. Worrying is a specific way of coping with perceived threats and feared situations. Meanwhile, it is not considered to be a helpful coping strategy, and the phenomenological account developed in this paper aims to show why. It builds on several phenomenological notions and in particular on Michael Wheeler's application of these notions to artificial intelligence and the cognitive sciences. Wheeler emphasizes the value of 'online intelligence' as contrasted to 'offline intelligence'. I discuss and apply these concepts with respect to worrying as it occurs in GAD, suggesting that GAD patients overrate the value of detached contemplation (offline intelligence), while underrating their embodied-embedded adaptive skills (online intelligence). I argue that this phenomenological account does not only help explaining why worrying is used as a coping strategy, but also why cognitive behavioral therapy is successful in treating GAD. PMID:21539727

  20. Generalized anxiety disorder and online intelligence: a phenomenological account of why worrying is unhelpful.

    PubMed

    Meynen, Gerben

    2011-05-03

    Worrying is the central feature of generalized anxiety disorder (GAD). Many people worry from time to time, but in GAD the worrying is prolonged and difficult to control. Worrying is a specific way of coping with perceived threats and feared situations. Meanwhile, it is not considered to be a helpful coping strategy, and the phenomenological account developed in this paper aims to show why. It builds on several phenomenological notions and in particular on Michael Wheeler's application of these notions to artificial intelligence and the cognitive sciences. Wheeler emphasizes the value of 'online intelligence' as contrasted to 'offline intelligence'. I discuss and apply these concepts with respect to worrying as it occurs in GAD, suggesting that GAD patients overrate the value of detached contemplation (offline intelligence), while underrating their embodied-embedded adaptive skills (online intelligence). I argue that this phenomenological account does not only help explaining why worrying is used as a coping strategy, but also why cognitive behavioral therapy is successful in treating GAD.

  1. Worry about terror among young adults living in ongoing security uncertainty.

    PubMed

    Peleg, Ora; Mass-Friedman, Michelle

    2013-01-01

    The aim of the current study was to investigate worry about terror as a mediating variable, with the exogenous variables being media viewing, differentiation of self, and trait anxiety, and the endogenous variables being somatic symptoms and perceptions of security-related stress. Participants were divided into two groups by age/academic level: 248 high school students and 191 university students. A pathway correlation model was used to investigate worry about terror as a mediating variable. The central finding was that worry about terror was a significant mediating variable in the relationship between the extent of media viewing following terror events and the level of perception of security-related stress. That is, young people who said they worried a lot reported a high level of stress relating to the terror events they saw covered in the media. In addition, trait anxiety was found to have an effect on stress perception only via the level of worry about terror. This means that high levels of stress are not experienced by all highly trait-anxious people, but only by those who suffer from higher levels of worry about terror.

  2. Eastern region represents a worrying cluster of active hepatitis C in Algeria in 2012.

    PubMed

    Bensalem, Aïcha; Selmani, Karima; Hihi, Narjes; Bencherifa, Nesrine; Mostefaoui, Fatma; Kerioui, Cherif; Pineau, Pascal; Debzi, Nabil; Berkane, Saadi

    2016-08-01

    Algeria is the largest country of Africa, peopled with populations living a range of traditional/rural and modern/urban lifestyles. The variations of prevalence of chronic active hepatitis care poorly known on the Algerian territory. We conducted a retrospective survey on all patients (n = 998) referred to our institution in 2012 and confirmed by us for an active hepatitis C. Half of the hepatitis C virus (HCV) isolates were genotyped. Forty Algerian regions out of the 48 were represented in our study. Three geographical clusters (Aïn-Temouchent/SidiBelAbbes, Algiers, and a large Eastern region) with an excess of active hepatitis C were observed. Patients coming from the Eastern cluster (Batna, Khenchela, Oum el Bouaghi, and Tebessa) were strongly over-represented (49% of cases, OR = 14.5, P < 0.0001). The hallmarks of Eastern region were an excess of women (65% vs. 46% in the remaining population, P < 0.0001) and the almost exclusive presence of HCV genotype 1 (93% vs. 63%, P = 0.0001). The core of the epidemics was apparently located in Khenchela (odds ratio = 24.6, P < 0.0001). This situation is plausibly connected with nosocomial transmission or traditional practices as scarification (Hijama), piercing or tattooing, very lively in this region. Distinct hepatitis C epidemics are currently affecting Algerian population. The most worrying situation is observed in rural regions located east of Algeria. J. Med. Virol. 88:1394-1403, 2016. © 2016 Wiley Periodicals, Inc.

  3. Population.

    ERIC Educational Resources Information Center

    International Planned Parenthood Federation, London (England).

    In an effort to help meet the growing interest and concern about the problems created by the rapid growth of population, The International Planned Parenthood Federation has prepared this booklet with the aim of assisting the study of the history and future trends of population growth and its impact on individual and family welfare, national,…

  4. Proneness to worry is negatively associated with blood pressure and baroreflex sensitivity: further evidence of the blood pressure emotional dampening hypothesis.

    PubMed

    Delgado, Luis Carlos; Vila, Jaime; Reyes del Paso, Gustavo A

    2014-02-01

    This study analyzes differences in blood pressure (BP) and baroreflex sensitivity (BRS) in relation to trait worry. 36 high worry and 21 low worry females were selected from scores on the Penn State Worry Questionnaire. Cardiovascular parameters were obtained during rest, a self-induced worry period, and defense reflex to intense auditory stimulation. Low worry participants exhibited greater BP during baseline and greater BRS both during baseline and the self-induced worry period than high worry participants. During the defense reflex, low worries present a greater increase in BP. It is concluded that low proneness to worry is associated with greater BP and BRS. Increases in BP during aversive stimulation activated a negative feedback mechanism to inhibit distress and emotional reactivity to negative stimulation. These results support the BP-emotional dampening hypothesis and suggest that the baroreflex can be a relevant mechanism in mediating this effect.

  5. Attention to the media and worry over becoming infected: the case of the Swine Flu (H1N1) Epidemic of 2009.

    PubMed

    Mesch, Gustavo S; Schwirian, Kent P; Kolobov, Tanya

    2013-02-01

    This paper examines the relationship between attention to the mass media and concern about becoming infected with H1N1 in two nationwide random samples interviewed during the flu epidemic of 2009. The first sample (N = 1004) was taken at the end of the first wave of the outbreak in the US and the second sample (N = 1006) was taken as the second wave was accelerating. The data were gathered by the Pew Research Center for the People & the Press. Over the period studied, the percentage worried about becoming infected increased in almost all social categories of respondents. With social category controlled, both those who followed the H1N1 outbreak closely and those who were more interested in reports about it were more likely to be worried about becoming infected. As time went on, interest in media reports declined, but worry over infection continued to increase. Our findings imply that despite the decrease in the percentage of the population expressing interest and following the news, media exposure was the most important factor as it explained the likelihood of being concerned about the possibility of infection.

  6. General distress, hopelessness—suicidal ideation and worrying in adolescence: Concurrent and predictive validity of a symptom-level bifactor model for clinical diagnoses☆

    PubMed Central

    Brodbeck, J.; Goodyer, I.M.; Abbott, R.A.; Dunn, V.J.; St Clair, M.C.; Owens, M.; Jones, P.B.; Croudace, T.J.

    2014-01-01

    Background Clinical disorders often share common symptoms and aetiological factors. Bifactor models acknowledge the role of an underlying general distress component and more specific sub-domains of psychopathology which specify the unique components of disorders over and above a general factor. Methods A bifactor model jointly calibrated data on subjective distress from The Mood and Feelings Questionnaire and the Revised Children's Manifest Anxiety Scale. The bifactor model encompassed a general distress factor, and specific factors for (a) hopelessness—suicidal ideation, (b) generalised worrying and (c) restlessness—fatigue at age 14 which were related to lifetime clinical diagnoses established by interviews at ages 14 (concurrent validity) and current diagnoses at 17 years (predictive validity) in a British population sample of 1159 adolescents. Results Diagnostic interviews confirmed the validity of a symptom-level bifactor model. The underlying general distress factor was a powerful but non-specific predictor of affective, anxiety and behaviour disorders. The specific factors for hopelessness—suicidal ideation and generalised worrying contributed to predictive specificity. Hopelessness—suicidal ideation predicted concurrent and future affective disorder; generalised worrying predicted concurrent and future anxiety, specifically concurrent generalised anxiety disorders. Generalised worrying was negatively associated with behaviour disorders. Limitations The analyses of gender differences and the prediction of specific disorders was limited due to a low frequency of disorders other than depression. Conclusions The bifactor model was able to differentiate concurrent and predict future clinical diagnoses. This can inform the development of targeted as well as non-specific interventions for prevention and treatment of different disorders. PMID:24238952

  7. The accountant as triage master: an economist's perspective on voluntary euthanasia and the value of life debate.

    PubMed

    Richardson, J

    1987-07-01

    The author, an economist, rebuts the contention that human life cannot and should not be economically evaluated and argues that such evaluations are made implicitly and inconsistently, resulting in a reduction of human welfare. He presents an economic framework for the analysis of costs and benefits in which the focal point, as in most value systems, is the tradeoff between life and quality of life. Therefore, as the quality of life decreases, society's efforts to preserve life should decrease. If the valuation of life includes self evaluation, then there should be less effort to preserve the life of an individual who wishes to die. Richardson concludes that voluntary euthanasia is a limiting case in which society accepts the individual's valuation of life.

  8. Influences of Personal Standards and Perceived Parental Expectations on Worry for Asian American and White American College Students

    PubMed Central

    Berenbaum, Howard; Okazaki, Sumie

    2012-01-01

    The current study examined perceptions of living up to parental expectations and personal standards as possible mediators of the relationship between ethnicity and worry in a sample of 836 Asian American and 856 White American college students. Asian Americans reported higher frequency of academic- and family-related worry, but they did not report higher levels of global tendency to worry. Perceptions of living up to parental expectations of current academic performance and personal standards for preparation for a future career partially explained ethnic differences in frequency of academic worry. Personal standards and perceptions of living up to parental expectations for respect for the family partially explained ethnic differences in frequency of family worry. The findings highlight the importance of targeting domain-specific personal standards and perceived parental expectations to reduce worry among Asian Americans. PMID:22416875

  9. Influences of personal standards and perceived parental expectations on worry for Asian American and White American college students.

    PubMed

    Saw, Anne; Berenbaum, Howard; Okazaki, Sumie

    2013-03-01

    The current study examined perceptions of living up to parental expectations (LPE) and personal standards as possible mediators of the relationship between ethnicity and worry in a sample of 836 Asian American and 856 White American college students. Asian Americans reported higher frequency of academic- and family-related worries, but they did not report higher levels of global tendency to worry. Perceptions of LPE of current academic performance and personal standards for preparation for a future career partially explained ethnic differences in frequency of academic worry. Personal standards and perceptions of LPE for respect for the family partially explained ethnic differences in frequency of family worry. The findings highlight the importance of targeting domain-specific personal standards and perceived parental expectations to reduce worry among Asian Americans.

  10. Quality of life, self-esteem and worries in young adult survivors of childhood cancer.

    PubMed

    Langeveld, N E; Grootenhuis, M A; Voûte, P A; de Haan, R J; van den Bos, C

    2004-12-01

    This study assessed quality of life, self-esteem and worries in young adult survivors of childhood cancer compared to a group of young adults with no history of cancer. The impact of demographic, medical and treatment factors and self-esteem on survivors' quality of life and worries was studied. Participants were 400 long-term survivors (LTS) of childhood cancer (age range 16-49 years, 45% female) who had completed treatment an average of 16 years previously and 560 persons (age range 16-53 years, 55% female) with no history of cancer. All participants completed the MOS-24 (Medical Outcome Study Scale), a Worry questionnaire consisting of three scales (cancer-specific concerns, general health concerns, present and future concerns), and the Rosenberg Self-Esteem Scale. Small to moderate differences were found in mean MOS-24 scores between the LTS group and controls (range effect sizes -0.36-0.22). No significant difference was found in the mean self-esteem scores between LTS and controls. Female LTS had more cancer-specific concerns than male LTS. In several related areas of general health, self-image and dying, the LTS group reported less worries than controls, but LTS worried significantly more about their fertility, getting/changing a job and obtaining insurance's. Multiple linear regression analysis revealed that female gender, unemployment, severe late effects/health problems and a low self-esteem were predictors of worse quality of life in survivors. In addition, age at follow-up, unemployment, years since completion of therapy and a low self-esteem were associated with a higher degree of survivors' worries. Quality of life and the level of self-esteem in LTS of childhood cancer is not different from their peers. Although many LTS worried not more or even less about health issues than their peers, they often are concerned about some present and future concerns. The investigated factors could explain poor quality of life and worries only to a limited extent

  11. Prospects for Rural America as the Nation Matures: An Agricultural Economist's Prognosis.

    ERIC Educational Resources Information Center

    Breimyer, Harold F.

    1990-01-01

    Examines socioeconomic forces affecting U.S. rural population. Describes signs of nation's maturity, changing national issues, and elements of rural diversity and social stratification. Discusses role of transportation, demise of animal agriculture, industrial and economic changes. Emphasizes conjectural nature of conclusions about society's…

  12. The Broadband Quandary for Rural America. The Main Street Economist: Commentary on the Rural Economy.

    ERIC Educational Resources Information Center

    Staihr, Brian

    High speed data services known as broadband have the potential to make rural areas less isolated and improve the rural quality of life, but physical barriers, sparse population density, and few markets present significant obstacles to their deployment in rural areas. Broadband applications such as e-commerce, distance education, and telemedicine…

  13. Prospects for Rural America as the Nation Matures: An Agricultural Economist's Prognosis.

    ERIC Educational Resources Information Center

    Breimyer, Harold F.

    1990-01-01

    Examines socioeconomic forces affecting U.S. rural population. Describes signs of nation's maturity, changing national issues, and elements of rural diversity and social stratification. Discusses role of transportation, demise of animal agriculture, industrial and economic changes. Emphasizes conjectural nature of conclusions about society's…

  14. Rural America's Stake in the Digital Economy. The Main Street Economist: Commentary on the Rural Economy.

    ERIC Educational Resources Information Center

    Staihr, Brian

    This first article in a series on telecommunications in rural America provides an overview of several key telecommunication issues facing rural regions. High speed data services known as broadband have the potential to make rural areas less isolated and improve the rural quality of life, but physical barriers, sparse population density, and few…

  15. Relationship between Cancer Worry and Stages of Adoption for Breast Cancer Screening among Korean Women.

    PubMed

    Choi, Eunji; Lee, Yoon Young; Yoon, Hyo Joong; Lee, Sangeun; Suh, Mina; Park, Boyoung; Jun, Jae Kwan; Kim, Yeol; Choi, Kui Son

    2015-01-01

    The possibility of developing breast cancer is a concern for all women; however, few studies have examined the relationship between cancer worry and the stages of adoption for breast cancer screening in Korea. Here, we investigated the associations between cancer worry, the stages of adopting breast cancer screening, and socio-demographic factors known to influence screening behaviors. This study was based on the 2013 Korean National Cancer Screening Survey, an annual cross-sectional survey that utilized nationally representative random sampling to investigate cancer screening rates. Data were analyzed from 1,773 randomly selected women aged 40-74 years. Chi-squared tests and multinomial logistic analyses were conducted to determine the associations between cancer worry and the stages of adoption for breast cancer screening and to outline the factors associated with each stage. Korean women were classified into the following stages of adoption for breast cancer screening: pre-contemplation (24.7%), contemplation (13.0%), action/maintenance (50.8%), relapse risk (8.9%), and relapse (2.6%). Women in the action/maintenance stages reported more moderate to higher levels of worry about getting cancer than those in the pre-contemplation stage. Further, age of 40-49 years and having private cancer insurance were associated with women in the action/maintenance stages. Interventions to address breast cancer worry may play an important role in increasing participation and equity in breast cancer screening.

  16. Perceived Ambiguity About Cancer Prevention Recommendations: Relationship to Perceptions of Cancer Preventability, Risk, and Worry

    PubMed Central

    Han, Paul K. J.; Moser, Richard P.; Klein, William M. P.

    2014-01-01

    In this study, we apply the concept of “ambiguity,” as developed in the decision theory literature, to an analysis of potential psychological consequences of uncertainty about cancer prevention recommendations. We used Health Information National Trends Survey (HINTS) 2003 data to examine how perceived ambiguity about cancer prevention recommendations relates to three other cognitive variables known to influence cancer-protective behavior: perceived cancer preventability, perceived cancer risk, and cancer-related worry. Using logistic regression analyses, we tested several predictions derived from a review of literature on the effects of ambiguity perceptions on decision making, cognitions, and emotions. We found perceived ambiguity to have a strong negative relationship with perceived cancer preventability, consistent with “ambiguity aversion”—a pessimistic bias in the interpretation of ambiguity. Cancer worry moderated this relationship; ambiguity aversion increased with higher levels of worry. At the same time, perceived ambiguity was positively related to both perceived cancer risk and cancer worry. Furthermore, perceived risk partially mediated the relationship between perceived ambiguity and worry. These findings suggest that perceived ambiguity about cancer prevention recommendations may have broad and important effects on other health cognitions. We discuss ethical implications of these findings for health communication efforts, and propose a tentative causal model to guide future research. PMID:16641074

  17. Susceptibility, likelihood to be diagnosed, worry and fear for contracting Lyme disease.

    PubMed

    Fogel, Joshua; Chawla, Gurasees S

    Risk perception and psychological concerns are relevant for understanding how people view Lyme disease. This study investigates the four separate outcomes of susceptibility, likelihood to be diagnosed, worry, and fear for contracting Lyme disease. University students (n=713) were surveyed about demographics, perceived health, Lyme disease knowledge, Lyme disease preventive behaviors, Lyme disease history, and Lyme disease miscellaneous variables. We found that women were associated with increased susceptibility and fear. Asian/Asian-American race/ethnicity was associated with increased worry and fear. Perceived good health was associated with increased likelihood to be diagnosed, worry, and fear. Correct knowledge was associated with increased susceptibility and likelihood to be diagnosed. Those who typically spend a lot of time outdoors were associated with increased susceptibility, likelihood to be diagnosed, worry, and fear. In conclusion, healthcare providers and public health campaigns should address susceptibility, likelihood to be diagnosed, worry, and fear about Lyme disease, and should particularly target women and Asians/Asian-Americans to address any possible misconceptions and/or offer effective coping strategies.

  18. Risk perceptions, worry, and attitudes about genetic testing for breast cancer susceptibility.

    PubMed

    Cameron, Linda D; Reeve, Jeanne

    2006-01-01

    This study assessed the unique associations of risk perceptions and worry with attitudes about genetic testing for breast cancer susceptibility. Women (general practitioner clinic attenders, university students, and first-degree relatives of breast cancer survivors; N = 303) read information about genetic testing and completed measures assessing perceived cancer risk, cancer worry, and genetic testing attitudes and beliefs. Worry was associated with greater interest in genetic testing, stronger beliefs that testing has detrimental emotional consequences, and positive beliefs about benefits of testing and risk-reducing surgeries. Perceived risk was unrelated to interest and associated with more skeptical beliefs about emotional consequences and benefits of testing and risk-reducing surgeries. At low worry levels, testing interest increased with more positive beliefs about testing benefits; at high worry levels, interest was high regardless of benefits beliefs. The findings support Leventhal's Common-Sense Model of self-regulation delineating interactive influences of risk-related cognitions and emotions on information processing and behavior.

  19. Perceived ambiguity about cancer prevention recommendations: relationship to perceptions of cancer preventability, risk, and worry.

    PubMed

    Han, Paul K J; Moser, Richard P; Klein, William M P

    2006-01-01

    In this study, we apply the concept of "ambiguity," as developed in the decision theory literature, to an analysis of potential psychological consequences of uncertainty about cancer prevention recommendations. We used Health Information National Trends Survey (HINTS) 2003 data to examine how perceived ambiguity about cancer prevention recommendations relates to three other cognitive variables known to influence cancer-protective behavior: perceived cancer preventability, perceived cancer risk, and cancer-related worry. Using logistic regression analyses, we tested several predictions derived from a review of literature on the effects of ambiguity perceptions on decision making, cognitions, and emotions. We found perceived ambiguity to have a strong negative relationship with perceived cancer preventability, consistent with "ambiguity aversion"-a pessimistic bias in the interpretation of ambiguity. Cancer worry moderated this relationship; ambiguity aversion increased with higher levels of worry. At the same time, perceived ambiguity was positively related to both perceived cancer risk and cancer worry. Furthermore, perceived risk partially mediated the relationship between perceived ambiguity and worry. These findings suggest that perceived ambiguity about cancer prevention recommendations may have broad and important effects on other health cognitions. We discuss ethical implications of these findings for health communication efforts, and propose a tentative causal model to guide future research.

  20. Children's direct fright and worry reactions to violence in fiction and news television programs.

    PubMed

    van der Molen, Juliette H Walma; Bushman, Brad J

    2008-09-01

    To examine whether violence in fictional and news television content frightens and worries children. Mixed factorial. Type of reaction (fright, worry) and television programming (violent news, violent fiction) were within-subjects factors, whereas age, sex, and television viewing frequency were between-subjects factors. Participants included 572 children (47% boys), aged 8 to 12 years, from 9 urban and rural primary schools in the Netherlands. The main exposure was to descriptions of 8 threats frequently depicted in fictional and news programs (eg, murder, war, house fires). Children reported whether they were frightened or worried by these threats. Violent threats increased both fright and worry. These 2 reactions could be distinguished from one another in a factor analysis. When violent content was described as news, it produced more fear reactions than when it was described as fiction. Fright and worry were greater in girls than in boys, in younger children than in older children, and in light television viewers than in heavy television viewers. Pediatricians should inform parents, educators, policy makers, and broadcasters about the potentially harmful effect of violent programming on children's emotions, especially in the case of news programming.

  1. Rethinking the role of worry in generalized anxiety disorder: evidence supporting a model of emotional contrast avoidance.

    PubMed

    Llera, Sandra J; Newman, Michelle G

    2014-05-01

    The Contrast Avoidance model (Newman & Llera, 2011) proposes that individuals with generalized anxiety disorder (GAD) are hypersensitive to sharp upward shifts in negative emotion that typically accompany negative events, and use worry to maintain sustained intrapersonal negativity in an attempt to avoid these shifts. Although research shows that worry increases negative emotionality and mutes further emotional reactivity to a stressor when compared to the worry period (e.g., Llera & Newman, 2010), no study has tracked changes in negative emotionality from baseline to worry inductions followed by a range of emotional exposures. Further, no study has yet assessed participants' subjective appraisals of prior worry on helping to cope with such exposures. The present study tested the main tenets of the Contrast Avoidance model by randomly assigning participants with GAD (n=48) and nonanxious controls (n=47) to experience worry, relaxation, and neutral inductions prior to sequential exposure to fearful, sad, and humorous film clips. Both physiological (nonspecific skin conductance responses [NS-SCRs]) and self-reported emotional changes were observed. Results indicated that worry boosted negative emotionality from baseline, which was sustained across negative exposures, whereas low negative emotionality during relaxation and neutral inductions allowed for sharp increases in response to exposures. Furthermore, GAD participants found worry to be more helpful than other conditions in coping with exposures, whereas control participants reported the opposite pattern. Results provide preliminary support for the Contrast Avoidance model. This suggests that treatment should focus on underlying avoidance patterns before attempting to reduce worry behavior.

  2. Readings in the Economics of Education. A Selection of Articles, Essays, and Texts from the Works of Economists, Past and Present, on the Relationships between Economics and Education.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Paris (France).

    This publication consists of selected articles, essays and texts from the works of economists on the relationships between economics and education. These selections, representing the range of orientations, methods and findings believed to be most significant, are organized into the following topics: 1) Perspectives on Education and Development in…

  3. Risk perception, worry and satisfaction related to genetic counseling for hereditary cancer.

    PubMed

    Bjorvatn, Cathrine; Eide, Geir Egil; Hanestad, Berit Rokne; Øyen, Nina; Havik, Odd E; Carlsson, Anniken; Berglund, Gunilla

    2007-04-01

    In this multi center study, genetic counseling for hereditary cancer was evaluated by assessing patients' worry, perceived risk of developing cancer and satisfaction with genetic counseling. An overall aim was to identify characteristics of vulnerable patients in order to customize genetic counseling. In addition, agreement between patients' and counselors' scores was measured. A total of 275 Norwegian patients were consecutively recruited, and 213 completed questionnaires before and after genetic counseling. Patients' perceived risk decreased after the genetic counseling session. There was incongruence between risk perception expressed as a percentage and in words. Patients were significantly less worried after counseling. Higher levels of worry were predicted by low instrumental satisfaction with counseling, high degree of perceived risk of developing cancer and younger age. In conclusion, counselors met the patients' psychological needs to a satisfactory degree during counseling. However, patients did not fully understand their risk of developing cancer.

  4. Measuring dispositional cancer worry in China and Belgium: a cross-cultural validation.

    PubMed

    Bernat, Jennifer Kim; Jensen, Jakob D

    2014-01-01

    Dispositional cancer worry (DCW) is the uncontrollable tendency to dwell on cancer independent of relevant stimuli (e.g., diagnosis of the disease). Past research has suggested that DCW has two underlying dimensions: severity and frequency. Available measures of DCW severity and frequency were translated and validated in two countries: China and Belgium. Participants (N = 623) completed translated scales, as well as measures of general dispositional worry, cancer fear, and perceived risk. In both locations, DCW measures were reliable (Cronbach's alphas ranged from .78 - .93) and demonstrated strong convergent, divergent, and concurrent validity. Severity and frequency factors loaded as expected in exploratory factor analysis. Future research should pursue longitudinal tests of DCW's predictive validity and explore DCW in theoretical models predicting the relationship between worry and cancer prevention and early detection behaviors.

  5. The effects of clown intervention on worries and emotional responses in children undergoing surgery.

    PubMed

    Fernandes, Sara Costa; Arriaga, Patrícia

    2010-04-01

    This study investigated whether clown intervention could reduce preoperative worries and the affective responses of children undergoing minor surgery. Parental anxiety was also tested. Child's age, previous hospitalization, and temperament were tested as predictors of the child's responses during this preoperative phase. Seventy children were assigned to one of two groups: children accompanied by their parents and a pair of clowns or, those accompanied by the parents but without the clowns. The results emphasized the relevance of clown intervention on the reduction of preoperative worries and emotional responses, not only in children but also in their parents.

  6. Knowledge about aging and worry in older adults: Testing the mediating role of intolerance of uncertainty

    PubMed Central

    Nuevo, Roberto; Wetherell, Julie Loebach; Montorio, Ignacio; Ruiz, Miguel A.; Cabrera, Isabel

    2014-01-01

    Objectives This study aims to explore the relationship between knowledge about aging and severity of worry in older adults, and to test the potential mediational role of intolerance of uncertainty. Method The sample was composed of 120 community-dwelling older adults, with a mean of age of 71.0 years (SD = 6.3). Mediational analyses and structural equation modeling were used to analyze and compare different models. Results Greater knowledge about aging was negatively related to both intolerance of uncertainty and worry, and its effect on worry was partially mediated by intolerance of uncertainty. The mediational model obtained an excellent fit to the data (i.e. Goodness of fit index (GFI) = 0.995) and clearly had a better fit than alternative models. Conclusion These results suggest that a good knowledge of the aging process could help decrease aversive uncertainty and thus reduce the level of worry among older adults. Thus, educational programs to increase knowledge about aging could serve as one preventive strategy for anxiety in old age. PMID:19197699

  7. Effects of Homework Motivation and Worry Anxiety on Homework Achievement in Mathematics and English

    ERIC Educational Resources Information Center

    Hong, Eunsook; Mason, Elsa; Peng, Yun; Lee, Nancy

    2015-01-01

    Direct and mediating effects of homework worry anxiety on homework effort and homework achievement and the differences in the structural relations among homework motivation constructs and homework achievement across mathematics and English homework were examined in 268 tenth graders in China. Homework motivation included task value, homework…

  8. Worry as a Predictor of Fear Acquisition in a Nonclinical Sample

    ERIC Educational Resources Information Center

    Joos, Els; Vansteenwegen, Debora; Hermans, Dirk

    2012-01-01

    People seem to differ in their conditionability, that is, the ease by which fear associations (neutral stimulus-unconditioned stimulus [CS-US] contingencies) are learned. Recently, the level of trait worry has been proposed as a predictor of heightened conditionability. The current research aimed to (a) further investigate this influence of…

  9. Patient health communication mediating effects between gastrointestinal symptoms and gastrointestinal worry in pediatric inflammatory bowel disease

    USDA-ARS?s Scientific Manuscript database

    To investigate the effects of patient health communication regarding their inflammatory bowel disease (IBD) to their health care providers and significant others in their daily life as a mediator in the relationship between gastrointestinal symptoms and gastrointestinal worry in pediatric patients. ...

  10. Effects of Personality on Psychiatric and Somatic Symptoms in Pregnant Women: The Role of Pregnancy Worries

    ERIC Educational Resources Information Center

    Puente, Cecilia Penacoba; Monge, Francisco Javier Carmona; Abellan, Isabel Carretero; Morales, Dolores Marin

    2011-01-01

    The authors examined the effects of personality and pregnancy worries on pregnant women's mental and physical health with 154 women in the first half of their gestational period. Self-report questionnaires were used to collect information about control variables, sociodemographic (age, educational level, and work), and pregnancy variables…

  11. Worry is associated with robust reductions in heart rate variability: a transdiagnostic study of anxiety psychopathology.

    PubMed

    Chalmers, John A; Heathers, James A J; Abbott, Maree J; Kemp, Andrew H; Quintana, Daniel S

    2016-06-03

    Individuals with anxiety disorders display reduced resting-state heart rate variability (HRV), although findings have been contradictory and the role of specific symptoms has been less clear. It is possible that HRV reductions may transcend diagnostic categories, consistent with dimensional-trait models of psychopathology. Here we investigated whether anxiety disorders or symptoms of anxiety, stress, worry and depression are more strongly associated with resting-state HRV. Resting-state HRV was calculated in participants with clinical anxiety (n = 25) and healthy controls (n = 58). Symptom severity measures of worry, anxiety, stress, and depression were also collected from participants, regardless of diagnosis. Participants who fulfilled DSM-IV criteria for an anxiety disorder displayed diminished HRV, a difference at trend level significance (p = .1, Hedges' g = -.37, BF10 = .84). High worriers (Total n = 41; n = 22 diagnosed with an anxiety disorder and n = 19 not meeting criteria for any psychopathology) displayed a robust reduction in resting state HRV relative to low worriers (p = .001, Hedges' g = -.75, BF10 = 28.16). The specific symptom of worry - not the diagnosis of an anxiety disorder - was associated with the most robust reductions in HRV, indicating that HRV may provide a transdiagnostic biomarker of worry. These results enhance understanding of the relationship between the cardiac autonomic nervous system and anxiety psychopathology, providing support for dimensional-trait models consistent with the Research Domain Criteria framework.

  12. Concern or confidence? Adolescents' identity capital and future worry in different school contexts.

    PubMed

    Tikkanen, Jenni

    2016-01-01

    This present study investigated the roles identity capital and school's socio-economic status have on adolescent worry about future education, employment, and social status. The 354 participants were 14- to 15-year-old students from affluent (56.8%) and disadvantaged (43.2%) Finnish lower secondary schools. Structural equation modelling was used to test the hypothesis that a higher level of family-related identity capital is connected to a lower level of future worry, and that this connection is mediated through intrapersonal forms of identity capital, specifically academic self-concept and general self-efficacy. Adolescent future worry was also examined across school status with an independent samples t-test. The findings suggest that, in the relatively equal societal context in Finland, adolescents are rather confident about their future education, employment, and social status regardless of the socio-economic status of the school they attend, and when their level of identity capital is high the future worry decreases further.

  13. Teachers' Use of Fear Appeals in the Mathematics Classroom: Worrying or Motivating Students?

    ERIC Educational Resources Information Center

    Putwain, David W.; Symes, Wendy

    2011-01-01

    Aim: This study examined whether teachers' use of fear appeals in the classroom, attempts to motivate students to perform well in high-stakes examinations by highlighting the educational, and/or occupational consequences of failure did indeed motivate students or whether it contributed to an increase in worry, anxiety, and fear of failure. Sample:…

  14. Dissociation between the cognitive and interoceptive components of mindfulness in the treatment of chronic worry.

    PubMed

    Delgado-Pastor, Luis Carlos; Ciria, Luis F; Blanca, Beatriz; Mata, José L; Vera, María N; Vila, Jaime

    2015-09-01

    Despite the increasing interest in mindfulness, the basic components and action mechanisms of mindfulness remain controversial. The present study aims at testing the specific contribution of two components of mindfulness -attention to cognitive experience (metacognition) and awareness of interoceptive sensations (metainteroception)- in the treatment of chronic worry. Forty five female university students with high scores in the Penn State Worry Questionnaire were split into three groups: a mindfulness cognitive training group, a mindfulness interoceptive training group, and a non-intervention control group. Participants were assessed before and after the intervention using physiological indices of autonomic regulation (skin conductance, heart rate, heart rate variability, and respiratory sinus arrhythmia) and self-report indices of mindfulness and clinical symptoms (chronic worry, depression, positive and negative affect, and perceived stress). Both mindfulness training groups showed significant improvement after the intervention in self-report indices of mindfulness and clinical symptoms. However, the interoceptive training group was superior in also showing significant improvement in the physiological indices of autonomic regulation. The relatively small sample size may have increased the probabilities of type I and II errors. Our Intervention program was relatively short. The participants were all female. These results support the hypothesis that, in the context of treating chronic worry, the interoceptive and cognitive components can be somewhat dissociated and that, when both components are applied separately, compared to a non-intervention condition, the interoceptive component is more effective. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. The Worry List: What They Are and How to Deal with Them

    ERIC Educational Resources Information Center

    Technology & Learning, 2008

    2008-01-01

    In this article, four directors discuss the security challenges that keep them worried and what they do about it. Dwayne Alton describes how his school district, IT School District of Lee County, Fort Meyers, Florida, collaborated with Cisco and installed an intrusion detection system which alerts IT staff when someone creates their own access…

  16. Psychophysiological correlates of chronic worry: cued versus non-cued fear reaction.

    PubMed

    Delgado, Luis Carlos; Guerra, Pedro; Perakakis, Pandelis; Mata, José Luís; Pérez, María Nieves; Vila, Jaime

    2009-12-01

    Worry has been defined as a chain of thoughts and images that promote mental attempts to avoid anticipation of potential threats. From this perspective worry can be conceptualized as a state of anticipatory anxiety or non-cued fear reaction. The present study examines high and low chronic worriers during cued and non-cued defense reaction paradigms and during resting and self-induced worry periods. The non-cued procedure was based on the cardiac defense paradigm, whereas the cued procedure was based on the startle probe paradigm using pleasant, neutral and unpleasant pictures as cues. High worriers, compared to low worriers, showed (a) a greater cardiac defense response in the non-cued fear response paradigm, (b) no differences in eye-blink in the startle probe paradigm, (c) reduced skin conductance reactivity during the startle probe paradigm and (d) reduced Respiratory Sinus Arrhythmia, accompanied by increased respiratory rate and decreased expiratory period, during the resting period. These results support the notion of chronic worry as a state of anticipatory anxiety, accompanied by indices of reduced vagal control, that modulates non-cued defense reactions.

  17. The Impact of Parents’ Sleep Quality and Hypoglycemia Worry on Diabetes Self-Efficacy

    PubMed Central

    Herbert, Linda Jones; Monaghan, Maureen; Cogen, Fran; Streisand, Randi

    2014-01-01

    Parents of young children with type 1 diabetes (T1D) may experience poor sleep quality possibly impacting their confidence in T1D management. This study investigated sleep characteristics among parents of children with T1D and relationships amongst parents’ sleep quality, hypoglycemia worry, and diabetes self-efficacy. As part of baseline assessment for a randomized clinical trial (RCT) to promote parental management of T1D, 134 parents of children ≤ age 6 reported on demographics, parent sleep characteristics, hypoglycemia worry, and diabetes self-efficacy. Parents reported they slept less time than recommended by the National Sleep Foundation and endorsed greater global sleep problems than standardized norms of healthy adults; 1/3 of parents reported their overall sleep quality was “fairly bad” or “very bad.” Hypoglycemia worry and parents’ sleep quality were both significantly related to diabetes self-efficacy, but parents’ sleep quality did not mediate the relationship of hypoglycemia worry and diabetes self-efficacy. Many parents experience disrupted sleep that impacts their perceived ability to perform T1D management. Interventions designed to improve parental T1D self-efficacy should consider sleep and concerns about children’s hypoglycemia. PMID:24738994

  18. The relationship between worry, rumination, and comorbidity: evidence for repetitive negative thinking as a transdiagnostic construct.

    PubMed

    McEvoy, Peter M; Watson, Hunna; Watkins, Edward R; Nathan, Paula

    2013-10-01

    Repetitive negative thinking (RNT) increases vulnerability to multiple anxiety and depressive disorders and, as a common risk factor, elevated RNT may account for the high levels of comorbidity observed between emotional disorders. The aims of this study were to (a) compare two common forms of RNT (worry and rumination) across individuals with non-comorbid anxiety or depressive disorders, and (b) to examine the relationship between RNT and comorbidity. A structured diagnostic interview and measures of rumination, worry, anxiety, and depression were completed by a large clinical sample with an anxiety disorder or depression (N=513) presenting at a community mental health clinic. Patients without (n=212) and with (n=301) comorbid diagnoses did not generally differ across the principal diagnosis groups (depression, generalised anxiety disorder, social anxiety disorder, panic disorder) on worry or rumination. As predicted, comorbidity was associated with a higher level of RNT. Cross-sectional design precluded causal conclusions and findings may not generalize to excluded anxiety disorders. Consistent with the transdiagnostic hypothesis, RNT was associated with a range of anxiety disorders and depression and with comorbidity for those with a principal depressive disorder, supporting recent evidence that RNT is a transdiagnostic process. The presence of RNT, specifically worry and rumination, should be assessed and treated regardless of diagnostic profile. Future research may show that both pure and comorbid depressed or anxious patients receive incremental benefit from transdiagnostic protocols developed to treat core pathological processes of RNT traditionally associated with separate disorders. © 2013 Elsevier B.V. All rights reserved.

  19. Worry as a Predictor of Fear Acquisition in a Nonclinical Sample

    ERIC Educational Resources Information Center

    Joos, Els; Vansteenwegen, Debora; Hermans, Dirk

    2012-01-01

    People seem to differ in their conditionability, that is, the ease by which fear associations (neutral stimulus-unconditioned stimulus [CS-US] contingencies) are learned. Recently, the level of trait worry has been proposed as a predictor of heightened conditionability. The current research aimed to (a) further investigate this influence of…

  20. The Worry List: What They Are and How to Deal with Them

    ERIC Educational Resources Information Center

    Technology & Learning, 2008

    2008-01-01

    In this article, four directors discuss the security challenges that keep them worried and what they do about it. Dwayne Alton describes how his school district, IT School District of Lee County, Fort Meyers, Florida, collaborated with Cisco and installed an intrusion detection system which alerts IT staff when someone creates their own access…

  1. Life associated with fear and worry: A major concern among the cardiac valve-replaced patients

    PubMed Central

    Taghadosi, Mohsen; Memarian, Robabeh; Ahmadi, Fazlollah

    2015-01-01

    Background: Few attempts were made for alleviating the physical/psychological problems among the cardiac valve–replaced patients and no comprehensive study was done based on the experiences of such patients. This study was undertaken to describe the stressful experiences of the heart valve-replaced patients. Materials and Methods: In this qualitative study performed during 2012-2013 with a content analysis approach, 13 patients from Tehran and Kashan therapeutic centers participated. The study sampling was accomplished with purposeful sampling using a semi-structured interview that continued until data saturat ion. All interviews were recorded, and were immediately handwritten word by word and finally typewritten. Description and analysis of the data were done by Graneheim and Lundman content analysis. Results: One hundred and seventy-five primary codes were derived among the 680 codes taken from the participants interviewed. Using abstract and deep perception of the categories, 14 subcategories and 5 themes were derived. The themes are as follows: worry of care conditions, worry of life with the ongoing condition of having prosthetic cardiac valve, worry regarding the instability in life, fear of hospital, and fear of unknown factors. Each theme consisted of special subsidiary themes with specific functions. Conclusions: The main themes of fear and worry about on losing the valve were identified and introduced in the cardiac valve-replaced patients. As the nature and function of these themes are different in different societies, recognition and discrete definition of them are necessary for care planning and promotion. PMID:25709701

  2. Effects of Personality on Psychiatric and Somatic Symptoms in Pregnant Women: The Role of Pregnancy Worries

    ERIC Educational Resources Information Center

    Puente, Cecilia Penacoba; Monge, Francisco Javier Carmona; Abellan, Isabel Carretero; Morales, Dolores Marin

    2011-01-01

    The authors examined the effects of personality and pregnancy worries on pregnant women's mental and physical health with 154 women in the first half of their gestational period. Self-report questionnaires were used to collect information about control variables, sociodemographic (age, educational level, and work), and pregnancy variables…

  3. Teachers' Use of Fear Appeals in the Mathematics Classroom: Worrying or Motivating Students?

    ERIC Educational Resources Information Center

    Putwain, David W.; Symes, Wendy

    2011-01-01

    Aim: This study examined whether teachers' use of fear appeals in the classroom, attempts to motivate students to perform well in high-stakes examinations by highlighting the educational, and/or occupational consequences of failure did indeed motivate students or whether it contributed to an increase in worry, anxiety, and fear of failure. Sample:…

  4. Cognitive-Behavioral Intervention for Worry, Uncertainty, and Insomnia for Cancer Survivors

    ClinicalTrials.gov

    2017-04-04

    Anxiety Disorder; Worry; Uncertainty; Sleep Disorders; Insomnia; Fatigue; Pain; Depression; Cognitive-behavioral Therapy; Psychological Intervention; Esophageal Cancer; Pancreatic Cancer; Leukemia; Lung Cancer; Multiple Myeloma; Ovarian Neoplasm; Stage III or IV Cervical or Uterine Cancer; Stage IIIB, IIIC, or IV Breast Cancer; Glioblastoma Multiforme; Relapsed Lymphoma; Stage III or IV Colorectal Cancer; Stage IIIC or IV Melanoma

  5. Effects of Homework Motivation and Worry Anxiety on Homework Achievement in Mathematics and English

    ERIC Educational Resources Information Center

    Hong, Eunsook; Mason, Elsa; Peng, Yun; Lee, Nancy

    2015-01-01

    Direct and mediating effects of homework worry anxiety on homework effort and homework achievement and the differences in the structural relations among homework motivation constructs and homework achievement across mathematics and English homework were examined in 268 tenth graders in China. Homework motivation included task value, homework…

  6. An Ecological Investigation of the Worries of Fourth Grade Boys and Girls.

    ERIC Educational Resources Information Center

    Bonds, Lella Theresa Gantt; Bonds, Charles W.

    1990-01-01

    The three most common worries reported by the fourth grade subjects (N=56) of an ecological investigation of fears associated with school, home, and neighborhood fell into three categories: (1) grades and failing tests, (2) fear of relatives dying, and (3) fear of bodily harm caused by robbers and dangerous traffic. (IAH)

  7. Leaving School: A Comparison of the Worries Held by Adolescents with and without Intellectual Disabilities

    ERIC Educational Resources Information Center

    Young, R.; Dagnan, D.; Jahoda, A.

    2016-01-01

    Background: Leaving school is an important time for adolescents, with increasing autonomy and developing adult identities. The present study sought to shed light on the content and emotional impact of worries amongst adolescents with and without intellectual disabilities (IDs) at this time of change. Methods: Twenty-five adolescents with mild to…

  8. GSD Update: What are invasive species? ... And do we really need to worry about them?

    Treesearch

    Catherine Dold

    2011-01-01

    Invasive species are the focus of the September 2011 issue of GSDUpdate: What Are Invasive Species? And Do We Really Need to Worry About Them? An invasive species is any species - non-native or native to a region - that could cause economic or ecological harm to an area. Invasives can be weeds, shrubs and trees, insects, mollusks, vertebrates and even microorganisms...

  9. Worries about Middle School Transition and Subsequent Adjustment: The Moderating Role of Classroom Goal Structure

    ERIC Educational Resources Information Center

    Duchesne, Stephane; Ratelle, Catherine F.; Roy, Amelie

    2012-01-01

    This longitudinal study had three objectives: (a) to identify different profiles of second-year middle school students (Grade 8) in terms of academic, emotional, and social adjustment; (b) to test the contribution of worries at the end of Grade 6 to distinguish these profiles; and (c) to examine the moderating effect of mastery (MG) and…

  10. Prioritizing Parental Worry Associated with Duchenne Muscular Dystrophy Using Best-Worst Scaling.

    PubMed

    Peay, Holly Landrum; Hollin, I L; Bridges, J F P

    2016-04-01

    Duchenne muscular dystrophy (DMD) is a progressive, fatal pediatric disorder with significant burden on parents. Assessing disease impact can inform clinical interventions. Best-worst scaling (BWS) was used to elicit parental priorities among 16 short-term, DMD-related worries identified through community engagement. Respondents viewed 16 subsets of worries, identified using a balanced, incomplete block design, and identified the most and least worrying items. Priorities were assessed using best-worst scores (spanning +1 to -1) representing the relative number of times items were endorsed as most and least worrying. Independent-sample t-tests compared prioritization of parents with ambulatory and non-ambulatory children. Participants (n = 119) most prioritized worries about weakness progression (BW score = 0.64) and getting the right care over time (BW = 0.25). Compared to parents of non-ambulatory children, parents of ambulatory children more highly prioritized missing treatments (BW = 0.31 vs. 0.13, p < 0.001) and being a good enough parent (BW = 0.06 vs. -0.08, p = 0.010), and less prioritized child feeling like a burden (BW = -0.24 vs. -0.07, p < 0.001). Regardless of child's disease stage, caregiver interventions should address the emotional impact of caring for a child with a progressive, fatal disease. We demonstrate an accessible, clinically-relevant approach to prioritize disease impact using BWS, which offers an alternative to the use of traditional rating/ranking scales.

  11. Do we need to worry about eating wheat?

    PubMed

    Shewry, P R; Hey, S J

    2016-03-01

    Wheat is a staple food throughout the temperate world and an important source of nutrients for many millions of people. However, the last few years have seen increasing concerns about adverse effects of wheat on health, particularly in North America and Europe, with the increasing adoption of wheat-free or gluten-free diets. This relates to two concerns: that wheat products are disproportionally responsible for increases in obesity and type 2 diabetes and that wheat gluten proteins cause a range of adverse reactions, including allergies, coeliac disease and 'non-coeliac gluten sensitivity'. The first concern has been refuted in previous publications, and we therefore focus on the second here. Current evidence indicates that allergy to ingested wheat and coeliac disease (and related intolerances) each occur in up to 1% of the population. The extent to which their prevalence has increased is difficult to quantify due to improved diagnosis and increased awareness. However, neither appears to be increasing disproportionally when compared with other immunologically mediated adverse reactions to food. Other adverse reactions to wheat are more difficult to define as their mechanisms are not understood and they are therefore difficult to diagnose. In particular, 'non-coeliac wheat sensitivity' has been reported to occur in 6% or more of the population in the US. However, the application of more rigorous diagnostic criteria is likely to give substantially lower estimates of prevalence. It is therefore unlikely that the health of more than a small proportion of the population will be improved by eliminating wheat or gluten from the diet. In fact, the opposite may occur as wheat is an important source of protein, B vitamins, minerals and bioactive components.

  12. [Information and worry among patients with non-oncohematological pathologies upon arrival at the hematology clinic].

    PubMed

    Rodríguez, J N; Quesada, J A; Sánchez, J L; Martino, M L; Prados, D

    1999-10-01

    Patients are frequently referred to the haematologist to be studied due to the presence of processes that are not properly haematological. We have studied the group of outpatients with non-oncohaematological pathologies referred to our external haematology clinic to evaluate their knowledge about the reason for consultation, the existence or not of worry upation and its degree at the arrival. We have made a prospective study including all patients with non-oncohaematological processes (n = 204) who were referred for the first time to our external consultation between April and October 1997. We evaluated in each patient, using an inquest, the following data: age, sex, origin (hospital consultations or urban or rural health centres), reason for consultation, knowledge of the reason for consultation (yes/partially/no), existence or not of worry (yes/no) and when present, its degree (low, moderate, high). The inquiry was made to the parents in those patients aged under 12 years. We have analyzed all adults, each group of adult patients (rural, urban, hospital) separately and compared one group to each other, all pediatric patients and we have compared as well the overall results obtained with adult patients with those from the parents of pediatric patients. 1) Adult patients (n = 169; 78 referred from hospital, 59 from urban and 32 from rural health centres): with respect to the knowledge of the reason for consultation 49.7% of them knew it perfectly, 20.1% partially, and 30.2% did not know about it. 48.5% of patients arrived worried to the clinic, 16.6% of them with a high degree, 17.8% moderate and 14.2% low. 2) Adults referred from primary health care (urban versus rural health centres): We have found neither significant differences in the knowledge of the reason for consultation, worry or its degree with respect to age, sex or origin (urban or rural), nor in the worry or its degree with respect to the patient knowledge of the reason for consultation. 3) Adults

  13. Psychometric characteristics of the Penn State Worry Questionnaire in an Argentinean sample: a cross-cultural contribution.

    PubMed

    Rodríguez-Biglieri, Ricardo; Vetere, Giselle Lorena

    2011-05-01

    Although studies in several populations have provided support for Penn State Worry Questionnaire (PSQW) reliability and validity, factor analysis studies carried out on different populations show divergent results. The aim of this article is to contribute with the cross-cultural literature on PSWQ. This report describes two studies examining the psychometric characteristics of a revised Argentinean version of the PSWQ. In the first study, items of original PSWQ were translated into Spanish and then back-translated into English. Then, in order to examine its reliability and factorial structure, the instrument was completed by 400 community participants. The second study included two groups of participants as follows: patients with generalized anxiety disorder (GAD), and patients with other anxiety disorders (AC). Results revealed appropriated test-retest reliability over a four-week period, high internal consistency, and good convergent and discriminant validity for PSWQ. In concordance with some results reported in previous studies, a single factorial structure was confirmed for the Argentinean version of PSWQ. By the other hand, a receiver operating characteristic analysis was made to evaluate the ability of PSWQ to discriminate GAD from individuals with others anxiety disorders. A total score of 63 simultaneously optimized sensitivity and specificity in discriminating GAD patients from patients with others anxiety disorders.

  14. Validation of the worry about sexual outcomes scale for use in STI/HIV prevention interventions for adolescent females

    PubMed Central

    Sales, Jessica M.; Spitalnick, Josh; Milhausen, Robin R.; Wingood, Gina M.; DiClemente, Ralph J.; Salazar, Laura F.; Crosby, Richard A.

    2009-01-01

    This study examined the psychometric properties of a new scale to measure adolescents’ worry regarding outcomes of risky sexual behavior (i.e. sexually transmitted infections, including HIV [STI/HIV], and unintended pregnancy). The 10-item worry about sexual outcomes (WASO) scale, resulting in two subscales STI/HIV worry and pregnancy worry, was administered to a sample of 522 African-American female adolescents ranging in age from 14 to 18, residing in the southeast United States and participating in a sexual risk reduction intervention. The WASO demonstrated internal consistency across multiple administrations and yielded satisfactory construct validity. Worry was found to negatively correlate with sexual communication self-efficacy (with a new male partner and a steady male partner), frequency of sexual communication with male partner, attitudes about condom use and social support; worry was positively correlated with perceived barriers to condom use, condom negotiation, locus of control and depression. Overall, the results indicate that the WASO is a reliable and valid measure of assessing adolescents’ worry about STIs, HIV and pregnancy. The WASO represents a brief self-administered instrument that can be easily integrated into sexual risk reduction assessments and interventions. Future studies employing the WASO might consider testing it with more diverse samples in terms of gender, race/ethnicity, age and sexual orientation. PMID:18353760

  15. Worries surrounding the first ultrasound do not bias the screening for depressive and anxiety symptoms during pregnancy.

    PubMed

    Quispel, Chantal; Bonsel, Gouke J; Hoogendijk, Witte J G; Lambregtse-van den Berg, Mijke P

    2015-02-01

    Antenatal screening for depressive/anxiety symptoms could be biased by worries surrounding the first ultrasound (US). Therefore, we examined the potential influence of worries surrounding the first US on systematic screening for depressive/anxiety symptoms during pregnancy. We obtained data from 573 women screened consecutively in midwifery practices and hospitals in the Netherlands. Data included the Edinburgh Depression Scale (EDS), having had an US, and its perceived influence on women's worries. In total, 18% had EDS scores ≥10 (n = 105). Among 392 women who underwent an US, currently existing worries, introduced or unaltered by the US, predicted depressive/anxiety symptoms (aOR: 3.41, P < 0.001). Among 181 women who did not undergo an US, expected continuation of existing worries after the US predicted depressive/anxiety symptoms (aOR: 18.84, P = 0.046), in contrast to worries which were expected to subside. In our cohort, depressive and/or anxiety symptoms were not associated with transient worries, reduced by a first US, suggesting no bias. If true, antenatal screening for anxiety/depressive symptoms should not depend on the timing of this US examination. © 2014 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

  16. Intolerance of uncertainty as a mediator of reductions in worry in a cognitive behavioral treatment program for generalized anxiety disorder.

    PubMed

    Bomyea, J; Ramsawh, H; Ball, T M; Taylor, C T; Paulus, M P; Lang, A J; Stein, M B

    2015-06-01

    Growing evidence suggests that intolerance of uncertainty (IU) is a cognitive vulnerability that is a central feature across diverse anxiety disorders, including generalized anxiety disorder (GAD). Although cognitive behavioral therapy (CBT) has been shown to reduce IU, it remains to be established whether or not reductions in IU mediate reductions in worry. This study examined the process of change in IU and worry in a sample of 28 individuals with GAD who completed CBT. Changes in IU and worry, assessed bi-weekly during treatment, were analyzed using multilevel mediation models. Results revealed that change in IU mediated change in worry (ab = -0.20; 95% CI [-.35, -.09]), but change in worry did not mediate change in IU (ab = -0.16; 95% CI [-.06, .12]). Findings indicated that reductions in IU accounted for 59% of the reductions in worry observed over the course of treatment, suggesting that changes in IU are not simply concomitants of changes in worry. Findings support the idea that IU is a critical construct underlying GAD.

  17. How I Learned to Stop Worrying and Love Eclipsing Binaries

    NASA Astrophysics Data System (ADS)

    Moe, Maxwell Cassady

    Relatively massive B-type stars with closely orbiting stellar companions can evolve to produce Type Ia supernovae, X-ray binaries, millisecond pulsars, mergers of neutron stars, gamma ray bursts, and sources of gravitational waves. However, the formation mechanism, intrinsic frequency, and evolutionary processes of B-type binaries are poorly understood. As of 2012, the binary statistics of massive stars had not been measured at low metallicities, extreme mass ratios, or intermediate orbital periods. This thesis utilizes large data sets of eclipsing binaries to measure the physical properties of B-type binaries in these previously unexplored portions of the parameter space. The updated binary statistics provide invaluable insight into the formation of massive stars and binaries as well as reliable initial conditions for population synthesis studies of binary star evolution. We first compare the properties of B-type eclipsing binaries in our Milky Way Galaxy and the nearby Magellanic Cloud Galaxies. We model the eclipsing binary light curves and perform detailed Monte Carlo simulations to recover the intrinsic properties and distributions of the close binary population. We find the frequency, period distribution, and mass-ratio distribution of close B-type binaries do not significantly depend on metallicity or environment. These results indicate the formation of massive binaries are relatively insensitive to their chemical abundances or immediate surroundings. Second, we search for low-mass eclipsing companions to massive B-type stars in the Large Magellanic Cloud Galaxy. In addition to finding such extreme mass-ratio binaries, we serendipitously discover a new class of eclipsing binaries. Each system comprises a massive B-type star that is fully formed and a nascent low-mass companion that is still contracting toward its normal phase of evolution. The large low-mass secondaries discernibly reflect much of the light they intercept from the hot B-type stars, thereby

  18. Support for baby-boom retirees--not to worry.

    PubMed

    Vatter, H G; Walker, J F

    1998-03-01

    Flaws in the discussion of the baby-boom retiree problem make the Social Security problem seem worse than it really is. Problems include the overwhelming emphasis upon fiscal and related financial aspects at the expense of consideration of the output of goods and services, and the almost total neglect of projected real income and productivity rises. Rather, baby-boom retirees can be coped with on the basis of hypothetically reasonable projected magnitudes. It is currently being argued that the future US economy cannot provide Social Security support for the upcoming baby-boom retirees. However, people who support such an argument fail to consider the main determinant of capacity to support. That determinant is the historically established rise in productivity as expressed in per capita output or output per hour of the employed population. Maintaining Social Security pension support through 2030 involves little to no strain upon society, while abolishing such support would cause considerable strain. The authors describe who Social Security supports now and in the future, and explain the capacity of US society to fund Social Security in the decades ahead.

  19. Schizotypy—Do Not Worry, It Is Not All Worrisome

    PubMed Central

    Mohr, Christine; Claridge, Gordon

    2015-01-01

    A long-standing tradition in personality research in psychology, and nowadays increasingly in psychiatry, is that psychotic and psychotic-like thoughts are considered common experiences in the general population. Given their widespread occurrence, such experiences cannot merely reflect pathological functioning. Moreover, reflecting the multi-dimensionality of schizotypy, some dimensions might be informative for healthy functioning while others less so. Here, we explored these possibilities by reviewing research that links schizotypy to favorable functioning such as subjective wellbeing, cognitive functioning (major focus on creativity), and personality correlates. This research highlights the existence of healthy people with psychotic-like traits who mainly experience positive schizotypy (but also affective features mapping onto bipolar disorder). These individuals seem to benefit from a healthy way to organize their thoughts and experiences, that is, they employ an adaptive cognitive framework to explain and integrate their unusual experiences. We conclude that, instead of focusing only on the pathological, future studies should explore the behavioral, genetic, imaging, and psychopharmacological correlates that define the healthy expression of psychotic-like traits. Such studies would inform on protective or compensatory mechanisms of psychosis-risk and could usefully inform us on the evolutionary advantages of the psychosis dimension. PMID:25810058

  20. Schizotypy--do not worry, it is not all worrisome.

    PubMed

    Mohr, Christine; Claridge, Gordon

    2015-03-01

    A long-standing tradition in personality research in psychology, and nowadays increasingly in psychiatry, is that psychotic and psychotic-like thoughts are considered common experiences in the general population. Given their widespread occurrence, such experiences cannot merely reflect pathological functioning. Moreover, reflecting the multi-dimensionality of schizotypy, some dimensions might be informative for healthy functioning while others less so. Here, we explored these possibilities by reviewing research that links schizotypy to favorable functioning such as subjective wellbeing, cognitive functioning (major focus on creativity), and personality correlates. This research highlights the existence of healthy people with psychotic-like traits who mainly experience positive schizotypy (but also affective features mapping onto bipolar disorder). These individuals seem to benefit from a healthy way to organize their thoughts and experiences, that is, they employ an adaptive cognitive framework to explain and integrate their unusual experiences. We conclude that, instead of focusing only on the pathological, future studies should explore the behavioral, genetic, imaging, and psychopharmacological correlates that define the healthy expression of psychotic-like traits. Such studies would inform on protective or compensatory mechanisms of psychosis-risk and could usefully inform us on the evolutionary advantages of the psychosis dimension. © The Author 2015. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  1. Energy Efficient Economists.

    ERIC Educational Resources Information Center

    Silverman, Judy; Lamp, Nancy

    This interdisciplinary economics project helped first and second graders learn how to conserve energy and save money. The project started because of an announcement by the elementary school principal that, if school utility bills could be lowered, the Board of Education would give the school half the money saved. Students were first introduced to…

  2. Energy Efficient Economists.

    ERIC Educational Resources Information Center

    Silverman, Judy; Lamp, Nancy

    This interdisciplinary economics project helped first and second graders learn how to conserve energy and save money. The project started because of an announcement by the elementary school principal that, if school utility bills could be lowered, the Board of Education would give the school half the money saved. Students were first introduced to…

  3. Sleep Paralysis Among Egyptian College Students: Association With Anxiety Symptoms (PTSD, Trait Anxiety, Pathological Worry).

    PubMed

    Jalal, Baland; Hinton, Devon E

    2015-11-01

    Among Egyptian college students in Cairo (n = 100), this study examined the relationship between sleep paralysis (SP) and anxiety symptoms, viz., posttraumatic stress disorder (PTSD), trait anxiety, and pathological worry. SP rates were high; 43% of participants reported at least one lifetime episode of SP, and 24% of those who reported at least one lifetime episode had experienced four or more episodes during the previous year. Fourteen percent of men had experienced SP as compared to 86% of women. As hypothesized, relative to non-SP experiencers, participants who had SP reported higher symptoms of PTSD, trait anxiety, and pathological worry. Also, as hypothesized, the experiencing of hypnogogic/hypnopompic hallucinations during SP, even after controlling for negative affect, was highly correlated with symptoms of PTSD and trait anxiety. The study also investigated possible mechanisms by examining the relationship of hallucinations to anxiety variables.

  4. Psychometric properties of the Penn State Worry Questionnaire for children in a large clinical sample.

    PubMed

    Pestle, Sarah L; Chorpita, Bruce F; Schiffman, Jason

    2008-04-01

    The Penn State Worry Questionnaire for Children (PSWQ-C; Chorpita, Tracey, Brown, Collica, & Barlow, 1997) is a 14-item self-report measure of worry in children and adolescents. Although the PSWQ-C has demonstrated favorable psychometric properties in small clinical and large community samples, this study represents the first psychometric evaluation of the PSWQ-C in a large clinical sample (N = 491). Factor analysis indicated a two-factor structure, in contrast to all previously published findings on the measure. The PSWQ-C demonstrated favorable psychometric properties in this sample, including high internal consistency, high convergent validity with related constructs, and acceptable discriminative validity between diagnostic categories. The performance of the 3 reverse-scored items was closely examined, and results indicated retaining all 14 items.

  5. Living with psoriasis: prevalence of shame, anger, worry, and problems in daily activities and social life.

    PubMed

    Sampogna, Francesca; Tabolli, Stefano; Abeni, Damiano

    2012-05-01

    Psychosocial problems are frequent among patients with psoriasis. The aim of this study was to analyse the prevalence of some specific psychosocial issues. These were evaluated in 936 patients using the emotions and functioning scales of the Skindex-29 questionnaire. The problems most frequently experienced were: shame, anger, worry, difficulties in daily activities and social life. All problems were associated with the severity of psoriasis and with depression or anxiety. Shame, worry and annoyance were more frequent in women than in men, and shame and anger were associated with a low level of education. Impairment in work/hobbies was significantly higher in patients with palmoplantar psoriasis and those with arthro-pathic psoriasis. In conclusion, clinicians could gain important insights about their patients by looking at the single items of a quality of life instrument, to identify patients with high levels of emotional and social problems, in order to improve quality of care.

  6. Anxiety and worry when coping with cancer treatment: agreement between patient and proxy responses.

    PubMed

    Hermont, Ana Paula; Scarpelli, Ana Carolina; Paiva, Saul M; Auad, Sheyla M; Pordeus, Isabela A

    2015-06-01

    Assess agreement between proxy respondents (caregivers) and children/adolescents related to the impact of cancer on children's/adolescents' health-related quality of life, with respect to anxiety and worry issues. A cross-sectional study was conducted among 83 Brazilian children/adolescents, of both genders, diagnosed with cancer, aged 5-18 years and their proxy respondents. Anxiety and worry were assessed through items of the instrument Pediatric Quality of Life Inventory™ Cancer Module Scale. Participants were recruited from the pediatric hematology/oncology centers at two public hospitals. All individuals were receiving medical care. Descriptive statistics were performed as well as a weighted kappa coefficient, Spearman's correlation coefficient, Wilcoxon signed-rank test and Bland-Altman plots. The magnitude of the difference between the mean scores obtained from children/adolescents and that of their proxy respondents was evaluated through effect size. The proxy respondents underestimated the feelings of worry among children (8-12 years) (p < 0.001; effect size 0.71) and overestimated adolescents' (13-18 years) treatment anxiety (p < 0.05; effect size 0.57). The comparison between the three age groups (5-7, 8-12, 13-18 years) showed a tendency for children/adolescents to report increasing feelings of worry as they got older. In the 'treatment anxiety' subscale, there was a tendency for proxy respondents to present higher mean scores, revealing that proxy respondents believed the children's/adolescents' treatment anxiety decreased as they aged. Discrepancies between the reports of children/adolescents and their proxy respondents were observed. Children's/adolescents' reports should not be ignored nor replaced by proxy reports; both reports should be analyzed together.

  7. Structural equation modeling for implementation intentions, cancer worry, and stages of mammography adoption.

    PubMed

    Hirai, Kei; Harada, Kazuhiro; Seki, Aiko; Nagatsuka, Miwa; Arai, Hirokazu; Hazama, Ayako; Ishikawa, Yoshiki; Hamashima, Chisato; Saito, Hiroshi; Shibuya, Daisuke

    2013-10-01

    This study aimed to develop a structural model for mammography adoption in Japanese middle-aged women by using constructs from the transtheoretical model (TTM), the theory of planned behavior (TPB), implementation intentions, and cancer worry. Questionnaires based on items including TTM, TPB, implementation intentions, cancer worry-related variables, and demographic variables were distributed to 1000 adult women aged 40 to 59 years, with 641 subjects being used in the final analysis (response rate = 64.1%). Regarding the stage of adoption, 79 participants (12.3%) were at the precontemplation stage, 30 (4.7%) were at the relapse stage, 142 (22.2%) were at the contemplation stage, 88 (13.7%) were at the action stage, and 302 (47.1%) were at the maintenance stage. Our model, derived from structural equation modeling, revealed that the stage of mammography adoption was significantly affected by goal intentions, implementation intentions, perceived barriers, history of breast cancer screening, and relative risk. A logistic regression analysis revealed that goal intentions and implementation intentions significantly predicted mammography uptake within 1 year. This study developed an integrated model constructed from TTM, TPB, implementation intentions, and cancer worry to account for mammography adoption in Japan, and also confirmed the predictive validity of the model. Copyright © 2013 John Wiley & Sons, Ltd.

  8. Thoughts and attention of athletes under pressure: skill-focus or performance worries?

    PubMed

    Oudejans, Raoul R D; Kuijpers, Wilma; Kooijman, Chris C; Bakker, Frank C

    2011-01-01

    Choking under pressure in sport has been explained by either explicit attention to skill execution (self-focus theories), or attention to performance worries (distraction theories). The aim of the present study was to find out which focus of attention occurs most often when expert athletes perform under pressure. Two retrospective methods were employed, namely, verbal reports and concept mapping. In the verbal reports, 70 expert athletes indicated their main focus of attention when performing under high pressure in competition. For concept mapping seven expert athletes generated statements about their focus of attention in such high-pressure situations. These statements were clustered and rated on how often they occurred and how important they were for choking. Both methods revealed that under pressure attention of expert athletes was often focused on worries and hardly ever on movement execution. Furthermore, the athletes reported that they focused attention on external factors and that they reverted to positive monitoring in an attempt to maintain performance. These results are more in line with distraction theories than self-focus theories, suggesting that attention to performance worries rather than to skill execution generally explains choking.

  9. Exploring the relationship between parental worry about their children's health and usage of an internet intervention for pediatric encopresis.

    PubMed

    Magee, Joshua C; Ritterband, Lee M; Thorndike, Frances P; Cox, Daniel J; Borowitz, Stephen M

    2009-06-01

    To investigate whether parental worry about their children's health predicts usage of a pediatric Internet intervention for encopresis. Thirty-nine families with a child diagnosed with encopresis completed a national clinical trial of an Internet-based intervention for encopresis (www.ucanpooptoo.com). Parents rated worry about their children's health, encopresis severity, current parent treatment for depression, and parent comfort with the Internet. Usage indicators were collected while participants utilized the intervention. Regression analyses showed that parents who reported higher baseline levels of worry about their children's health showed greater subsequent intervention use (beta =.52, p =.002), even after accounting for other plausible predictors. Exploratory analyses indicated that this effect may be stronger for families with younger children. Characteristics of individuals using Internet-based treatment programs, such as parental worry about their children's health, can influence intervention usage, and should be considered by developers of Internet interventions.

  10. What's the Worry with Social Anxiety? Comparing Cognitive Processes in Children with Generalized Anxiety Disorder and Social Anxiety Disorder.

    PubMed

    Hearn, Cate S; Donovan, Caroline L; Spence, Susan H; March, Sonja; Holmes, Monique C

    2016-12-05

    Social anxiety disorder (SAD) in children is often comorbid with generalized anxiety disorder (GAD). We investigated whether worry, intolerance of uncertainty, beliefs about worry, negative problem orientation and cognitive avoidance, that are typically associated with GAD, are present in children with SAD. Participants included 60 children (8-12 years), matched on age and gender. Groups included children: with primary GAD and without SAD (GAD); with primary SAD and without GAD (SAD); and without an anxiety disorder (NAD). GAD and SAD groups scored significantly higher than the NAD group on worry, intolerance of uncertainty, negative beliefs about worry and negative problem orientation, however, they did not score differently from each other. Only the GAD group scored significantly higher than the NAD group on cognitive avoidance. These findings further understanding of the structure of SAD and suggest that the high comorbidity between SAD and GAD may be due to similar underlying processes within the disorders.

  11. Exploring the Relationship between Parental Worry about their Children's Health and Usage of an Internet Intervention for Pediatric Encopresis

    PubMed Central

    Magee, Joshua C.; Thorndike, Frances P.; Cox, Daniel J.; Borowitz, Stephen M.

    2009-01-01

    Objective To investigate whether parental worry about their children's health predicts usage of a pediatric Internet intervention for encopresis. Methods Thirty-nine families with a child diagnosed with encopresis completed a national clinical trial of an Internet-based intervention for encopresis (www.ucanpooptoo.com). Parents rated worry about their children's health, encopresis severity, current parent treatment for depression, and parent comfort with the Internet. Usage indicators were collected while participants utilized the intervention. Results Regression analyses showed that parents who reported higher baseline levels of worry about their children's health showed greater subsequent intervention use (β =.52, p =.002), even after accounting for other plausible predictors. Exploratory analyses indicated that this effect may be stronger for families with younger children. Conclusions Characteristics of individuals using Internet-based treatment programs, such as parental worry about their children's health, can influence intervention usage, and should be considered by developers of Internet interventions. PMID:18772228

  12. Preferences for Social Support During Social Evaluation in Men: The Role of Worry About a Relationship Partner's Negative Evaluation.

    PubMed

    Guo, Jinhong; Turan, Bulent

    2016-01-01

    Most individuals seek proximity to support figures when distressed. However, individuals may not want a relationship partner present when their performance is being evaluated during difficult tasks, because they would worry about their partner's evaluation. Male participants' performance on difficult tasks was evaluated by critical judges. Then participants were asked if they wanted a close relationship partner present when they come back for similar tasks the following week. Worry about a partner's negative evaluation predicted not wanting the partner present. The direct effect of attachment-related anxiety on wanting more support was suppressed by its indirect effects in the opposite direction through distress and worry about a partner's negative evaluation. The indirect effect of attachment-related avoidance on wanting less support through distress and worry about partner's negative evaluation was also significant. Findings contribute to our understanding of preferences for support and effects on well-being.

  13. Postpartum worries: an exploration of Taiwanese primiparas who participate in the Chinese ritual of tso-yueh-tzu.

    PubMed

    Liu-Chiang, C Y

    1995-01-01

    To explore worries of postpartum mothers who participate in Tso-Yueh-Tzu. Primiparas (N = 21) with a mean age of 30 years, a mean educational level of 15 years. Seventeen (81%) were working. The mean number of postpartum days was 14. Focus groups, each group session lasted approximately 2 hours and was audiotaped. Four themes regarding worries emerged: searching process to integrate the self into the rituals of Tso-Yueh-Tzu, understanding that the newborn's care influences evaluation of the self as a "good mother," decision-making process of the self to arrange the best baby care for a career women, and reconciling the need for self-fulfillment with the demand to be a "family-mother." Nurses can help a mother work through her worries. Although the women expressed their worries in different content, all focused on the need for "the integration of the self" while they went through Tso-Yueh-Tzu.

  14. Cancer worries, risk perceptions and associations with interest in DNA testing and clinic satisfaction in a familial colorectal cancer clinic.

    PubMed

    Collins, V; Halliday, J; Warren, R; Williamson, R

    2000-12-01

    Multi-disciplinary familial cancer clinics are becoming an integral part of cancer services. It is, therefore, important to assess how attendance at these clinics impacts on cancer-related concerns, risk perceptions and behavioural intentions, and how the clinic services are being received by those using them. This study has assessed a familial colorectal cancer clinic with respect to cancer-related worries and risk perceptions and their impact on interest in DNA testing and overall satisfaction with the clinic. Pre- and post-clinic questionnaires were completed by 127 patients and relatives attending the clinic. After attending the clinic, the proportion of people 'very' or 'extremely' worried about developing bowel cancer reduced from 49 (pre-clinic) to 34% (p = 0.002). Worry about bowel cancer was positively associated with younger age, higher education level and higher perceived risk of developing cancer. A reduction in level of risk perception correlated with a lower likelihood of feeling 'very worried' about developing bowel cancer. Of those intending to go ahead with DNA testing, 58% were 'very worried' about bowel cancer compared with 15% of those not intending to proceed with testing, suggesting that worry was a motivation for interest in DNA testing. One-third of participants indicated another session of genetic counselling would be helpful. Within this group, a higher proportion was very worried about bowel cancer (43%) than for those who did not want another session (17%). Attendance at this familial colorectal cancer clinic alleviated worry for many individuals, partly due to improved information about risk of colorectal cancer.

  15. Fears, worries, and scary dreams in 4- to 12-year-old children: their content, developmental pattern, and origins.

    PubMed

    Muris, P; Merckelbach, H; Gadet, B; Moulaert, V

    2000-03-01

    Investigated anxiety symptoms in normal school children 4 to 12 years of age (N = 190). The percentages of children reporting fears, worries, and scary dreams were 75.8, 67.4, and 80.5%, respectively, indicating that these anxiety symptoms are quite common among children. Inspection of the developmental pattern of these phenomena revealed that fears and scary dreams were common among 4- to 6-year-olds, became even more prominent in 7- to 9-year-olds, and then decreased in frequency in 10- to 12-year-olds. The developmental course of worry deviated from this pattern. This phenomenon was clearly more prevalent in older children (i.e., 7- to 12-year-olds) than in younger children. Furthermore, although the frequency of certain types of fears, worries, and dreams were found to change across age groups (e.g., the prevalence of fears and scary dreams pertaining to imaginary creatures decreased with age, whereas worry about test performance increased with age), the top intense fears, worries, and scary dreams remained relatively unchanged across age levels. An examination of the origins of these common anxiety phenomena showed that for fears and scary dreams, information was the most commonly reported pathway, whereas for worry, conditioning experiences were more prominent.

  16. The interplay of trait worry and trait anxiety in determining episodic retrieval: The role of cognitive control.

    PubMed

    Pajkossy, Péter; Keresztes, Attila; Racsmány, Mihály

    2017-11-01

    Worrying is a key concept in describing the complex relationship between anxiety and cognitive control. On the one hand, cognitive control processes might underlie the specific tendency to engage in worrying (i.e., trait worry), conceptualized as a future-oriented mental problem-solving activity. On the other hand, the general tendency to experience the signs and symptoms of anxiety (i.e., trait anxiety) is suggested to impair cognitive control because worrisome thoughts interfere with task-relevant processing. Based on these opposing tendencies, we predicted that the effect of the two related constructs, trait anxiety and trait worry, might cancel out one another. In statistics, such instances have been termed suppressor situations. In four experiments, we found evidence for such a suppressor situation: When their shared variance was controlled, trait worry was positively whereas trait anxiety was negatively related to performance in a memory task requiring strategic, effortful retrieval. We also showed that these opposing effects are related to temporal context reinstatement. Our results suggest that trait worry and trait anxiety possess unique sources of variance, which differently relate to performance in memory tasks requiring cognitive control.

  17. Web Worries.

    ERIC Educational Resources Information Center

    Reidelbach, Dorothy

    1996-01-01

    Four common difficulties in development and maintenance of a World Wide Web site are those of capturing control of the ever-changing medium and providing product consistency; providing relatively easy and rapid access for users; coping with copyrights when there are so few legal guidelines; and preserving privacy for use of credit cards. Solutions…

  18. Hidden Worries

    ERIC Educational Resources Information Center

    Reclaiming Children and Youth, 2013

    2013-01-01

    Sometimes children are stressed about seemingly small events that escalate into problem behavior. In this article, an insightful teacher discusses restoration of emotional balance by mobilizing positive support from both school and family using A Response Ability Pathways (RAP) intervention. The RAP techniques and how they can be used are…

  19. Hidden Worries

    ERIC Educational Resources Information Center

    Reclaiming Children and Youth, 2013

    2013-01-01

    Sometimes children are stressed about seemingly small events that escalate into problem behavior. In this article, an insightful teacher discusses restoration of emotional balance by mobilizing positive support from both school and family using A Response Ability Pathways (RAP) intervention. The RAP techniques and how they can be used are…

  20. Strange bedfellows: A Russian prince, A Scottish Economist, and the role of empathy in early theories for the evolution of cooperation.

    PubMed

    Dugatkin, Lee Alan

    2013-11-01

    From 1888 to his death in 1921, Russian Prince Peter Kropotkin forced biologists to ask themselves whether natural selection inevitably led to a dog-eat-dog world, or whether pro-social behavior could also be a product of the evolutionary process. In this historical vignette, I focus on Kropotkin's theory of "mutual aid," with emphasis on the role that empathy played in that theory, and the unexpected source--economist Adam Smith's 1759 book, The Theory of Moral Sentiments--of Kropotkin's ideas on empathy in animals. © 2013 Wiley Periodicals, Inc.

  1. Intermittent catheterization in patients with traumatic spinal cord injury: obstacles, worries, level of satisfaction.

    PubMed

    Yılmaz, B; Akkoç, Y; Alaca, R; Erhan, B; Gündüz, B; Yıldız, N; Gök, H; Köklü, K; Cınar, E; Alemdaroğlu, E; Ersöz, M; Karapolat, H; Demir, Y; Bardak, A N; Turna, I; Catalbaş, N; Güneş, S; Tunç, H

    2014-11-01

    The aim of this study is to examine the obstacles in people with traumatic spinal cord injury (SCI) face performing intermittent catheterization (IC), also their worries and level of satisfaction. Two hundred sixty-nine patients performing IC for at least 3 months were asked to fill-out a questionnaire about their opinions on IC. In total, 69.5% of patients performed IC themselves, 10.4% had performed by their mothers, 7.8% by another caregiver and 7.4% by their spouse. For the 72 (26%) patients unable to apply IC, reasons were insufficient hand function (56.1%), being unable to sit appropriately (35.4%) and spasticity (8.5%). In all, 70% of male patients had insufficient hand function, 20% could not sit and 10% had spasticity while 56.3% of female patients could not sit, 37.5% had insufficient hand function and 63% had spasticity. Difference between sexes was found to be statistically significant (P<0.05). Worries patients had when starting IC were fear of being dependent on IC (50.2%), accidentally injuring self (43.8%), embarrassment (43.2%), causing an infection (40.2%), bleeding (32.7%), fear of feeling pain (30.2%) and hygiene (24.7%). More women felt embarrassment; other items were similar in both sexes. In all, 46.9% of patients had urinary incontinence in intervals. In total, 69.5% of patients performed IC themselves. Men's most common obstacle was insufficient hand function while women's was being unable to sit appropriately. Patients' most common worries were being dependent on IC for life. In all, 46.9% had incontinence in intervals; 47.9% said IC improved their life quality; and 97.4% preferred IC over continuous catheterization.

  2. Acceptance and commitment therapy in genetic counselling: a case study of recurrent worry.

    PubMed

    Broley, Stephanie

    2013-06-01

    I present a case study where the mother of a child with 22q11 deletion disorder appeared to be experiencing recurrent, intrusive worry associated with the inherent uncertainty of this highly variable condition. Counselling sessions are summarised followed by an in-depth reflection about the case with reference to the main therapeutic tenets of Acceptance and Commitment Therapy (ACT). Specific techniques which may have been of great benefit to the client and potential application in the genetic counselling setting are explored in the context of ACT.

  3. Reliability and validity of the Cambridge Worry Scale in pregnant Turkish women.

    PubMed

    Gunay, Emine Yigit; Gul, Asiye

    2015-03-01

    this study examined the psychometric properties of the Cambridge Worry Scale (CWS) and assessed worries in pregnant Turkish women. a descriptive, cross sectional study. the 35 Family Health Centres located in the Yıldırım sub-province of Bursa. the data were collected using the 'Pregnant Information Form', which determines the individual characteristics of the women and the 'CWS', which determines worries. The CWS is a Likert-type scale that consists of 16 items and has four sub-dimensions including the women's own health, relationships, socio-medical and socio-economic conditions. In the CWS, the total score is not calculated, and each article is evaluated in itself. 200 pregnant women were recruited from December 2010 to November 2011. The mean age of the pregnant women was 25.92 ± 5.33, 43.0% had completed primary school, and 69.0% were not in paid employment. It has been determined that the content validity index for the Turkish form is 0.98 and that the internal consistency of Cronbach's alpha value of the scale is 0.795. As a result of exploratory factor analysis, it has been concluded that the factor loadings of the scale from 0.435 to 0.902, and it can be used in a particular dimension that is not divided into the components of the scale. On the basis of the confirmatory factor analysis, it has been determined that the Goodness of Fit Index of the one-factor structure is better than four-factor structure, but the values of the goodness fit index in each model are under 0.85 and the inaccuracy of the fit index is high. the Turkish form of the CWS is an appropriate measurement tool in terms of language and content validity, and its single-factor structure can be applied to Turkish culture and can correctly identify the worries of pregnant women. Copyright © 2014 Elsevier Ltd. All rights reserved.

  4. Childhood anxiety, worry, and fear: individualizing hypnosis goals and suggestions for self-regulation.

    PubMed

    Kaiser, Pamela

    2011-07-01

    Determining hypnosis goals and specific suggestions for childhood anxiety, worry, and fear can be enhanced by a developmental psychopathology perspective. This article examines underlying causal risk factors that guide a focused assessment and individualized interventions, targeting self-regulation of emotional, cognitive, behavioral, and psychophysiological arousal and reactivity. The author summarizes current knowledge about childhood anxiety disorders and outlines a hypnotic approach when encountering anxious children and youth, including strategies to use spontaneous trance states and enhance underdeveloped resources (e.g. locus of control, discrimination of realistic risk appraisal, coping capacities).

  5. Fraud worries insurance companies but should concern physicians too, industry says

    PubMed Central

    Baer, N

    1997-01-01

    The amount of insurance fraud is increasing in Canada. This should worry physicians, because all personal-injury claims must be substantiated by a medical certificate. The vast majority of physicians are honest and ethical, fraud investigators say, but some are being duped as patients scheme to cheat the insurance industry. In one sensational auto-insurance-fraud case, some Ontario physicians are being investigated about possible involvement in a self-referral scheme. Nicole Baer looks at insurance fraud and the challenges it poses for doctors. PMID:9012734

  6. iRest yoga-nidra on the college campus: changes in stress, depression, worry, and mindfulness.

    PubMed

    Eastman-Mueller, Heather; Wilson, Terry; Jung, Ae-Kyung; Kimura, Andrea; Tarrant, Jeff

    2013-01-01

    There is evidence that yoga practice is associated with decreased stress, worry, and depression, and with improved mindfulness-based skills. These findings had not been previously replicated for a sample of college students. This study evaluated whether iRest yoga-nidra practice was associated with reduced perceived stress, worry, and depression, and increased mindfulness in a sample of college student s. Sixty-six students age 18-56 completed an 8-week iRest yoga-nidra intervention that was offered for 8 semesters. Assessment occurred 1 week prior to intervention onset and during the class period following the intervention. Qualitative data were collected at Weeks 4 and 8. Statistically significant pre- to posttest improvements in perceived stress, worry, and depression were found. Pre-existing depression accounted for most of the change in worry and perceived stress scores. Pre- to post test improvements in mindfulness-based skills were also detected. iRest yoga-nidra practice may reduce symptoms of perceived stress, worry, and depression and increase mindfulness-based skills.

  7. Anxiety disorders and onset of cardiovascular disease: the differential impact of panic, phobias and worry.

    PubMed

    Batelaan, Neeltje M; ten Have, Margreet; van Balkom, Anton J L M; Tuithof, Marlous; de Graaf, Ron

    2014-03-01

    Anxiety has been linked to onset of cardiovascular disease. This study examines the differential impact of types of anxiety (panic, phobia and worry) on 3-year onset of non-fatal cardiovascular disease (CVD). By investigating anxiety disorders as opposed to anxiety symptoms and by using a reliable diagnostic instrument to assess anxiety, limitations of previous studies are considered. 5149 persons at risk for CVD were interviewed using the Composite International Diagnostic Interview. The panic-type included panic disorder and panic attacks; the phobic-type included agoraphobia and social phobia, and the worry-type included generalized anxiety disorder. CVD was self-reported and required treatment or monitoring by a doctor. Analyses were adjusted for sociodemographics, behavioral variables, and comorbid somatic and psychiatric disorders. During follow-up, 62 persons (1.2%) developed CVD. Baseline generalized anxiety disorder was strongly associated with onset of CVD (adjusted OR: 3.39). Further research should replicate findings and focus on biological underpinnings of this association.

  8. Transport priorities, risk perception and worry associated with mode use and preferences among Norwegian commuters.

    PubMed

    Nordfjærn, Trond; Simşekoğlu, Özlem; Lind, Hans Brende; Jørgensen, Stig Halvard; Rundmo, Torbjørn

    2014-11-01

    There is currently scant research on the role of transport priorities, risk perception and worry for travel mode use and preferences. The present study aims to examine these factors in relation to mode use and preferences among Norwegian commuters. A web-based survey was conducted in a randomly obtained representative sample of daily commuters in the extended greater Oslo area (n=690). The results showed that those who prioritized efficiency and flexibility tended to commute by car, while those who prioritized safety and comfort used public (e.g. metro, tram, and train) or active (e.g. walking and cycling) transport. In a free choice scenario, the respondents who prioritized flexibility reported a preference for using a car, whereas those who prioritized safety and comfort preferred public and active transport for their commuter travels. Risk perception of high impact events, such as terrorism and major accidents, as well as risk perception related to personal impact risks (theft, violence etc.) were related to car use on commuter travels. Transport-related worry exerted weak influences on mode use and preferences. Increased speed on rail transport and more frequent departures may be effective in reducing car use on commuter travels. Risk communication should focus on highlighting the low risk of experiencing security and safety issues in the public transport sector, and this message should be complemented by efforts to reduce the probability of negative events affecting public transport.

  9. Somatic symptoms and holistic thinking as major dimensions behind modern health worries.

    PubMed

    Köteles, Ferenc; Simor, Péter

    2014-01-01

    Modern health worries (MHWs) were related to somatic symptoms and to preference of holistic healing methods in previous studies. The study aimed to investigate the contribution of symptom-related and holism-related factors to MHWs. Participants (visitors of an Internet news portal; N = 16152; 64.1 % males) completed a questionnaire assessing MHWs, somatosensory amplification, somatic symptoms, positive and negative affect, spirituality, holistic health beliefs, and various aspects of health care utilization (both conventional and alternative). Exploratory factor analysis with oblique rotation revealed two independent dimensions ("Somatic symptom distress" and "Holism") MHWs were involved with factor loadings of 0.294 and 0.417, respectively. The existence of two factors was supported by the results of confirmatory factor analysis. No practically significant interaction between the two factors was found in binary logistic regression analysis. Positive and negative affect, somatosensory amplification, spirituality, and holistic health beliefs were positively connected, while self-rated health status was negatively connected to MHWs even after controlling for socio-demographic and treatment-related variables. Holistic thinking and symptom-related behavioral and psychological factors are independently associated with MHWs. Modern health worries can be conceptualized as symptom-related by-products of a holistic-spiritual worldview.

  10. Somali Immigrant Women and the American Health Care System: Discordant Beliefs, Divergent Expectations, and Silent Worries

    PubMed Central

    Pavlish, Carol Lynn; Noor, Sahra; Brandt, Joan

    2010-01-01

    The civil war in Somalia resulted in massive resettlement of Somali refugees. The largest diaspora of Somali refugees in the United States currently reside in Minnesota. Partnering with three community organizations in 2007–8, we implemented the Community Connections and Collaboration Project to address health disparities that Somali refugees experienced. Specifically, we examined factors that influenced Somali women’s health experiences. Utilizing a socio-ecological perspective and a social action research design, we conducted six community-based focus groups with 57 Somali women and interviewed 11 key informants including Somali healthcare professionals. Inductively coding, sorting and reducing data into categories, we analyzed each category for specific patterns. The categorical findings on healthcare experiences are reported here. We found that Somali women’s health beliefs related closely to situational factors and contrasted sharply with the biological model that drives Western medicine. These discordant health beliefs resulted in divergent expectations regarding treatment and healthcare interactions. Experiencing unmet expectations, Somali women and their healthcare providers reported multiple frustrations which often diminished perceived quality of health care. Moreover, silent worries about mental health and reproductive decision making surfaced. To provide high quality, transcultural health care, providers must encourage patients to voice their own health explanations, expectations, and worries. PMID:20494500

  11. Somali immigrant women and the American health care system: discordant beliefs, divergent expectations, and silent worries.

    PubMed

    Pavlish, Carol Lynn; Noor, Sahra; Brandt, Joan

    2010-07-01

    The civil war in Somalia resulted in massive resettlement of Somali refugees. The largest diaspora of Somali refugees in the United States currently reside in Minnesota. Partnering with three community organizations in 2007-8, we implemented the Community Connections and Collaboration Project to address health disparities that Somali refugees experienced. Specifically, we examined factors that influenced Somali women's health experiences. Utilizing a socio-ecological perspective and a social action research design, we conducted six community-based focus groups with 57 Somali women and interviewed 11 key informants including Somali healthcare professionals. Inductively coding, sorting and reducing data into categories, we analyzed each category for specific patterns. The categorical findings on healthcare experiences are reported here. We found that Somali women's health beliefs related closely to situational factors and contrasted sharply with the biological model that drives Western medicine. These discordant health beliefs resulted in divergent expectations regarding treatment and healthcare interactions. Experiencing unmet expectations, Somali women and their healthcare providers reported multiple frustrations which often diminished perceived quality of health care. Moreover, silent worries about mental health and reproductive decision making surfaced. To provide high quality, transcultural health care, providers must encourage patients to voice their own health explanations, expectations, and worries. Copyright 2010 Elsevier Ltd. All rights reserved.

  12. Are You Sleeping? Dyadic Associations of Support, Stress, and Worries Regarding Adult Children on Sleep.

    PubMed

    Seidel, Amber J; Yorgason, Jeremy B; Polenick, Courtney A; Zarit, Steven H; Fingerman, Karen L

    2017-01-24

    Sleep is a key factor in maintaining positive health and well-being throughout life. Although the negative outcomes of sleep problems are becoming better understood, less is known about how intergenerational relationships might affect sleep. Thus, this investigation examines the dyadic associations of support for, stress over, and worrying about adult children on sleep quality for husbands and wives. The sample included 186 heterosexual married couples drawn from the Family Exchanges Study. To account for nonindependence in the dyadic data and explore questions of mutual influence, we used actor-partner interdependence models. Husbands' and wives' reports of supporting their adult child and husbands' worry were associated with husbands' sleep quality. Conversely, wives' stress about supporting their adult child was associated with wives' sleep quality. Findings suggest that relationships with adult children have different associations for sleep quality among middle-aged husbands and wives. Our findings have implications for health-related research with couples and families and for providers who work with individuals struggling with sleep problems. Assisting aging parents to be aware of and manage ways that stress, support, and concern for adult children relate to their sleep may benefit them in multifaceted ways.

  13. "What else are you worried about?" – Integrating textual responses into quantitative social science research

    PubMed Central

    Brümmer, Martin; Schmukle, Stefan C.; Goebel, Jan; Wagner, Gert G.

    2017-01-01

    Open-ended questions have routinely been included in large-scale survey and panel studies, yet there is some perplexity about how to actually incorporate the answers to such questions into quantitative social science research. Tools developed recently in the domain of natural language processing offer a wide range of options for the automated analysis of such textual data, but their implementation has lagged behind. In this study, we demonstrate straightforward procedures that can be applied to process and analyze textual data for the purposes of quantitative social science research. Using more than 35,000 textual answers to the question “What else are you worried about?” from participants of the German Socio-economic Panel Study (SOEP), we (1) analyzed characteristics of respondents that determined whether they answered the open-ended question, (2) used the textual data to detect relevant topics that were reported by the respondents, and (3) linked the features of the respondents to the worries they reported in their textual data. The potential uses as well as the limitations of the automated analysis of textual data are discussed. PMID:28759628

  14. Teachers' use of fear appeals in the mathematics classroom: worrying or motivating students?

    PubMed

    Putwain, David W; Symes, Wendy

    2011-09-01

    AIM. This study examined whether teachers' use of fear appeals in the classroom, attempts to motivate students to perform well in high-stakes examinations by highlighting the educational, and/or occupational consequences of failure did indeed motivate students or whether it contributed to an increase in worry, anxiety, and fear of failure. SAMPLE. A total of 132 secondary school students. METHOD. Self-report data were collected for teachers' use of fear appeals, test anxiety, and achievement goals in the context of Mathematics at the end of Years 10 and 11, the final 2 years of compulsory schooling. RESULTS. The frequency with which teachers were reported to make fear appeals was unrelated to future test anxiety and achievement goals. When fear appeals were perceived to be threatening, however, they were related to an increase in the worry and tension components of test anxiety and increases in performance-avoidance and mastery-approach goals. CONCLUSION. Fear appeals appear to have competing positive and negative outcomes, resulting in both anxiety and a fear of failure, and a mastery-approach goal.

  15. Capturing early signs of deterioration: the dutch-early-nurse-worry-indicator-score and its value in the Rapid Response System.

    PubMed

    Douw, Gooske; Huisman-de Waal, Getty; van Zanten, Arthur R H; van der Hoeven, Johannes G; Schoonhoven, Lisette

    2017-09-01

    To determine the predictive value of individual and combined dutch-early-nurse-worry-indicator-score indicators at various Early Warning Score levels, differentiating between Early Warning Scores reaching the trigger threshold to call a rapid response team and Early Warning Score levels not reaching this point. Dutch-early-nurse-worry-indicator-score comprises nine indicators underlying nurses' 'worry' about a patient's condition. All indicators independently show significant association with unplanned intensive care/high dependency unit admission or unexpected mortality. Prediction of this outcome improved by adding the dutch-early-nurse-worry-indicator-score indicators to an Early Warning Score based on vital signs. An observational cohort study was conducted on three surgical wards in a tertiary university-affiliated teaching hospital. Included were surgical, native-speaking, adult patients. Nurses scored presence of 'worry' and/or dutch-early-nurse-worry-indicator-score indicators every shift or when worried. Vital signs were measured according to the prevailing protocol. Unplanned intensive care/high dependency unit admission or unexpected mortality was the composite endpoint. Percentages of 'worry' and dutch-early-nurse-worry-indicator-score indicators were calculated at various Early Warning Score levels in control and event groups. Entering all dutch-early-nurse-worry-indicator-score indicators in a multiple logistic regression analysis, we calculated a weighted score and calculated sensitivity, specificity, positive predicted value and negative predicted value for each possible total score. In 3522 patients, 102 (2·9%) had an unplanned intensive care/high dependency unit admissions (n = 97) or unexpected mortality (n = 5). Patients with such events and only slightly changed vital signs had significantly higher percentages of 'worry' and dutch-early-nurse-worry-indicator-score indicators expressed than patients in the control group. Increasing number

  16. The impact of intolerance of uncertainty, worry and irritability on quality of life in persons with epilepsy: irritability as mediator.

    PubMed

    Barahmand, Usha; Haji, Afsar

    2014-10-01

    Epilepsy is a neurological disorder afflicting many people in the world. The impact of epilepsy on the quality of life of those afflicted with epilepsy is greater than the limitations imposed by the seizures alone. Among the several psychological disorders found to be comorbid with epilepsy are anxiety and depression, both of which impair quality of life in epilepsy. Some studies have reported that the anxiety seen in epilepsy is characterized by worry while the depression seen is characterized by irritability. A concept common to both anxiety and depression is intolerance of uncertainty. Therefore, the study explores the relationship between intolerance of uncertainty, worry and irritability and their association to quality of life in epilepsy. A descriptive-correlational research method was used and the research sample comprised 60 consecutive referrals seeking outpatient neurological services for epilepsy at Alavi Hospital in Ardebil. Data were collected by administering the Penn State Worry Questionnaire, Intolerance of Uncertainty Scale, Irritability Questionnaire and Quality of Life in Epilepsy Inventory. Data were analyzed using Pearson's correlation coefficients and multivariate regression analysis. Mediation and moderation analyses were conducted. Findings indicated that intolerance of uncertainty, worry and irritability have unique significant effects on quality of life. The implications are that interventions aimed at improving the quality of life of patients with epilepsy should address their feelings of uncertainty, worry and irritability. Furthermore, irritability seems to mediate the impact of both intolerance of uncertainty and worry on quality of life of individuals with epilepsy. No significant moderation effects were noted. Results underscore the important role of irritability in the quality of life of persons with epilepsy. The findings are discussed with reference to the possibility of particular predisposing temperaments and add credence to

  17. Mindfulness-Based Stress Reduction for older adults with worry symptoms and co-occurring cognitive dysfunction

    PubMed Central

    Lenze, Eric J.; Hickman, Steven; Hershey, Tamara; Wendleton, Leah; Ly, Khanh; Dixon, David; Doré, Peter; Wetherell, Julie Loebach

    2014-01-01

    Background Mindfulness-Based Stress Reduction (MBSR) has the potential to reduce worry and improve cognitive functioning. Objectives In this treatment development project, we examined MBSR in older adults with worry symptoms and co-occurring cognitive dysfunction. We examined (1) acceptability of MBSR, (2) whether MBSR needs to be lengthened providing more repetition, (3) MBSR's benefits for worry reduction and cognitive improvements, and (4) continued use of MBSR techniques during follow-up. Method Two sites (St. Louis and San Diego) enrolled individuals aged 65+ with significant anxiety-related distress plus subjective cognitive dysfunction, into traditional 8-session MBSR groups and 12-session groups that had the same content but more repetition of topics and techniques. We examined measures of mindfulness, worry, and a neuropsychological battery focused on memory and executive function before and after the MBSR program, and we followed up participants for 6 months after the completion of MBSR regarding their continued use of its techniques. Results Participants (N=34) showed improvements in worry severity, increases in mindfulness, and improvements in memory as measured by paragraph learning and recall after a delay, all with a large effect size. Most participants continued to use MBSR techniques for six months post-instruction and found them helpful in stressful situations. There was no evidence that the extended 12-week MBSR produced superior cognitive or clinical outcomes, greater satisfaction, or greater continuation of MBSR techniques than 8-week MBSR. Conclusions These preliminary findings are promising for the further testing and use of MBSR in older adults suffering from clinical worry symptoms and co-occurring cognitive dysfunction. These are common problems in a broad range of older adults, many of whom have anxiety and mood disorders; therefore, stress reduction intervention for them may have great public health value. PMID:24677282

  18. Mindfulness-based stress reduction for older adults with worry symptoms and co-occurring cognitive dysfunction.

    PubMed

    Lenze, Eric J; Hickman, Steven; Hershey, Tamara; Wendleton, Leah; Ly, Khanh; Dixon, David; Doré, Peter; Wetherell, Julie Loebach

    2014-10-01

    Mindfulness-based stress reduction (MBSR) has the potential to reduce worry and improve cognitive functioning. In this treatment development project, we examined MBSR in older adults with worry symptoms and co-occurring cognitive dysfunction. We examined (i) acceptability of MBSR, (ii) whether MBSR needs to be lengthened providing more repetition, (iii) MBSR's benefits for worry reduction and cognitive improvements, and (iv) continued use of MBSR techniques during follow-up. Two sites (St. Louis and San Diego) enrolled individuals aged 65 years or older with significant anxiety-related distress plus subjective cognitive dysfunction, into traditional 8-session MBSR groups and 12-session groups that had the same content but more repetition of topics and techniques. We examined measures of mindfulness, worry, and a neuropsychological battery focused on memory and executive function before and after the MBSR program, and we followed up participants for 6 months after the completion of MBSR regarding their continued use of its techniques. Participants (N = 34) showed improvements in worry severity, increases in mindfulness, and improvements in memory as measured by paragraph learning and recall after a delay, all with a large effect size. Most participants continued to use MBSR techniques for 6 months post-instruction and found them helpful in stressful situations. There was no evidence that the extended 12-week MBSR produced superior cognitive or clinical outcomes, greater satisfaction, or greater continuation of MBSR techniques than 8-week MBSR. These preliminary findings are promising for the further testing and use of MBSR in older adults suffering from clinical worry symptoms and co-occurring cognitive dysfunction. These are common problems in a broad range of older adults, many of whom have anxiety and mood disorders; therefore, stress reduction intervention for them may have great public health value. Copyright © 2014 John Wiley & Sons, Ltd.

  19. Development and assessment of brief versions of the Penn State Worry Questionnaire and the Ruminative Response Scale.

    PubMed

    Topper, Maurice; Emmelkamp, Paul M G; Watkins, Ed; Ehring, Thomas

    2014-11-01

    Worry and depressive rumination have been found to be involved in the onset and maintenance of a range of psychological disorders. The development of brief screening measures for excessive worry and depressive rumination is therefore desirable to facilitate the assessment of worry and rumination in prevention and treatment settings where routine administration of full questionnaires is not practical due to time-related constraints. Using the Penn State Worry Questionnaire (PSWQ) and the Ruminative Response Scale (RRS) as gold standard starting points, brief versions of these measures were developed in a large sample of adolescents (N = 1,952) and results were cross-validated in two independent samples (N = 1,954; N = 457). The brief versions demonstrated acceptable to high internal consistency (brief PSWQ: α = .84-.91; brief RRS: α = .78-.81) and correlated highly with the full questionnaires (brief PSWQ: r = .91-.94; brief RRS: r = .88-.91). In addition, they showed high sensitivity (brief PSWQ: .90-.92; brief RRS: .90-.93), and high specificity (brief PSWQ: .88-.90; brief RRS: .80-.87) to detect excessive worry and rumination. The validity of the brief measures was further supported by demonstrating that the brief measures showed similar differences in scores between males and females as the full measures as well as substantial relationships to other measures of repetitive negative thinking and symptom measures of anxiety and depression. Finally, the brief measures predicted future symptoms of anxiety and depression. The brief versions of the PSWQ and RRS are time-efficient and valid instruments for the screening of worry and depressive rumination. Their use in clinical practice is recommended to inform treatment and/or to select individuals at risk for development of psychological disorders who may benefit from preventive interventions. © 2014 The British Psychological Society.

  20. Do you know how I feel? Parents underestimate worry and overestimate optimism compared to child self-report.

    PubMed

    Lagattuta, Kristin Hansen; Sayfan, Liat; Bamford, Christi

    2012-10-01

    Three studies assessed parent-child agreement in perceptions of children's everyday emotions in typically developing 4- to 11-year-old children. Study 1 (N=228) and Study 2 (N=195) focused on children's worry and anxiety. Study 3 (N=90) examined children's optimism. Despite child and parent reporters providing internally consistent responses, their perceptions about children's emotional wellbeing consistently failed to correlate. Parents significantly underestimated child worry and anxiety and overestimated optimism compared to child self-report (suggesting a parental positivity bias). Moreover, parents' self-reported emotions correlated with how they reported their children's emotions (suggesting an egocentric bias). These findings have implications for developmental researchers, clinicians, and parents.

  1. Heart attack risk perception biases among hypertension patients: the role of educational level and worry.

    PubMed

    Peterson, Laurel M; Helweg-Larsen, Marie; Volpp, Kevin G; Kimmel, Stephen E

    2012-01-01

    Risk biases such as comparative optimism (thinking one is better off than similar others) and risk inaccuracy (misestimating one's risk compared to one's calculated risk) for health outcomes are common. Little research has investigated racial or socioeconomic differences in these risk biases. Results from a survey of individuals with poorly controlled hypertension (N=813) indicated that participants showed (1) comparative optimism for heart attack risk by underestimating their heart attack risk compared to similar others, and (2) risk inaccuracy by overestimating their heart attack risk compared to their calculated heart attack risk. More highly educated participants were more comparatively optimistic because they rated their personal risk as lower; education was not related to risk inaccuracy. Neither race nor the federal poverty level was related to risk biases. Worry partially mediated the relationship between education and personal risk. Results are discussed as they relate to the existing literature on risk perception.

  2. Youth Supervision While Mothers Work: A Daily Diary Study of Maternal Worry.

    PubMed

    Blocklin, Michelle K; Crouter, Ann C; McHale, Susan M

    2012-01-01

    Using data from a daily diary study of hourly hotel employees in the U.S. and their children, this study examined links between youth supervision arrangements and maternal worry while at work, examining both differences between individuals and day-to-day variation within individuals. Multilevel model analyses revealed both between- and within-person effects linking youth supervision to maternal worry. Mothers' partner status functioned as moderator, and maternal knowledge also emerged as a protective factor when youth were in self-care, highlighting a potential target for future work-family interventions, particularly those for hourly employees with limited access to family-friendly workplace policies.En utilisant les données d'une étude de journal quotidien des employés horaires de l'hôtel aux États-Unis et leurs enfants, cette étude a examiné les liens entre les modalités de supervision des jeunes et l'inquiétude maternelle pendant le travail, en examinant à la fois les différences inter individus et la variation intra individus au jour le jour. Analyses multi-niveaux ont révélé à la fois des effets inter et intra reliant la supervision des jeunes à l'inquiétude maternelle. Statut de partenaire des mères a fonctionné en tant que modérateur, et la connaissance maternelle est également apparue comme un facteur de protection lorsque les jeunes ont pris soins d'eux-mêmes, soulignant une cible potentielle pour des interventions de conciliation travail-famille, en particulier ceux conçus pour des employés horaires avec un accès limité à des politiques favorables à la famille.

  3. PedsQL gastrointestinal symptoms scales and gastrointestinal worry scales in pediatric patients with functional and organic gastrointestinal diseases in comparison to healthy controls

    USDA-ARS?s Scientific Manuscript database

    The primary objective was to compare the gastrointestinal (GI) symptoms and worry of pediatric patients with functional GI disorders (FGIDs) and organic GI diseases to healthy controls utilizing the Pediatric Quality of Life Inventory (PedsQL) Gastrointestinal Symptoms and Worry Scales for patient s...

  4. Measurement of Test and Study Worry and Emotionality in College Students: A Psychometric Evaluation of the Test and Study Attitudes Inventory

    ERIC Educational Resources Information Center

    Kieffer, Kevin M.; Reese, Robert J.

    2009-01-01

    Test worry and emotionality can substantially affect student performance on examinations, and research has shown the deleterious effects of untreated test anxiety. A recently developed measure, the Test and Study Attitudes Inventory (TSAI), has shown promise in the measurement of both test and study related worry and emotionality. The purpose of…

  5. The 2000 Census and Growth Patterns in Rural America. The Main Street Economist: Commentary on the Rural Economy.

    ERIC Educational Resources Information Center

    Sheaff, Katharine

    The 2000 Census reveals four patterns of change in rural America. Rural areas in states such as Florida and Arizona are gaining population due to high retiree growth. These areas will experience growth in service sector jobs that have low pay and low educational requirements. Florida and Arizona trail the nation in high school and college…

  6. Are You Sure There Isn't a Monster in the Closet? Regulation of Children's Worrying in Uncertain Contexts

    ERIC Educational Resources Information Center

    Evans, Ian M.; Galyer, Karma

    2009-01-01

    Intolerance of uncertainty and maladaptive information seeking are linked in many models of worry and clinical anxiety. This study aimed to examine children's use of information to regulate negative arousal associated with uncertainty in an exciting or threatening pretend play context. Children were presented with a positively or negatively…

  7. Do You Know How I Feel? Parents Underestimate Worry and Overestimate Optimism Compared to Child Self-Report

    ERIC Educational Resources Information Center

    Lagattuta, Kristin Hansen; Sayfan, Liat; Bamford, Christi

    2012-01-01

    Three studies assessed parent-child agreement in perceptions of children's everyday emotions in typically developing 4- to 11-year-old children. Study 1 (N = 228) and Study 2 (N = 195) focused on children's worry and anxiety. Study 3 (N = 90) examined children's optimism. Despite child and parent reporters providing internally consistent…

  8. Test and Study Worry and Emotionality in the Prediction of College Students' Reasons for Drinking: An Exploratory Investigation

    ERIC Educational Resources Information Center

    Kieffer, Kevin M.; Cronin, Christopher; Gawet, Debra L.

    2006-01-01

    Educational environments can place an exorbitant strain on the psychological well-being of students, and oftentimes students resort to substance use as a means to escape the stress of performance expectations. This study explored the influence of test and study worry and emotionality on students' reported reasons for consuming alcohol. The Reasons…

  9. A Construct Validation Study of Test Anxiety: A Discriminant Validation of Fear of Failure, Worry, and Emotionality.

    ERIC Educational Resources Information Center

    Hagtvet, Knut A.

    The study tested a hypothesized three-dimensional structure of test anxiety involving the constructs of fear of failure, emotionality, and worry. The discriminant validity of these three constructs was studied. Uninformed students were told about a mathematics test in a lesson just prior to administration. They were compared to informed students…

  10. Gradients of Fear Potentiated Startle During Generalization, Extinction, and Extinction Recall--and Their Relations With Worry.

    PubMed

    Dunning, Jonathan P; Hajcak, Greg

    2015-09-01

    It is well established that fear conditioning plays a role in the development and maintenance of anxiety disorders. Moreover, abnormalities in fear generalization, extinction, and extinction recall have also been associated with anxiety. The present study used a generalization paradigm to examine fear processing during phases of generalization, extinction, and extinction recall. Specifically, participants were shocked following a CS+ and were also presented with stimuli that ranged in perceptual similarity to the CS+ (i.e., 20%, 40%, or 60% smaller or larger than the CS+) during a fear generalization phase. Participants were also presented with the same stimuli during an extinction phase and an extinction recall phase 1week later; no shocks were presented during extinction or recall. Lastly, participants completed self-report measures of worry and trait anxiety. Results indicated that fear potentiated startle (FPS) to the CS+ and GS±20% shapes was present in generalization and extinction, suggesting that fear generalization persisted into extinction. FPS to the CS+ was also evident 1 week later during extinction recall. Higher levels of worry were associated with greater FPS to the CS+ during generalization and extinction phases. Moreover, individuals high in worry had fear response gradients that were steeper during both generalization and extinction. This suggests that high levels of worry are associated with greater discriminative fear conditioning to threatening compared to safe stimuli and less fear generalization to perceptually similar stimuli.

  11. Physician trust moderates the relationship between intolerance of uncertainty and cancer worry interference among women with Lynch syndrome.

    PubMed

    Torbit, Lindsey A; Albiani, Jenna J; Aronson, Melyssa; Holter, Spring; Semotiuk, Kara; Cohen, Zane; Hart, Tae L

    2016-06-01

    This study investigated the extent to which intolerance of uncertainty was associated with cancer worry interference, anxiety and depression among women with Lynch syndrome (LS), and whether having greater trust in one's physician moderated those relationships. Women with confirmed LS (N = 128) were recruited from a high-risk of cancer registry and completed a one-time self-report questionnaire. Women who reported greater intolerance of uncertainty and more trust in their physician reported less cancer worry interference compared to women who had greater intolerance of uncertainty and less trust in their physician, who reported the highest worry interference, b = -1.39, t(99) = -2.27, p = .03. No moderation effect of trust in physician was found for anxiety or depression. Trust in one's physician buffered the impact of high intolerance of uncertainty on cancer worry interference, underscoring the need for supportive provider-patient relationships, particularly for LS patients.

  12. Anxiety and Depression in Academic Performance: An Exploration of the Mediating Factors of Worry and Working Memory

    ERIC Educational Resources Information Center

    Owens, Matthew; Stevenson, Jim; Hadwin, Julie A.; Norgate, Roger

    2012-01-01

    Anxiety and depression are linked to lower academic performance. It is proposed that academic performance is reduced in young people with high levels of anxiety or depression as a function of increased test-specific worry that impinges on working memory central executive processes. Participants were typically developing children (12 to…

  13. Relations among Perceived Control over Anxiety-Related Events, Worry, and Generalized Anxiety Disorder in a Sample of Adolescents

    ERIC Educational Resources Information Center

    Frala, Jamie L.; Leen-Feldner, Ellen W.; Blumenthal, Heidemarie; Barreto, Carolina C.

    2010-01-01

    This study examined the associations among perceived control over anxiety-related events, worry, and both symptoms and diagnoses of generalized anxiety disorder (GAD). The sample was comprised of 140 adolescents (60 girls) between the ages of 10 and 17 years (M[subscript age] = 14.6 years; SD = 2.25) recruited from the general community. Findings…

  14. Investigation of the cognitive variables associated with worry in children with Generalised Anxiety Disorder and their parents.

    PubMed

    Donovan, Caroline L; Holmes, Monique C; Farrell, Lara J

    2016-03-01

    Intolerance of uncertainty (IU), negative beliefs about worry (NBW), positive beliefs about worry (PBW), negative problem orientation (NPO) and cognitive avoidance (CA) have been found to be integral in the conceptualisation of Generalised Anxiety Disorder (GAD) in adults, yet they have rarely been investigated in children with GAD. This study sought to determine (a) whether IU, NBW, PBW, NPO and CA differ between children diagnosed with GAD and non-anxious children and (b) to examine whether IU, NBW, PBW, NPO and CA differ between parents of children diagnosed with GAD and parents of children without an anxiety disorder. Participants were 50 children (aged 7-12 years), plus one of their parents. The 25 GAD children and 25 non-anxious children were matched on age and gender. Parents and children completed clinical diagnostic interviews, as well as a battery of questionnaires measuring worry, IU, NBW, PBW, NPO and CA. Children with GAD endorsed significantly higher levels of worry, IU, NBW, NPO and CA, but not PBW compared to non-anxious children. Parents of children with GAD did not differ from parents of non-anxious children on any of the variables. The study was limited by it's use of modified adult measures for some variables and a lack of heterogeneity in the sample. The cognitive variables of IU, NBW, NPO and CA may also be important in the conceptualisation and treatment of GAD in children as they are in adults. Copyright © 2015 Elsevier B.V. All rights reserved.

  15. Relations among Perceived Control over Anxiety-Related Events, Worry, and Generalized Anxiety Disorder in a Sample of Adolescents

    ERIC Educational Resources Information Center

    Frala, Jamie L.; Leen-Feldner, Ellen W.; Blumenthal, Heidemarie; Barreto, Carolina C.

    2010-01-01

    This study examined the associations among perceived control over anxiety-related events, worry, and both symptoms and diagnoses of generalized anxiety disorder (GAD). The sample was comprised of 140 adolescents (60 girls) between the ages of 10 and 17 years (M[subscript age] = 14.6 years; SD = 2.25) recruited from the general community. Findings…

  16. Anxiety and Depression in Academic Performance: An Exploration of the Mediating Factors of Worry and Working Memory

    ERIC Educational Resources Information Center

    Owens, Matthew; Stevenson, Jim; Hadwin, Julie A.; Norgate, Roger

    2012-01-01

    Anxiety and depression are linked to lower academic performance. It is proposed that academic performance is reduced in young people with high levels of anxiety or depression as a function of increased test-specific worry that impinges on working memory central executive processes. Participants were typically developing children (12 to…

  17. What keeps low-SES children from sleeping well: the role of presleep worries and sleep environment.

    PubMed

    Bagley, Erika J; Kelly, Ryan J; Buckhalt, Joseph A; El-Sheikh, Mona

    2015-04-01

    Children in families of low socioeconomic status (SES) have been found to have poor sleep, yet the reasons for this finding are unclear. Two possible mediators, presleep worries and home environment conditions, were investigated as indirect pathways between SES and children's sleep. The participants consisted of 271 children (M (age) = 11.33 years; standard deviation (SD) = 7.74 months) from families varying in SES as indexed by the income-to-needs ratio. Sleep was assessed with actigraphy (sleep minutes, night waking duration, and variability in sleep schedule) and child self-reported sleep/wake problems (e.g., oversleeping and trouble falling asleep) and sleepiness (e.g., sleeping in class and falling asleep while doing homework). Presleep worries and home environment conditions were assessed with questionnaires. Lower SES was associated with more subjective sleep/wake problems and daytime sleepiness, and increased exposure to disruptive sleep conditions and greater presleep worries were mediators of these associations. In addition, environmental conditions served as an intervening variable linking SES to variability in an actigraphy-derived sleep schedule, and, similarly, presleep worry was an intervening variable linking SES to actigraphy-based night waking duration. Across sleep parameters, the model explained 5-29% of variance. Sleep environment and psychological factors are associated with socioeconomic disparities, which affect children's sleep. Copyright © 2014 Elsevier B.V. All rights reserved.

  18. What keeps low-SES children from sleeping well: the role of presleep worries and sleep environment

    PubMed Central

    Bagley, Erika J.; Kelly, Ryan J.; Buckhalt, Joseph A.; El-Sheikh, Mona

    2014-01-01

    Objectives Children in families of low socioeconomic status (SES) have been found to have poor sleep, yet the reasons for this finding are unclear. Two possible mediators, presleep worries and home environment conditions, were investigated as indirect pathways between SES and children’s sleep. Participants/Methods The participants consisted of 271 children (M (age) = 11.33 years; standard deviation (SD) = 7.74 months) from families varying in SES as indexed by the income-to-needs ratio. Sleep was assessed with actigraphy (sleep minutes, night waking duration, and variability in sleep schedule) and child self-reported sleep/wake problems (e.g., oversleeping and trouble falling asleep) and sleepiness (e.g., sleeping in class and falling asleep while doing homework). Presleep worries and home environment conditions were assessed with questionnaires. Results Lower SES was associated with more subjective sleep/wake problems and daytime sleepiness, and increased exposure to disruptive sleep conditions and greater presleep worries were mediators of these associations. In addition, environmental conditions served as an intervening variable linking SES to variability in an actigraphy-derived sleep schedule, and, similarly, presleep worry was an intervening variable linking SES to actigraphy-based night waking duration. Across sleep parameters, the model explained 5–29% of variance. Conclusions Sleep environment and psychological factors are associated with socioeconomic disparities, which affect children’s sleep. PMID:25701537

  19. Physical activity, depressed mood and pregnancy worries in European obese pregnant women: results from the DALI study.

    PubMed

    de Wit, Linda; Jelsma, Judith G M; van Poppel, Mireille N M; Bogaerts, Annick; Simmons, David; Desoye, Gernot; Corcoy, Rosa; Kautzky-Willer, Alexandra; Harreiter, Jürgen; van Assche, Andre; Devlieger, Roland; Timmerman, Dirk; Hill, David; Damm, Peter; Mathiesen, Elisabeth R; Wender-Ozegowska, Ewa; Zawiejska, Agnieszka; Rebollo, Pablo; Lapolla, Annunziata; Dalfrà, Maria G; Del Prato, Stefano; Bertolotto, Alessandra; Dunne, Fidelma; Jensen, Dorte M; Andersen, Liselotte; Snoek, Frank J

    2015-07-31

    The purpose of this study was to examine the association between mental health status (i.e. depressed mood and pregnancy-related worries) and objectively measured physical activity levels in obese pregnant women from seven European countries. Baseline data from the vitamin D and lifestyle intervention for the prevention of gestational diabetes mellitus (DALI) study were used. Time spent in moderate-to-vigorous physical activity (MVPA) and sedentary behaviour was measured with accelerometers. Depressed mood was measured with the WHO well-being index (WHO-5) and pregnancy-related worries with the Cambridge Worry Scale (CWS). In addition, socio-demographic characteristics, lifestyle factors, and perceptions and attitude regarding weight management and physical activity were measured. Linear regression analyses were performed to assess the association of mental health status with MVPA and sedentary behaviour. A total of 98 obese pregnant women from Austria, Belgium, Ireland, Italy, Poland, Spain and the Netherlands were included. Women had a mean age of 31.6 ± 5.8 years, a pre-pregnancy BMI of 34.1 ± 4.3 kg/m(2), and were on average 15.4 ± 2.8 weeks pregnant. WHO-5 scores indicative of depressed mood (<50) were reported by 27.1 % of the women and most frequently endorsed pregnancy-related worries pertained to own and the baby's health. Women with good well-being spent 85% more time in MVPA compared to women with a depressed mood (P = 0.03). No differences in MVPA levels were found for women with no, some, or many pregnancy worries. Depressed mood and pregnancy-related worries were not associated with sedentary behaviour. These findings suggest that in pregnant women who are obese, a depressed mood, but not pregnancy-related worries, may be associated with less physical activity. The combined risk of poor mental health and low physical activity levels makes women vulnerable for pregnancy complications. Whether a depressed mood may be a barrier for improving physical

  20. Correlates and outcomes of worries about hypoglycemia in family members of adults with diabetes: The second Diabetes Attitudes, Wishes and Needs (DAWN2) study.

    PubMed

    Nefs, Giesje; Pouwer, François; Holt, Richard I G; Skovlund, Søren; Hermanns, Norbert; Nicolucci, Antonio; Peyrot, Mark

    2016-10-01

    We examined (a) the demographic and clinical correlates of worries about hypoglycemia in adult family members of adults with diabetes, and (b) the association of these worries with measures of diabetes support. The second multinational Diabetes Attitudes, Wishes and Needs (DAWN2) study cross-sectionally surveyed 2057 family members from 17 countries. Participants completed questions about demographics, diabetes, and psychosocial functioning, including worry about overall and nocturnal hypoglycemia. Analyses included hierarchical ordinal and linear regression. Eighty-five percent of family members (n=1661) were at least occasionally very worried about the risk of hypoglycemic events overall. Correlates of worries about hypoglycemia included female gender, higher age and lower education in the family member, younger age of the person with diabetes and this person being a parent or another adult (versus spouse or partner), insulin or non-insulin injectable treatment, severe or non-severe hypoglycemia in the past 12months, and family member recognition of hypoglycemia. Elevated worries about hypoglycemia had a significant independent association with increased odds of diabetes-related family arguments and family member frustration in providing helpful support (OR range 1.60-3.72). High levels of worries about hypoglycemia were associated with increased odds of attending diabetes-related health-care visits. Worries about hypoglycemia were not associated with family member involvement in diabetes care. Similar results were found for worries about nocturnal events. Worries about hypoglycemia were common in family members and were associated with suboptimal diabetes support. This issue therefore deserves increased clinician attention. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. Training Home Economists for Rural Development. Report of a Global Study on the Development of Criteria for Establishing Training Institutions for Home Economics Staff in Rural Development. FAO Economic and Social Development Paper 6.

    ERIC Educational Resources Information Center

    Cornell Univ., Ithaca, NY.

    In 1973 a global study aimed toward the development of criteria for establishing institutions for training home economists for rural development programs was initiated by the Home Economics and Social Programmes Services of the Food and Agriculture Organization of the U.N. As a first step, a survey was developed on the variety of roles appropriate…

  2. Training Home Economists for Rural Development. Report of a Global Study on the Development of Criteria for Establishing Training Institutions for Home Economics Staff in Rural Development. FAO Economic and Social Development Paper 6.

    ERIC Educational Resources Information Center

    Cornell Univ., Ithaca, NY.

    In 1973 a global study aimed toward the development of criteria for establishing institutions for training home economists for rural development programs was initiated by the Home Economics and Social Programmes Services of the Food and Agriculture Organization of the U.N. As a first step, a survey was developed on the variety of roles appropriate…

  3. A structural equation model analysis of perceived control and psychological distress on worry among African American and European American young adults.

    PubMed

    Chapman, L Kevin; Kertz, Sarah J; Woodruff-Borden, Janet

    2009-01-01

    Perceived control has been identified as an important factor in the development and maintenance of mood disorders, and worry has been shown to have a unique relationship with psychological distress associated with mood disorders. The relationships between these variables have received little attention in the literature, and even less in terms of the role racial status may serve. The current study investigated the structural relationship between psychological distress and perceived control in predicting self-reported worry as well as potential differences in paths to worry in African American and European American young adults using a structural equation model. One hundred twenty-one European American and 100 African American undergraduate students completed the Beck Depression Inventory (BDI), the State Trait Anxiety Inventory (STAI), the Anxiety Control Questionnaire (ACQ), and the Penn State Worry Questionnaire (PSWQ). Results suggest that psychological distress and perceived control predict worry in both the African American and European American samples, however there were significant differences in terms of which construct contributed most. For African Americans, psychological distress contributed significantly more to worry than perceived control, whereas low perceived control contributed more to worry for European Americans. Implications and suggestions for future research are discussed.

  4. Worry-inducing stimuli in an aversive Go/NoGo task enhance reactive control in individuals with lower trait-anxiety.

    PubMed

    Leue, Anja; Rodilla, Carmen Cano; Beauducel, André

    2017-04-01

    This study relates predictions on reactive and proactive cognitive control to findings on anxious apprehension/worry and ERN/Ne. We investigated whether worry-inducing stimuli in an aversive performance setting lead to a more pronounced increase of the ERN/Ne in individuals with lower anxious apprehension/worry. We also explored the N2 amplitude in the context of worry-inducing stimuli. Fifty-eight participants performed an extended Go/NoGo task. A neutral or fearful face was presented at the beginning of each trial, with the fearful face as a worry-inducing, distracting stimulus. In an aversive feedback condition, aversive feedback was provided for false or too slow responses. We found a more pronounced decrease of the ERN/Ne after worry-inducing stimuli compared to neutral stimuli in participants with lower anxious apprehension/worry. Moreover, less pronounced N2 amplitudes were associated with shorter reaction times in the aversive feedback condition. Implications for future research on error monitoring and trait-anxiety are discussed. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Influence of Cancer Worry on Four Cancer Related Health Protective Behaviors among a Nationally Representative Sample: Implications for Health Promotion Efforts.

    PubMed

    Amuta, Ann O; Mkuu, Rahma S; Jacobs, Wura; Ejembi, Agbenu Z

    2017-03-01

    The aims of this study were to assess what sociodemographic characteristics are associated with cancer worry and what the influence of cancer worry is on four cancer-related protective health behaviors. Data from the Health Information National Trends Survey (HINTS) (4th cycle of the 4th iteration) were used. Multiple regression models were used for all analyses. Behaviors analyzed were as follows: physical activity, diets, smoking, and routine medical screening. Demographics controls included participant age, income, body mass index (BMI), race/ethnicity, and education. N = 2630, Older participants (OR = .99, p < .001), participants with higher BMI (OR = 1.01, p = .017), females (OR = 1.39, p < .001), and highly educated participants were more likely to worry about cancer. Cancer worry was not a significant predictor of exercise, healthy eating, or cancer screening behaviors. However, participants who worried about cancer were more likely to be current smokers (RRR = 1.20, p < .001) compared to participants who never smoked. Although, worry is only an emotional influence on health behavior and may be short-lived, the influence of worry on health-related decision making is likely to be lasting even when the emotions are no longer present.

  6. Worry about cancer progression and low perceived social support: Implications for quality of life among early-stage breast cancer patients

    PubMed Central

    Waters, Erika A.; Liu, Ying; Schootman, Mario; Jeffe, Donna B.

    2012-01-01

    Background Worry about cancer progression and perceived social support can affect cancer survivors’ quality of life (QOL). Methods In 480 early-stage breast cancer survivors, we examined how worry about cancer progression and perceived social support six months after definitive surgery were associated with QOL (RAND 36-item Health Survey) at six-, 12-, and 24-month follow-up. Results At six months post-surgery, higher worry was associated with worse QOL for five of eight subscales. Lower social support was associated with worse QOL for four subscales. The negative effects of worry and limited social support dissipated for four subscales (worry) and two subscales (social support) by 12-month follow-up and for all subscales by 24-month follow-up. Social support at six months moderated the relationship between T2 worry and T4 emotional well-being; post-hoc tests did not clarify the nature of the interaction. Conclusion Early-stage breast cancer survivors who worry about cancer progression and/or have low social support may experience lower levels of QOL that can take several months to resolve. PMID:22983622

  7. The association of ownership type with job insecurity and worry about job stability: the moderating effects of fair management, positive leadership, and employment type.

    PubMed

    Heponiemi, Tarja; Elovainio, Marko; Kouvonen, Anne; Noro, Anja; Finne-Soveri, Harriet; Sinervo, Timo

    2012-01-01

    This study examined whether the ownership type is associated with job insecurity and worry about job stability and whether the type of employment contract, positive leadership, and fair management moderated these associations. Survey data from 1249 Finnish female elderly care staff aged 18 to 69 years were used. Job insecurity and worry about job stability were highest in not-for-profit sheltered homes. However, positive leadership and fair management were able to mitigate this insecurity and worry. Job insecurity was highest among fixed-term employees in public sheltered homes or not-for-profit nursing homes. Thus, promoting good leadership and fair management would be of importance.

  8. 'No need to worry': an exploration of general practitioners' reassuring strategies.

    PubMed

    Giroldi, Esther; Veldhuijzen, Wemke; Leijten, Carolien; Welter, Dionne; van der Weijden, Trudy; Muris, Jean; van der Vleuten, Cees

    2014-07-07

    In view of the paucity of evidence regarding effective ways of reassuring worried patients, this study explored reassuring strategies that are considered useful by general practitioners (GPs). In a study using a qualitative observational design, we re-analysed an existing dataset of fifteen stimulated recall interviews in which GPs elaborated on their communication with patients in two videotaped consultations. Additionally we held stimulated recall interviews with twelve GPs about two consultations selected for a strong focus on reassurance. To reassure patients, GPs pursued multiple goals: 1. influencing patients' emotions by promoting trust, safety and comfort, which is considered to be reassuring in itself and supportive of patients' acceptance of reassuring information and 2. influencing patients' cognitions by challenging patients' belief that their symptoms are indicative of serious disease, often followed by promoting patients' belief that their symptoms are benign. GPs described several actions to activate mechanisms to achieve these goals. GPs described a wealth of reassuring strategies, which make a valuable contribution to the current literature on doctor-patient communication. This detailed description may provide practicing GPs with new tools and can inform future studies exploring the effectiveness of reassurance strategies.

  9. Validating the Farsi version of the Pregnancy Worries and Stress Questionnaire (PWSQ): An exploratory factor analysis

    PubMed Central

    Navidpour, Fariba; Dolatian, Mahrokh; Shishehgar, Sara; Yaghmaei, Farideh; Majd, Hamid Alavi; Hashemi, Seyed Saeed

    2016-01-01

    Introduction Biological, environmental, inter- and intrapersonal changes during the antenatal period can result in anxiety and stress in pregnant women. It is pivotal to identify potential stressors and prevent their foetal and maternal consequences. The present study was conducted to validate and examine the factor structure of the Farsi version of the Pregnancy Worries and Stress Questionnaire (PWSQ). Methods In 2015, 502 Iranian healthy pregnant women, referred to selected hospitals in Tehran for prenatal care at 8–39 weeks of pregnancy, were recruited through a randomized cluster sampling. The PWSQ was translated into Farsi, and its validity and reliability were examined using exploratory factor analysis by SPSS version 21. Results The content validity of items on the PWSQ was between 0.63–1. The content validity index for relevance, clarity and simplicity were 0.92, 0.98, and 0.98, respectively, with a mean of 0.94. The Kaiser–Meyer–Olkin measure of sampling adequacy was 0.863. Test–retest reliability showed high internal consistency (α=0.89; p<0.0001) Conclusion The psychometric evaluation and exploratory factor analysis showed that the translated questionnaire is a valid and reliable tool to identify stress in Iranian pregnant women. Application of the questionnaire can facilitate the diagnosis of stress in pregnant women and assist health care providers in providing timely support and minimizing negative outcomes of stress and anxiety in pregnant women and their infants. PMID:27957315

  10. The Cancer Worry Scale: detecting fear of recurrence in breast cancer survivors.

    PubMed

    Custers, José A E; van den Berg, Sanne W; van Laarhoven, Hanneke W M; Bleiker, Eveline M A; Gielissen, Marieke F M; Prins, Judith B

    2014-01-01

    In 9% to 34% of cancer patients, the fear of cancer recurrence becomes so overwhelming that it affects quality of life. Clinicians need a brief questionnaire with a cutoff point that is able to differentiate between high- and low-fearful survivors. This study investigated if the Cancer Worry Scale (CWS) could serve as an instrument to detect high levels of fear of recurrence in female breast cancer survivors. One hundred ninety-four female breast cancer patients were assessed up to 11 years after their primary treatment for cancer. The women returned the questionnaires including the 8-item CWS, 2 items of the Cancer Acceptance Scale, the Checklist Individual Strength-Fatigue subscale, and the Cancer Empowerment Questionnaire. A cutoff score of 13 versus 14 (low: ≤13, high: ≥14) on the CWS was optimal for detecting severe levels of fear of recurrence. A cutoff score of 11 versus 12 (low: ≤11, high: ≥12) was optimal for screening. The Cronbach α coefficient of the CWS was .87; evidence to support the convergent and divergent validity of the CWS was also obtained. The CWS is able to detect high levels of fear of recurrence. The CWS is a reliable and valid questionnaire to assess fear of recurrence in breast cancer survivors. With the CWS, it is possible for nurses to screen breast cancer survivors for severe levels of fear of cancer recurrence. Thereby, nurses can screen and assist survivors in accessing appropriate and available support.

  11. Suppression of error-preceding brain activity explains exaggerated error monitoring in females with worry.

    PubMed

    Schroder, Hans S; Glazer, James E; Bennett, Ken P; Moran, Tim P; Moser, Jason S

    2017-01-01

    Anxiety is consistently associated with hyperactive neural responses to errors. The majority of existing research has focused on a single marker of error-elicited brain activity-the error-related negativity (ERN), an event-related brain potential (ERP) elicited 50-100ms following an erroneous response. The ERN has accumulated growing interest for its use in clinical contexts as a potential biomarker and/or endophenotype. However, it is unknown whether anxiety's effects are specific to brain activity following erroneous responses; anxiety may affect processes prior to error commission, suggesting that the ERN might reflect the output of abnormal processing that begins before an error. Here, we examined the error-preceding positivity (EPP) - an ERP time-locked to the correct response immediately before errors - that reflects a gradual disengagement of task-focused attention preceding errors. Results revealed that female worriers demonstrated significantly attenuated EPP amplitude, indicating reduced pre-error disengagement. Moreover, reduced EPP mediated the relationship between worry and the enhanced ERN following errors. These results suggest that the temporal dynamics of anxiety's impact on error processing are more nuanced than previously thought such that effects emerge prior to the actual occurrence of an erroneous response. Copyright © 2016 Elsevier B.V. All rights reserved.

  12. Memory worries and self-reported daily forgetfulness: a psychometric evaluation of the Dutch translation of the Multifactorial Memory Questionnaire.

    PubMed

    van der Werf, Sieberen P; Vos, Sandra H

    2011-02-01

    The expression of memory worries and the self-reporting of daily forgetfulness easily spark discussion among sufferers and their family or friends about what is normal or abnormal forgetfulness. One way to investigate whether the reporting of forgetfulness might be excessive is to use a standardized memory questionnaire--for instance, the Multifactorial Memory Questionnaire (MMQ). The MMQ measures worries, daily forgetfulness, and memory strategy use. In this study we present a psychometric evaluation of the Dutch translation of the MMQ and provide normative data to determine the significance of individual differences in subtest scores. In addition, clinical examples are given of the use and interpretation of percentile norms and single-case statistics.

  13. Worry and Generalized Anxiety Disorder: A Review and Theoretical Synthesis of Evidence on Nature, Etiology, Mechanisms, and Treatment

    PubMed Central

    Newman, Michelle G.; Llera, Sandra J.; Erickson, Thane M.; Przeworski, Amy; Castonguay, Louis G.

    2016-01-01

    Generalized anxiety disorder (GAD) is associated with substantial personal and societal cost yet is the least successfully treated of the anxiety disorders. In this review, research on clinical features, boundary issues, and naturalistic course, as well as risk factors and maintaining mechanisms (cognitive, biological, neural, interpersonal, and developmental), are presented. A synthesis of these data points to a central role of emotional hyperreactivity, sensitivity to contrasting emotions, and dysfunctional attempts to cope with strong emotional shifts via worry. Consistent with the Contrast Avoidance model, evidence shows that worry evokes and sustains negative affect, thereby precluding sharp increases in negative emotion. We also review current treatment paradigms and suggest how the Contrast Avoidance model may help to target key fears and avoidance tendencies that serve to maintain pathology in GAD. PMID:23537486

  14. Reform of the Buy-and-Bill System for Outpatient Chemotherapy Care Is Inevitable: Perspectives from an Economist, a Realpolitik, and an Oncologist.

    PubMed

    Polite, Blase; Conti, Rena M; Ward, Jeffery C

    2015-01-01

    Treating patients with cancer with infused or injected oncolytics is a core component of outpatient oncology practice. Currently, practices purchase drugs and then bill insurers, colloquially called "buy and bill." Reimbursement for these drugs is the largest source of gross revenue for oncology practices, and as the prices of cancer drugs have grown over time, these purchases have had significant impact on the financial health of practices and pose a risk that jeopardizes the ability of many practices to operate and provide patient care. Medicare Part B spending on drugs is under political scrutiny because of federal spending pressures, and the margin between buy and bill, lowered to 6% by the Medicare Modernization Act and further decreased to 4.3% by sequestration, is a convenient and popular target of budgetary discussions and proposals, scored to save billions of dollars over 10-year budget windows for each percentage-point reduction. Alternatives to the buy-and-bill system have been proposed to include invoice pricing, least costly alternative reimbursement, bundling of drugs into episode-of-care payments, shifting Part B drugs to the Medicare Part D benefit, and revision of the failed Competitive Acquisition Program. This article brings the perspectives of policy makers, health care economists, and providers together to discuss this major challenge in oncology payment reform.

  15. Reform of the Buy-and-Bill System for Outpatient Chemotherapy Care Is Inevitable: Perspectives from an Economist, a Realpolitik, and an Oncologist

    PubMed Central

    Polite, Blase; Conti, Rena M.; Ward, Jeffery C.

    2015-01-01

    OVERVIEW Treating patients with cancer with infused or injected oncolytics is a core component of outpatient oncology practice. Currently, practices purchase drugs and then bill insurers, colloquially called “buy and bill.” Reimbursement for these drugs is the largest source of gross revenue for oncology practices, and as the prices of cancer drugs have grown over time, these purchases have had significant impact on the financial health of practices and pose a risk that jeopardizes the ability of many practices to operate and provide patient care. Medicare Part B spending on drugs is under political scrutiny because of federal spending pressures, and the margin between buy and bill, lowered to 6% by the Medicare Modernization Act and further decreased to 4.3% by sequestration, is a convenient and popular target of budgetary discussions and proposals, scored to save billions of dollars over 10-year budget windows for each percentage-point reduction. Alternatives to the buy-and-bill system have been proposed to include invoice pricing, least costly alternative reimbursement, bundling of drugs into episode-of-care payments, shifting Part B drugs to the Medicare Part D benefit, and revision of the failed Competitive Acquisition Program. This article brings the perspectives of policy makers, health care economists, and providers together to discuss this major challenge in oncology payment reform. PMID:25993241

  16. Effectiveness of cognitive behavioral therapy for insomnia: influence of slight-to-moderate depressive symptom severity and worrying.

    PubMed

    Hamoen, Astrid B H; Redlich, Else M; de Weerd, Al W

    2014-08-01

    Cognitive behavioral therapy for insomnia (CBT-I) is a well-known, effective treatment for primary insomnia. However, the majority of sleeping problems occur in the presence of another medical or psychiatric disorder. Depression and general anxiety disorder (with a main feature of excessive generalized worrying) are disorders that frequently co-occur with insomnia. The purpose of this study is to evaluate whether depressive symptom severity or worrying influences the subjective effectiveness of CBT-I. Patients with a complaint of insomnia received CBT-I. At the beginning of the therapy, patients completed a sleep evaluation list, the Beck Depression Inventory (BDI-II-NL, N = 92), and the Penn State Worry Questionnaire (PSWQ, N = 119). Based on the BDI and the PSWQ, the sample was divided into different groups: patients with low versus high depression scores, low worriers versus high worriers, and patients without depressive symptoms who were also classified as low worriers and patients with depressive symptoms who were also classified as high worriers. The sleep evaluation list was completed directly after the treatment and 6 months later. Sleep evaluation scores, subjective total sleep time, subjective sleep onset latency, and subjective wake after sleep onset all changed in a positive way after CBT-I and remained that way over the next 6 months for all patients. These positive effects of CBT-I did not differ between the subgroups. Results suggest that CBT-I improves subjective sleep experiences, regardless of depressive symptom severity or worrying. © 2014 Wiley Periodicals, Inc.

  17. Understanding the role of cancer worry in creating a “teachable moment” for multiple risk factor reduction

    PubMed Central

    McBride, Colleen M.; Puleo, Elaine; Pollak, Kathryn I.; Clipp, Elizabeth C.; Woolford, Sam; Emmons, Karen M.

    2012-01-01

    The manuscript examines the influence of contextual factors on whether and for whom a colon polyp diagnosis might be a teachable moment, as indicated by engagement with a proactively delivered intervention. Baseline and 8-month follow-up data were analyzed from a two-site behavioral intervention trial with patients in Massachusetts and North Carolina, USA who had recently undergone polypectomy for pre-cancerous colon polyps and were randomized to a behavior change intervention condition (N = 591). Intervention “buy-in” was used as an indicator of response consistent with the polyp identification serving as a teachable moment. Cancer worry, personal risk, health-related self-identity and other sociodemographic factors were tested to predict intervention buy-in. As predicted, those who were most worried about colon cancer were most likely to engage in the intervention. One indicator of personal risk, number of risk behaviors, was significantly and negatively associated with buy-in. Predictors of intervention buy-in and cancer worry were not consistent. We recommend that expanded measures of affect and health-related self-identity should be considered in future research to understand the motivational potential of health events for increasing engagement in effective behavior change interventions. PMID:18037204

  18. Relationship between beliefs, motivation, and worries about physical activity and physical activity participation in persons with rheumatoid arthritis.

    PubMed

    Ehrlich-Jones, Linda; Lee, Jungwha; Semanik, Pamela; Cox, Cheryl; Dunlop, Dorothy; Chang, Rowland W

    2011-12-01

    To determine the relationship between beliefs, motivation, and worries about physical activity and physical activity participation in persons with rheumatoid arthritis (RA). A cross-sectional study used baseline data from 185 adults with RA enrolled in a randomized clinical trial assessing the effectiveness of an intervention to promote physical activity. Data included patients' self-reported beliefs that physical activity can be beneficial for their disease, motivation for physical activity participation, worries about physical activity participation, and average daily accelerometer counts of activity over a week's time. Body mass index (BMI), sex, age, race, and disease activity were measured as potential statistical moderators of physical activity. Physical activity participation was greater for those with higher scores on scales measuring beliefs that physical activity is beneficial for their disease (P for trend = 0.032) and motivation for physical activity participation (P for trend = 0.007) when adjusted for age, sex, BMI, race, and disease activity. There was a positive but nonsignificant trend in physical activity participation in relation to worries. Stronger beliefs that physical activity can be helpful for managing disease and increased motivation to engage in physical activity are related to higher levels of physical activity participation. These data provide a preliminary empirical rationale for why interventions targeting these concepts should lead to improved physical activity participation in adults with RA. Copyright © 2011 by the American College of Rheumatology.

  19. Interpretability of the PedsQL gastrointestinal symptoms scales and gastrointestinal worry scales in pediatric patients with functional and organic gastrointestinal diseases

    USDA-ARS?s Scientific Manuscript database

    The present study investigates the clinical interpretability of the Pediatric Quality of Life Inventor (PedsQL) Gastrointestinal Symptoms Scales and Worry Scales in pediatric patients with functional gastrointestinal disorders or organic gastrointestinal diseases in comparison with healthy controls....

  20. Treatment moderators and effectiveness of Engagement and Counseling for Latinos intervention on worry reduction in a low-income primary care sample.

    PubMed

    Alcántara, Carmela; Li, Xinliang; Wang, Ye; Canino, Glorisa; Alegría, Margarita

    2016-11-01

    We conducted a secondary analysis of randomized controlled trial data to determine if the Engagement and Counseling for Latinos (ECLA) intervention, a brief, evidence-based, and culturally adapted cognitive-behavioral intervention specifically designed for and effective at treating depression, also reduced co-occurring worry symptoms. We also explored whether delivery modality (telephone, face-to-face) and sociodemographic patient characteristics moderated treatment effectiveness. Between May 2011 and September 2012, low-income Latino primary care patients (N = 257) with depression from Boston and San Juan were randomized to usual care (n = 86), face-to-face ECLA (n = 84), or telephone ECLA (n = 87) and completed a psychosocial assessment at baseline and 4 months after randomization. We used intention-to-treat analyses with linear regression models with change in worry (4 months from randomization) as the primary outcome and treatment condition as the primary predictor. Patients in ECLA experienced significant reductions in worry at 4 months from randomization than those in usual care (PSWQΔ = -3.28, p < .05). Among patients receiving ECLA, those in the telephone condition exhibited greater worry reductions than those in the face-to-face condition (telephone: M = -7.83, SD = 11.45; face-to-face: M = -6.73, SD = 12.23; p < .05). Employment status was the only significant treatment moderator. Unemployed patients did not exhibit any changes in worry irrespective of condition, whereas employed patients exhibited the greatest worry reductions across conditions. Although worry was not a treatment target in ECLA, it also reduced worry among low-income Latinos, which suggests ECLA may have transdiagnostic clinical implications. Telephone-delivered ECLA might hold promise for increasing the uptake of mental health care among employed low-income Latinos. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  1. The Y-Worri Project: study protocol for a randomised controlled trial

    PubMed Central

    2013-01-01

    Background Anxiety disorders are one of the most common psychological problems in adolescents. The school system has been identified as an ideal setting for the implementation of prevention and early intervention programs for anxiety; however, few programs are routinely delivered in schools and little is known about the best delivery methods. The aim of the current project is two-fold: to test the effectiveness of an intervention program for anxiety relative to a control condition, and to compare two methods of implementing the program. Methods/design This study is a three-arm cluster randomised controlled trial consisting of a wait-list control condition and two intervention conditions evaluating the effectiveness of an Internet-based program for preventing generalised anxiety. The first intervention condition will involve classroom teachers supervising student completion of the intervention program, while the second intervention condition will involve the classroom teacher and an education officer from the local youth mental health centre supervising the program’s completion. At least 30 schools from across Australia will be recruited to the trial, with adolescents aged between 14 and 18 years invited to participate. Participants in the intervention conditions will complete the e-couch Anxiety and Worry program during class periods over six weeks. The primary outcome measure will be a scale reflecting the number and severity of generalised anxiety symptoms, while secondary outcomes will be symptoms of depression, social anxiety and anxiety sensitivity. Data will be collected at pre-intervention, post-intervention, 6- and 12-month follow-up. Intention-to-treat analyses will be conducted. Discussion If demonstrated effective, a new service delivery model for the implementation of mental health programs in schools could be indicated. Such a model would significantly contribute to the mental health of young people in Australia by providing preventive interventions

  2. "Worried about relapse": Family members' experiences and perspectives of relapse in first-episode psychosis.

    PubMed

    Lal, Shalini; Malla, Ashok; Marandola, Gina; Thériault, Joanie; Tibbo, Phil; Manchanda, Rahul; Williams, Richard; Joober, Ridha; Banks, Nicola

    2017-05-19

    The purpose of this study was to gain an in-depth understanding on the subject of relapse from the perspectives of family members of young people receiving services for a first-episode psychosis (FEP). A qualitative descriptive approach, using focus group methods, was used to elicit experiences, understandings, and knowledge of relapse in FEP. Family members were recruited from 4 specialized early intervention programmes for psychosis in Canada. A total of 24 (6 male, 18 female) family members participated in the study. Thematic analysis was used to examine the data. The core underlying theme in all focus groups was worrying about relapse, which was often accompanied by significant levels of fear and anxiety, and was influenced by: (1) impact of an episode of psychosis; (2) limited confidence in recognizing and coping with relapse; (3) unmet needs for coping skills and emotional support and (4) unmet needs regarding frequency and continuity of communication with clinicians. Family members' unmet needs for relapse-focused education, support and communication with service providers and peers, can have a negative impact on relapse prevention. Addressing family members' education and support needs in a tailored manner (including preferences for types of peer support) can contribute positively to their confidence and ability to recognize and respond to relapse. This can help reduce fear and anxieties about relapse, and positively influence the ability to function as caregivers. Future research should focus on best approaches for providing education, sustained contact with the clinical team and family peer support. © 2017 John Wiley & Sons Australia, Ltd.

  3. What's the worry with diabetes? Learning from the experiences of white European and South Asian people with a new diagnosis of diabetes.

    PubMed

    Wilkinson, Emma; Randhawa, Gurch; Singh, Maninder

    2014-10-01

    An exploration of diabetes diagnosis from the patient perspective is important for understanding inequalities in access and developing quality care through the diabetes care pathway. South Asian and White European patients over 16 years with a recent (<1 year) diagnosis of diabetes were recruited from 18 GP practices in three UK locations--Luton, West London and Leicester. A semi-structured qualitative interview was conducted with 47 patients, 28 South Asian and 19 White European. Interview transcripts were analysed thematically and comparisons made between the White and South Asian groups. People expressed a range of emotions at diagnosis. Although many participants were familiar with diabetes through family and friends and were undergoing monitoring for comorbidities, they were surprised and upset to be diagnosed. In contrast, a small number reported how they did not worry about their diabetes diagnosis and others highlighted the different public perceptions, which exist about the seriousness of diabetes in relation to a diagnosis of cancer. Attitudes to diagnosis of diabetes varied on an individual basis and not directly by ethnicity. Practitioners need to be adaptable to work with individuals in order to facilitate access and support diverse populations. Copyright © 2013 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

  4. What's in a name? Intolerance of uncertainty, other uncertainty-relevant constructs, and their differential relations to worry and generalized anxiety disorder.

    PubMed

    Koerner, Naomi; Mejia, Teresa; Kusec, Andrea

    2017-03-01

    A number of studies have examined the association of intolerance of uncertainty (IU) to trait worry and generalized anxiety disorder (GAD). However, few studies have examined the extent of overlap between IU and other psychological constructs that bear conceptual resemblance to IU, despite the fact that IU-type constructs have been discussed and examined extensively within psychology and other disciplines. The present study investigated (1) the associations of IU, trait worry, and GAD status to a negative risk orientation, trait curiosity, indecisiveness, perceived constraints, self-oriented and socially prescribed perfectionism, intolerance of ambiguity, the need for predictability, and the need for order and structure and (2) whether IU is a unique correlate of trait worry and of the presence versus absence of Probable GAD, when overlap with other uncertainty-relevant constructs is accounted for. N = 255 adults completed self-report measures of the aforementioned constructs. Each of the constructs was significantly associated with IU. Only IU, and a subset of the other uncertainty-relevant constructs were correlated with trait worry or distinguished the Probable GAD group from the Non-GAD group. IU was the strongest unique correlate of trait worry and of the presence versus absence of Probable GAD. Indecisiveness, self-oriented perfectionism and the need for predictability were also unique correlates of trait worry or GAD status. Implications of the findings are discussed, in particular as they pertain to the definition, conceptualization, and cognitive-behavioral treatment of IU in GAD.

  5. Alterations in Amygdala-Prefrontal Functional Connectivity Account for Excessive Worry and Autonomic Dysregulation in Generalized Anxiety Disorder.

    PubMed

    Makovac, Elena; Meeten, Frances; Watson, David R; Herman, Aleksandra; Garfinkel, Sarah N; D Critchley, Hugo; Ottaviani, Cristina

    2016-11-15

    Generalized anxiety disorder (GAD) is characterized by the core symptom of uncontrollable worry. Functional magnetic resonance imaging studies link this symptom to aberrant functional connectivity between the amygdala and prefrontal cortex. Patients with GAD also display a characteristic pattern of autonomic dysregulation. Although frontolimbic circuitry is implicated in the regulation of autonomic arousal, no previous study to our knowledge combined functional magnetic resonance imaging with peripheral physiologic monitoring in these patients to test the hypothesis that core symptoms of worry and autonomic dysregulation in GAD arise from a shared underlying neural mechanism. We used resting-state functional magnetic resonance imaging and the measurement of parasympathetic autonomic function (heart rate variability) in 19 patients with GAD and 21 control subjects to define neural correlates of autonomic and cognitive responses before and after induction of perseverative cognition. Seed-based analyses were conducted to quantify brain changes in functional connectivity with the right and left amygdala. Before induction, patients showed relatively lower connectivity between the right amygdala and right superior frontal gyrus, right paracingulate/anterior cingulate cortex, and right supramarginal gyrus than control subjects. After induction, such connectivity patterns increased in patients with GAD and decreased in control subjects, and these changes tracked increases in state perseverative cognition. Moreover, decreases in functional connectivity between the left amygdala and subgenual cingulate cortex and between the right amygdala and caudate nucleus predicted the magnitude of reduction in heart rate variability after induction. Our results link functional brain mechanisms underlying worry and rumination to autonomic dyscontrol, highlighting overlapping neural substrates associated with cognitive and autonomic responses to the induction of perseverative cognitions

  6. Religious Coping and Locus of Control in Normal Pregnancy: Moderating Effects Between Pregnancy Worries and Mental Health.

    PubMed

    Puente, Cecilia Peñacoba; Morales, Dolores Marín; Monge, Francisco Javier Carmona

    2015-10-01

    Most studies about coping in pregnancy focus on risk pregnancies where it has generally been found that the use of religious coping has a positive effect, although to our knowledge there are no studies that associate religious coping to locus of control. We analyzed, in a sample of 285 Spanish women with normal pregnancies, the effect of both variables on psychiatric symptoms and on the relationship between psychiatric symptoms and pregnancy worries. The results show no association between locus of control and religious coping. Locus of control has a significant influence on the pregnant women's mental health, while religious coping just adds an additional influence.

  7. Obesity among Scottish 15 year olds 1987–2006: prevalence and associations with socio-economic status, well-being and worries about weight

    PubMed Central

    Sweeting, Helen; West, Patrick; Young, Robert

    2008-01-01

    Background Increases in the prevalence of child and adolescent obesity have accelerated since the mid 1980s. Socio-economic status (SES)-adiposity relationships appear less clear in adolescence than childhood, and evidence on whether increasing obesity is itself patterned according to SES is inconsistent. Increasing prevalence may have increased the tolerance, and reduced recognition of, or concern about, obesity. The aim of this study is to report the prevalence of obesity and its association with SES, well-being and worries about weight among 15-year olds in 1987, 1999 and 2006. Methods Height and weight data obtained from 15-year olds in 1987 (N = 503), 1999 (N = 2,145) and 2006 (N = 3,019), allowed categorisation of obesity (UK90 criteria). SES was represented by parental occupational class and area deprivation; psychological wellbeing by the 12-item General Health Questionnaire (GHQ-12) and self-esteem; weight worries by 'a lot' of worry about weight. Results Obesity prevalence was 6.7%, 10.6% and 15.9% (males), and 5.4%, 11.5% and 14.9% (females) in 1987, 1999 and 2006. Among obese males, BMIs increased over time. There was little evidence of differentials in obesity in respect of either SES measure, and none for increased disparities over time. There was no association between obesity and GHQ-12 'caseness' or (except females in 2006) self-esteem. Weight worries were more prevalent among the obese and increased over time overall, but the obesity-weight worry relationship did not change. At each date, large proportions of the obese did not worry 'a lot' about weight, while among the non-obese, up to 18.8% males and 40.1% females (in 2006) did worry. Conclusion Between 1987 and 2006, prevalence of obesity among Scottish 15 year olds increased around 2.5 times. However, this increasing prevalence did not impact on the obesity-weight-worry relationship. While many obese adolescents appear unconcerned about their weight, a significant minority of the non

  8. Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional designed study in healthy pregnant women.

    PubMed

    Mourady, Danielle; Richa, Sami; Karam, Rita; Papazian, Tatiana; Hajj Moussa, Fabienne; El Osta, Nada; Kesrouani, Assaad; Azouri, Joseph; Jabbour, Hicham; Hajj, Aline; Rabbaa Khabbaz, Lydia

    2017-01-01

    Health-related quality of life (QOL) is reported to be reduced during pregnancy. Associations between QOL, physical activity (PA), insomnia, depression and worry are insufficiently investigated among pregnant women. The aim of this study was to evaluate QOL and PA patterns among healthy pregnant women, and to examine how QOL might correlate to PA, sleep, worry and depression. This is an observational cross-sectional study, conducted among a convenient sample of 141 healthy pregnant women using five questionnaires: WHOQOL-brief (WHO quality of life questionnaire, brief version, ISI (Insomnia Severity Index), PSWQ (Penn State Worry Questionnaire), ZSRDS (Zung Self-Rating Depression Scale), and Pregnancy Physical Activity Questionnaire (PPAQ). Pre-gestational BMI was inversely correlated to overall health while education was positively correlated to psychological health, social relationships and environment domains. Smoking before and during pregnancy significantly impacted the general health and psychological health. Total and light PA were positively correlated to psychological health and social relationships. Sports/exercise showed positive correlations with several QOL domains. Insomnia and depression were significantly associated with a decrease in all domains of QOL, while worries were associated with a decrease in physical, psychological and environmental domains. There were significant negative correlations between ZSRDS scores and total activity. PA, worries, depression and insomnia affected QOL during pregnancy. Furthermore, pregnant women presenting depression had a reduced total PA. Sleep and mental health as well as encouraging PA during pregnancy are necessary to improve the quality of life of pregnant women.

  9. Exploring the relationship between worry and impulsivity in military recruits: the role of mindfulness and self-compassion as potential mediators.

    PubMed

    Mantzios, Michail

    2014-12-01

    When military recruits cannot tolerate the stressful environment in the military, they typically become more impulsive. Impulsivity serves to avoid the stress, or, in other words, to release the pressure and cope. Becoming more impulsive, however, is related to damaging behaviours and unsuccessful coping. This research explored the relationship between worry and impulsivity in armed forces, and the possibility of mindfulness and self-compassion mediating this relationship. Participants (n = 166), who were in the second week of their basic military training, completed questionnaires in mindfulness, self-compassion, worry and impulsivity. Results indicated that worry related positively to impulsivity. Further, the negative relationship of worry with mindfulness and self-compassion mediated the relationship between worry and impulsivity. Findings support the notion that lacking mindfulness and self-compassion, in excessive worriers, may lead to impulsivity. This research concluded that mindfulness and self-compassion may assist military personnel who are exposed to highly stressful environments. Alternative explanations and future directions are discussed.

  10. The effects of providing lung age and respiratory symptoms feedback on community college smokers' perceived smoking-related health risks, worries and desire to quit.

    PubMed

    Lipkus, Isaac M; Prokhorov, Alexander V

    2007-03-01

    This study examined the effects of providing lung age, as assessed via a lung function test (spirometry), and respiratory symptoms feedback on college smokers' perceived smoking-related risks, worries and desire to quit. We also investigated whether smokers reacted defensively to this feedback. One hundred and twenty-four smokers were randomized to either receive lung age and respiratory symptoms feedback (intervention group) or a brochure containing facts about smoking only (control group). Perceived risks, worries and desire to quit did not differ between groups. In both groups, worries, but not perceived risks, were correlated with a stronger desire to quit. With increasing lung age, smokers rated the feedback as less relevant and reported exerting less effort breathing in and out while undergoing spirometry. The latter two outcomes were associated with less worry. These findings suggest that lung age and respiratory symptoms feedback does not translate readily into appreciable changes in motivation to quit as well as do other often reported mediators of change (e.g., perceived risks and worries).

  11. Improved viability of populations with diverse life-history portfolios

    PubMed Central

    Greene, Correigh M.; Hall, Jason E.; Guilbault, Kimberly R.; Quinn, Thomas P.

    2010-01-01

    A principle shared by both economists and ecologists is that a diversified portfolio spreads risk, but this idea has little empirical support in the field of population biology. We found that population growth rates (recruits per spawner) and life-history diversity as measured by variation in freshwater and ocean residency were negatively correlated across short time periods (one to two generations), but positively correlated at longer time periods, in nine Bristol Bay sockeye salmon populations. Further, the relationship between variation in growth rate and life-history diversity was consistently negative. These findings strongly suggest that life-history diversity can both increase production and buffer population fluctuations, particularly over long time periods. Our findings provide new insights into the importance of biocomplexity beyond spatio-temporal aspects of populations, and suggest that maintaining diverse life-history portfolios of populations may be crucial for their resilience to unfavourable conditions like habitat loss and climate change. PMID:20007162

  12. Improved viability of populations with diverse life-history portfolios.

    PubMed

    Greene, Correigh M; Hall, Jason E; Guilbault, Kimberly R; Quinn, Thomas P

    2010-06-23

    A principle shared by both economists and ecologists is that a diversified portfolio spreads risk, but this idea has little empirical support in the field of population biology. We found that population growth rates (recruits per spawner) and life-history diversity as measured by variation in freshwater and ocean residency were negatively correlated across short time periods (one to two generations), but positively correlated at longer time periods, in nine Bristol Bay sockeye salmon populations. Further, the relationship between variation in growth rate and life-history diversity was consistently negative. These findings strongly suggest that life-history diversity can both increase production and buffer population fluctuations, particularly over long time periods. Our findings provide new insights into the importance of biocomplexity beyond spatio-temporal aspects of populations, and suggest that maintaining diverse life-history portfolios of populations may be crucial for their resilience to unfavourable conditions like habitat loss and climate change.

  13. Hypochondriacal attitudes and beliefs, attitudes towards complementary and alternative medicine and modern health worries predict patient satisfaction.

    PubMed

    Fionda, Sofia; Furnham, Adrian

    2014-11-01

    To investigate how hypochondriacal attitudes and beliefs, attitudes towards complementary and alternative medicine (CAM) and modern health worries (MHWs) related to patient satisfaction with their general practitioner. Participants completed a five-part questionnaire anonymously which measured satisfaction with one's doctor, hypochondriacal beliefs, attitudes to CAM, MHWs and personality. England. Included 215 adults from a variety of cultural backgrounds. The Illness Attitudes Scales measuring the attitudes, fears and beliefs associated with hypochondriasis; Worry about Illness; Concerns about Pain, Health Habits, Hypochondriacal beliefs; Thanatophobia, Disease phobia, Bodily preoccupations; Treatment experience and Effects of symptoms. Correlations (around r = .10 to .25) and Regressions (R square from .06 to .09) showed demographic and personality variables only modestly related to patient satisfaction. Hypochondriasis, CAM and MHWs were associated with greater patient dissatisfaction as predicted with the former as the most powerful correlate. The study indicates the different needs of potential patients in a typical medical consultation. It is important to ascertain patients' health beliefs and practices with regard to medical history, attitudes to CAM and MHWs to increase consultation satisfaction.

  14. Pathways involving traumatic losses, worry about family, adult separation anxiety and posttraumatic stress symptoms amongst refugees from West Papua.

    PubMed

    Tay, Alvin Kuowei; Rees, Susan; Chen, Jack; Kareth, Moses; Silove, Derrick

    2015-10-01

    There is some evidence that adult separation anxiety disorder (ASAD) symptoms are closely associated with posttraumatic stress disorder (PTSD) amongst refugees exposed to traumatic events (TEs), but the pathways involved remain to be elucidated. A recent study suggests that separation anxiety disorder precedes and predicts onset of PTSD. We examined a path model testing whether ASAD symptoms and worry about family mediated the path from traumatic losses to PTSD symptoms amongst 230 refugees from West Papua. Culturally adapted measures were applied to assess TE exposure and symptoms of ASAD and PTSD. A structural equation model indicated that ASAD symptoms played an important role in mediating the effects of traumatic losses and worry about family in the pathway to PTSD symptoms. Although based on cross-sectional data, our findings suggest that ASAD symptoms may play a role in the path from traumatic losses to PTSD amongst refugees. We propose an evolutionary model in which the ASAD and PTSD reactions represent complementary survival responses designed to protect the individual and close attachments from external threats.

  15. Worries are the mother of many diseases: general practitioners and refugees in the Netherlands on stress, being ill and prejudice.

    PubMed

    Feldmann, C Titia; Bensing, Jozien M; de Ruijter, Arie

    2007-03-01

    To confront the views of refugee patients and general practitioners in the Netherlands, focusing on medically unexplained physical symptoms (MUPS). The study is based on in depth interviews with refugees from Afghanistan (n = 36) and Somalia (n = 30). Additionally, semi-structured interviews were conducted with 24 general practitioners. Text fragments concerning the relationship between mental worries and health or physical ailments were subject of a secondary analysis, the results of which are presented. Medically unexplained physical symptoms were a key issue for both refugees and GPs. The GPs saw MUPS as a significant part of the illness presentation by refugee patients. Refugees felt GPs were often prejudiced, too readily using their difficult background as an explanation for physical symptoms. A 'general narrative' circulating in the refugee communities undermines trust. The GPs applied different strategies in dealing with MUPS presented by their refugee patients. A 'human interest strategy' is distinguished from a 'technical strategy'. The results are discussed in the wider context of the literature on MUPS and patient satisfaction. No fundamental difference in paradigms was found between refugees and GPs as to the negative influence worries and bad experiences can have on health. For a fruitful cooperation to develop, based on trust, GPs need to invest in the relationship with individual refugees, and avoid actions based on prejudice. The importance of (a lack of) trust is underestimated in medical practice. Phenomena undermining trust are often out of sight for practitioners. Critical reflection is needed on the strategies practitioners employ to deal with MUPS.

  16. Environmental transmission of generalized anxiety disorder from parents to children: worries, experiential avoidance, and intolerance of uncertainty

    PubMed Central

    Aktar, Evin; Nikolić, Milica; Bögels, Susan M.

    2017-01-01

    Generalized anxiety disorder (GAD) runs in families. Building on recent theoretical approaches, this review focuses on potential environmental pathways for parent-to-child transmission of GAD. First, we address child acquisition of a generalized pattern of fearful/anxious and avoidant responding to potential threat from parents via verbal information and via modeling. Next, we address how parenting behaviors may contribute to maintenance of fearful/anxious and avoidant reactions in children. Finally, we consider intergenerational transmission of worries as a way of coping with experiential avoidance of strong negative emotions and with intolerance of uncertainty. We conclude that parents with GAD may bias their children's processing of potential threats in the environment by conveying the message that the world is not safe, that uncertainty is intolerable, that strong emotions should be avoided, and that worry helps to cope with uncertainty, thereby transmitting cognitive styles that characterize GAD. Our review highlights the need for research on specific pathways for parent-to-child transmission of GAD. PMID:28867938

  17. Prenatally detected de novo apparently balanced chromosomal rearrangements: the effect on maternal worry, family functioning and intent of disclosure.

    PubMed

    Sinnerbrink, Ingrid B; Meiser, Bettina; Halliday, Jane; Sherwen, Amanda; Amor, David J; Waters, Elizabeth; Rea, Felicity; Evans, Elizabeth; Rahman, Belinda; Kirk, Edwin P

    2014-06-01

    This study aims to assess the impact of prenatal diagnosis of de novo apparently balanced chromosome rearrangements (ABCRs) on maternal stress, family functioning and maternal plans of disclosure of genetic information to their child. All liveborn children with prenatally detected de novo ABCRs in two Australian states over a 10-year period (1994-2003) were retrospectively ascertained. Of 39 eligible cases, 16 (41%) participated in the study. Mothers of these children completed a questionnaire using standardized measures to assess family functioning, parental distress, parent-child interaction and child characteristics, with open-ended questions regarding disclosure. The majority of mothers appeared to experience normal levels of parenting stress, quality of parent-child interaction and healthy family functioning. However, most mothers recalled experiencing a significant degree of worry at the time of receiving their prenatal test results, and some mothers (4/15) reported receiving uncertain or conflicting results. Most mothers (13/15) conveyed an understanding of the importance of disclosing this genetic information to their child, and 12/15 conveyed their intention to make this disclosure. Most mothers reported normal parenting stress and family functioning, despite experiencing significant worry upon receiving results. Some children are at risk of nondisclosure of their carrier status. © 2014 John Wiley & Sons, Ltd.

  18. Hypochondriacal attitudes and beliefs, attitudes towards complementary and alternative medicine and modern health worries predict patient satisfaction

    PubMed Central

    Fionda, Sofia

    2014-01-01

    Summary Objective To investigate how hypochondriacal attitudes and beliefs, attitudes towards complementary and alternative medicine (CAM) and modern health worries (MHWs) related to patient satisfaction with their general practitioner. Design Participants completed a five-part questionnaire anonymously which measured satisfaction with one’s doctor, hypochondriacal beliefs, attitudes to CAM, MHWs and personality. Setting England Participants Included 215 adults from a variety of cultural backgrounds. Main outcome measure The Illness Attitudes Scales measuring the attitudes, fears and beliefs associated with hypochondriasis; Worry about Illness; Concerns about Pain, Health Habits, Hypochondriacal beliefs; Thanatophobia, Disease phobia, Bodily preoccupations; Treatment experience and Effects of symptoms. Results Correlations (around r = .10 to .25) and Regressions (R square from .06 to .09) showed demographic and personality variables only modestly related to patient satisfaction. Hypochondriasis, CAM and MHWs were associated with greater patient dissatisfaction as predicted with the former as the most powerful correlate. Conclusion The study indicates the different needs of potential patients in a typical medical consultation. It is important to ascertain patients’ health beliefs and practices with regard to medical history, attitudes to CAM and MHWs to increase consultation satisfaction. PMID:25408919

  19. Terrorism-related fear and avoidance behavior in a multiethnic urban population.

    PubMed

    Eisenman, David P; Glik, Deborah; Ong, Michael; Zhou, Qiong; Tseng, Chi-Hong; Long, Anna; Fielding, Jonathan; Asch, Steven

    2009-01-01

    We sought to determine whether groups traditionally most vulnerable to disasters would be more likely than would be others to perceive population-level risk as high (as measured by the estimated color-coded alert level) would worry more about terrorism, and would avoid activities because of terrorism concerns. We conducted a random digit dial survey of the Los Angeles County population October 2004 through January 2005 in 6 languages. We asked respondents what color alert level the country was under, how often they worry about terrorist attacks, and how often they avoid activities because of terrorism. Multivariate regression modeled correlates of worry and avoidance, including mental illness, disability, demographic factors, and estimated color-coded alert level. Persons who are mentally ill, those who are disabled, African Americans, Latinos, Chinese Americans, Korean Americans, and non-US citizens were more likely to perceive population-level risk as high, as measured by the estimated color-coded alert level. These groups also reported more worry and avoidance behaviors because of concerns about terrorism. Vulnerable populations experience a disproportionate burden of the psychosocial impact of terrorism threats and our national response. Further studies should investigate the specific behaviors affected and further elucidate disparities in the disaster burden associated with terrorism and terrorism policies.

  20. Terrorism-Related Fear and Avoidance Behavior in a Multiethnic Urban Population

    PubMed Central

    Glik, Deborah; Ong, Michael; Zhou, Qiong; Tseng, Chi-Hong; Long, Anna; Fielding, Jonathan; Asch, Steven

    2009-01-01

    Objectives. We sought to determine whether groups traditionally most vulnerable to disasters would be more likely than would be others to perceive population-level risk as high (as measured by the estimated color-coded alert level) would worry more about terrorism, and would avoid activities because of terrorism concerns. Methods. We conducted a random digit dial survey of the Los Angeles County population October 2004 through January 2005 in 6 languages. We asked respondents what color alert level the country was under, how often they worry about terrorist attacks, and how often they avoid activities because of terrorism. Multivariate regression modeled correlates of worry and avoidance, including mental illness, disability, demographic factors, and estimated color-coded alert level. Results. Persons who are mentally ill, those who are disabled, African Americans, Latinos, Chinese Americans, Korean Americans, and non-US citizens were more likely to perceive population-level risk as high, as measured by the estimated color-coded alert level. These groups also reported more worry and avoidance behaviors because of concerns about terrorism. Conclusions. Vulnerable populations experience a disproportionate burden of the psychosocial impact of terrorism threats and our national response. Further studies should investigate the specific behaviors affected and further elucidate disparities in the disaster burden associated with terrorism and terrorism policies. PMID:19008521

  1. Brief Report: What Happens When I Can No Longer Support My Autistic Relative? Worries About the Future for Family Members of Autistic Adults.

    PubMed

    Herrema, Renske; Garland, Deborah; Osborne, Malcolm; Freeston, Mark; Honey, Emma; Rodgers, Jacqui

    2017-07-28

    Very little is known about autism and adulthood. Family members are often the primary support for autistic adults and frequently express concerns about what the future will hold and what support will be available for their relative. 120 family members of autistic adults completed an online survey exploring concerns about the future for their relative. The most endorsed concerns were "their needs won't be met" (77% worried weekly), "whether they will be happy" (72% worried weekly) and "who will care for them" (58% worried weekly). The results highlight the importance of implementing structured and timely support through collaboration with governmental policy, local commissioning and communication with charities to help prepare family members and their autistic relative for the future.

  2. Understanding the role of family dynamics, perceived norms, and lung cancer worry in predicting second-hand smoke avoidance among high-risk lung cancer families.

    PubMed

    Manning, Mark; Wojda, Mark; Hamel, Lauren; Salkowski, Alicia; Schwartz, Ann G; Harper, Felicity Wk

    2017-10-01

    Reducing exposure to environmental tobacco smoke significantly reduces lung cancer risk. We used family communication patterns theory and the theory of planned behavior to examine whether perceived norms and lung cancer worry more strongly influenced intentions to avoid environmental tobacco smoke in families higher in conformity and conversation orientations. Results from 52 individuals in 17 high-risk lung cancer families showed injunctive norms were positively related to intentions when families conformed and conversed more. Lung cancer worry was positively related to intentions in high conformity families and negatively related to intentions in low conformity families. Findings can benefit interventions to reduce environmental tobacco smoke exposure.

  3. Coping with worry while waiting for diagnostic results: a qualitative study of the experiences of pregnant couples following a high-risk prenatal screening result.

    PubMed

    Lou, Stina; Nielsen, Camilla P; Hvidman, Lone; Petersen, Olav B; Risør, Mette B

    2016-10-21

    It is well documented that pregnant women experience increased worry and uncertainty following a high-risk prenatal screening result. While waiting for diagnostic results this worry continues to linger. It has been suggested that high-risk women put the pregnancy mentally 'on hold' during this period, however, not enough is known about how high-risk women and their partners cope while waiting for diagnostic results. The aim of this study was to identify the strategies employed to cope with worry and uncertainty. Qualitative, semi-structured interviews with 16 high-risk couples who underwent diagnostic testing. The couples were recruited at a university hospital fetal medicine unit in Denmark. Data were analysed using thematic analysis. All couples reported feeling worried and sad upon receiving a high-risk screening result. While waiting for diagnostic results, the couples focused on coming to their own understanding of the situation and employed both social withdrawal and social engagement as strategies to prevent worry from escalating. Additionally, couples used gratitude, reassuring reasoning and selective memory as means to maintain hopes for a good outcome. Discussions about what to do in case of an abnormal test result were notably absent in the accounts of waiting. This bracketing of the potential abnormal result allowed the couples to hold on to a 'normal' pregnancy and to employ an 'innocent-till-proven-guilty' approach to their worries about the fetus's health. None of the interviewed couples regretted having prenatal screening and all of them expected to have prenatal screening in a future pregnancy. The couples in this study did not put the pregnancy mentally 'on hold'. Worry and uncertainty must be understood as managed through a diverse range of practical and emotional strategies that change and overlap in the process of waiting. Clinicians may support appropriate ways of coping with worry and waiting through empathetic and empowering clinical

  4. Supportive but "worried": perceptions of naturopaths, homeopaths and Chinese medicine practitioners through a regulatory transition in Ontario, Canada.

    PubMed

    Ijaz, Nadine; Boon, Heather; Welsh, Sandy; Meads, Allison

    2015-09-07

    In line with recent World Health Organization recommendations, many jurisdictions are taking steps to regulate practitioners of traditional, complementary and alternative medicine (TCAM). Previous studies have examined TCAM practitioners' generally-supportive views about professional regulation; however, little research has been conducted on TCAM practitioners' experiences and perspectives amidst an active regulatory process. In 2006 and 2007, the province of Ontario, Canada announced it would grant self-regulatory status to three TCAM practitioner groups--homeopaths, naturopaths and Chinese medicine practitioners/acupuncturists. In 2011 and 2012, part-way through each group's regulatory process, we surveyed all practitioners from these three groups (n=1047) that could be identified from public registries and professional associations. The data presented here are derived from the sub-sample of homeopaths (n=234), naturopaths (n=273) and Chinese medicine practitioners/acupuncturists (n=181) who provided answers to an open-ended question about their opinions of the regulatory process at the end of the survey. An inductive, thematic analysis of qualitative survey responses was conducted. Survey responses affirmed a pro-regulatory stance across all groups, but revealed considerable 'worry' amongst practitioners as to how the regulations might be implemented. Four primary 'worry-related' themes emerged: a) regulation's potential administrative and financial burden on practitioners; b) scope-related concerns; c) implementation of fair registration standards; and d) whether regulation might erode the groups' distinctive worldviews. Some occupationally-specific concerns appeared related to each group's particular stage of professionalization. Other 'worries' may be related to the relative marginality of TCAM practitioner groups within biomedically-dominant national health care systems, and the possibility that inter-professional hierarchies may be emerging between

  5. Providing Preoperative Information for Children Undergoing Surgery: A Randomized Study Testing Different Types of Educational Material to Reduce Children's Preoperative Worries

    ERIC Educational Resources Information Center

    Fernandes, S. C.; Arriaga, P.; Esteves, F.

    2014-01-01

    This study developed three types of educational preoperative materials and examined their efficacy in preparing children for surgery by analysing children's preoperative worries and parental anxiety. The sample was recruited from three hospitals in Lisbon and consisted of 125 children, aged 8-12 years, scheduled to undergo outpatient surgery. The…

  6. A Factor Analytic Study of the Test Anxiety Inventory and A-State Worry and Emotionality Items from the State-Trait Anxiety Inventory (Form Y).

    ERIC Educational Resources Information Center

    Hedl, John J., Jr.

    The Test Anxiety Inventory (TAI) and worry and emotionality items from the State-Trait Anxiety Inventory (STAI) (Form Y) were administered to college students from three metropolitan colleges as part of several psychological experiments. The TAI was administered to a total of 543 students, and the STAI A-State items were administered twice to a…

  7. Impact of Direct-to-Consumer Predictive Genomic Testing on Risk Perception and Worry Among Patients Receiving Routine Care in a Preventive Health Clinic

    PubMed Central

    James, Katherine M.; Cowl, Clayton T.; Tilburt, Jon C.; Sinicrope, Pamela S.; Robinson, Marguerite E.; Frimannsdottir, Katrin R.; Tiedje, Kristina; Koenig, Barbara A.

    2011-01-01

    OBJECTIVE: To assess the impact of direct-to-consumer (DTC) predictive genomic risk information on perceived risk and worry in the context of routine clinical care. PATIENTS AND METHODS: Patients attending a preventive medicine clinic between June 1 and December 18, 2009, were randomly assigned to receive either genomic risk information from a DTC product plus usual care (n=74) or usual care alone (n=76). At intervals of 1 week and 1 year after their clinic visit, participants completed surveys containing validated measures of risk perception and levels of worry associated with the 12 conditions assessed by the DTC product. RESULTS: Of 345 patients approached, 150 (43%) agreed to participate, 64 (19%) refused, and 131 (38%) did not respond. Compared with those receiving usual care, participants who received genomic risk information initially rated their risk as higher for 4 conditions (abdominal aneurysm [P=.001], Graves disease [P=.04], obesity [P=.01], and osteoarthritis [P=.04]) and lower for one (prostate cancer [P=.02]). Although differences were not significant, they also reported higher levels of worry for 7 conditions and lower levels for 5 others. At 1 year, there were no significant differences between groups. CONCLUSION: Predictive genomic risk information modestly influences risk perception and worry. The extent and direction of this influence may depend on the condition being tested and its baseline prominence in preventive health care and may attenuate with time. Trial Registration: clinicaltrials.gov identifier: NCT00782366 PMID:21964170

  8. Three Treatments for Reducing the Worry and Emotionality Components of Test Anxiety with Undergraduate and Graduate College Students: Cognitive-Behavioral Hypnosis, Relaxation Therapy, and Supportive Counseling.

    ERIC Educational Resources Information Center

    Sapp, Marty

    1996-01-01

    Examines the effects of 3 different types of therapy in reducing the worry and emotional components associated with test anxiety among undergraduate (n=45) and graduate (n=45) students. Relaxation therapy was more effective with graduate students, while undergraduates responded more to supportive counseling. (JPS)

  9. PedsQL gastrointestinal symptoms scales and gastrointestinal worry scales in pediatric patients with inflammatory bowel disease in comparison with healthy controls

    USDA-ARS?s Scientific Manuscript database

    Patient-reported outcomes are essential in determining the broad impact of inflammatory bowel disease (IBD) and treatments from the patient's perspective. The primary study objectives were to compare the gastrointestinal symptoms and worry of pediatric patients with IBD with matched healthy controls...

  10. Providing preoperative information for children undergoing surgery: a randomized study testing different types of educational material to reduce children's preoperative worries.

    PubMed

    Fernandes, S C; Arriaga, P; Esteves, F

    2014-12-01

    This study developed three types of educational preoperative materials and examined their efficacy in preparing children for surgery by analysing children's preoperative worries and parental anxiety. The sample was recruited from three hospitals in Lisbon and consisted of 125 children, aged 8-12 years, scheduled to undergo outpatient surgery. The participants were randomly assigned to one of the seven independent conditions that were combined into the following three main groups: an experimental group, which received educational materials with information about surgery and hospitalization (a board game, a video or a booklet); a comparison group, which received entertaining material with the same format type; and a control group, which did not receive any material. Children's preoperative worries and parental anxiety were evaluated after the experimental manipulation. Children who received educational materials were significantly less worried about surgery and hospital procedures than children in the comparison and the control groups, although no statistically differences were found between the type of materials within the experimental group, and no significant effect occurred on parental state anxiety. These results do however support the hypothesis that providing preoperative materials with educational information reduce children's preoperative worries.

  11. Providing Preoperative Information for Children Undergoing Surgery: A Randomized Study Testing Different Types of Educational Material to Reduce Children's Preoperative Worries

    ERIC Educational Resources Information Center

    Fernandes, S. C.; Arriaga, P.; Esteves, F.

    2014-01-01

    This study developed three types of educational preoperative materials and examined their efficacy in preparing children for surgery by analysing children's preoperative worries and parental anxiety. The sample was recruited from three hospitals in Lisbon and consisted of 125 children, aged 8-12 years, scheduled to undergo outpatient surgery. The…

  12. On the Relationship between the Public's Worry about Safety from Burglary and Probabilities of Burglary: Some Evidence from Simultaneous Equation Models

    ERIC Educational Resources Information Center

    Swaray, Raymond

    2007-01-01

    The increase in burglary crimes, along with the rise in the citizens' worry about burglary crimes, has brought new challenges to the criminal justice systems in developed nations over the last decade. Crime surveys often point to a substantial dissonance between the actual likelihood of burglary and the perceived likelihood of victimization. This…

  13. Caregiving-specific worry, affiliate stigma, and perceived social support on psychological distress of caregivers of children with physical disability in Hong Kong.

    PubMed

    Ma, Gloria Y K; Mak, Winnie W S

    2016-01-01

    The present study tested a model on the relationship between functional status of children with physical disability, caregiving-specific worry, affiliate stigma, and psychological distress among their caregivers. One hundred thirty-one caregivers of children with physical disability in Hong Kong completed a self-report questionnaire. Structural equation modeling showed that the final model had good fit to the data: χ2 = 102.05, (df = 83, p = .08), comparative fit index = .98, nonnormed fit index = .98, standardized root mean square residual = .08, root mean square error of approximation = .04. Caregivers whose children had a lower functional status reported more caregiving-specific worry. Affiliate stigma had significant and positive indirect effect on psychological distress through increasing worry. Results also supported the direct and indirect effects of perceived social support in ameliorating worry, affiliate stigma, and psychological distress. Findings suggested that health care and social service providers should consider the functional impairment of each child when designing stress reduction interventions for their caregivers. Findings implicate the importance of establishing barrier-free environment and public facilities in the society. Caregivers are encouraged to distinguish those worries that are actionable and convert them into problem solving plans and to actively engage in peer support and social activities to reduce their affiliate stigma. To truly promote inclusion and well-being of individuals with disability and their caregivers, the scope and targets of social services and stigma reduction programs by the government should include not only the persons with disabilities, but also their caregivers and family members who play essential roles in the rehabilitation journey. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  14. Patients' intentions to inform relatives about Type 2 diabetes risk: the role of worry in the process of family risk disclosure.

    PubMed

    van Esch, S C M; Nijkamp, M D; Cornel, M C; Snoek, F J

    2012-12-01

    Patients with Type 2 diabetes may play a role as intermediary between medical professionals and at-risk relatives to promote diabetes prevention in their family. This study aimed to further our understanding of factors that influence the decisional process of familial risk disclosure in patients with diabetes. In a cross-sectional study, patients with Type 2 diabetes (n = 546) filled in a questionnaire assessing family risk perception, worry, personal beliefs regarding diabetes prevention, diabetes-related family communication, intention and perceived ability to inform relatives about familial risk of diabetes. Data were analysed using hierarchical logistic regression and multiple mediation analyses. Sixty per cent of the patients were willing to inform their relatives about familial diabetes risk; 61% reported high family risk perception and 41% had positive control beliefs with regard to preventive options in relatives. A majority (69%) did not express serious concern about relatives developing diabetes. Worry about relatives, knowing what to tell, whom to notify, and communication about diabetes in general appeared to facilitate family risk disclosure. Unexpectedly, high family risk perception in itself did not significantly increase patients' intentions to inform relatives; rather, risk perception appeared to exert an indirect effect through worry and beliefs about diabetes prevention. Worry in patients with diabetes appears to be a key factor in the process of family risk disclosure. When professionals guide their patients in this process, they should not only provide risk information, but also address worries and emphasize opportunities for diabetes prevention. © 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK.

  15. [Validation and reliability study of the parent concerns about surgery questionnaire: What worries parents?

    PubMed

    Gironés Muriel, Alberto; Campos Segovia, Ana; Ríos Gómez, Patricia

    2017-03-01

    The study of mediating variables and psychological responses to child surgery involves the evaluation of both the patient and the parents as regards different stressors. To have a reliable and reproducible valid evaluation tool that assesses the level of paternal involvement in relation to different stressors in the setting of surgery. A self-report questionnaire study was completed by 123 subjects of both sexes, subdivided into 2populations, due to their relationship with the hospital setting. The items were determined by a group of experts and analysed using the Lawshe validity index to determine a first validity of content. Subsequently, the reliability of the tool was determined by an item-re-item analysis of the 2sub-populations. A factorial analysis was performed to analyse the construct validity with the maximum likelihood and rotation of varimax type factors. A questionnaire of paternal concern was offered, consisting of 21 items with a Cronbach coefficient of 0.97, giving good precision and stability. The posterior factor analysis gives an adequate validity to the questionnaire, with the determination of 10 common stressors that cover 74.08% of the common and non-common variance of the questionnaire. The proposed questionnaire is reliable, valid and easy-to-apply and is developed to assess the level of paternal concern about the surgery of a child and to be able to apply measures and programs through the prior assessment of these elements. Copyright © 2017. Publicado por Elsevier España, S.L.U.

  16. Keynes on population and economic growth.

    PubMed

    Toye, J

    1997-01-01

    This article discusses the evolution of Keynes's thinking on population based on an unpublished paper from 1914, "Is the Problem of Population a Pressing and Important One Now?" The paper is reported to have 39 pages, but in fact there are many missing page numbers. Keynes's "Essays in Biography" (1933) follows the basic structure and much of the verbal detail of the first 16 pages of "Population." Chapter 2 of the "Economic Consequences of the Peace" discusses the key ideas of "Population." The passages in "Population" and Chapter 2 were probably the sources of a fierce controversy in 1923-24 between Keynes and W.H. Beveridge over Keynes' neo-Malthusianism. "Population" was the basis for the three themes that were central to Keynes's writing on population. Keynes's framework shifted from a global perspective in "Population" to a progressively narrower focus in the 1930s on England and Wales. Keynes was stronger in his advocacy of birth control in "Population" compared to later writings. Keynes was concerned about the quality of population but disagreed on the methods of achieving this. Keynes argued that 75% of the world was not subject to Malthusian dynamics, and the other 25% had developed technology to relieve population pressure. "Population" sketches out the rudiments of the welfare implications of the great divide between North and South population growth rates. Keynes assumes that overpopulation in the South will be compensated for by the international market without consideration of income deficits. Keynes argues against pronatalism. The 1933 essay shows Keynes shift away from Malthus as population expert to Malthus as political economist. By 1937, Keynes had recanted and was very aware of the uncertainty of the economy. The author believes that it is unfortunate that this 1913-14 manuscript remains unknown and, if known, misunderstood.

  17. Body image satisfaction and weight concerns among a Mediterranean adult population.

    PubMed

    Bibiloni, Maria Del Mar; Coll, Josep Ll; Pich, Jordi; Pons, Antoni; Tur, Josep A

    2017-01-06

    People tend to underestimate their current weight and overestimate their height minimizing health risk factors. The aim of this study was to assess body weight satisfaction, acceptance of body image, weight concern and dieting habits among a Mediterranean adult population. Cross-sectional survey was carried out (2009-2010) in the Balearic Islands, Spain. A random sample (n = 1081) of young (18-35 y.o.) and middle-aged adults (36-55 y.o.) was interviewed and anthropometrically measured. Women were more dissatisfied being overweight, less dissatisfied being underweight, and more worried about weight gain than men. Middle-aged participants were more dissatisfied with body shape and underestimated body weight than young's. Employed women defined better current weight than unemployed, but unemployed were more worried about body weight gain. Overweight adults were more likely to underestimate their body weight but were also very worried about weight gain and more likely to report current dieting than their leaner counterparts. Active participants self-reported better body weight and were more satisfied with body image than sedentary. Most of studied population reported body image dissatisfaction, but half of them are not worried about it. Women were more concerned about their body weight status. Practice of physical activity is a positive factor in self-perception. Holistic strategies are needed to avoid promoting unreal bodies, as well as the acceptance of the real body image.

  18. Fish are central in the diet of Amazonian riparians: should we worry about their mercury concentrations?

    PubMed

    Dorea, Jose G

    2003-07-01

    The Amazon rain forest extends over an area of 7.8x10(6)km(2) in nine countries. It harbors a diverse human population distributed in dense cities and isolated communities with extreme levels of infrastructure. Amazonian forest people, either autochthons or frontier riparians (ribeirinhos) living in isolated areas, share the same environment for survival and nutritional status. The peculiarities of the hydrological cycle determine disease patterns, agricultural conditions, and food availability. Feeding strategies depend heavily on cassava products and fish. These two foods carry toxic substances such as linamarin (naturally present in cassava) and monomethyl mercury (MMHg) (bioconcentrated in fish flesh) that cause neurotoxic diseases in other parts of the world but not in Amazonia, where neurotoxic cases of food origin are rare and not related to these staples. While cassava detoxification processes may partly explain its safe consumption, the Hg concentrations in Amazonian fish are within traditionally safe limits for this population and contribute to an important metabolic interaction with cassava. The gold rush of the 1970s and 1980s brought large-scale environmental disruption and physical destruction of ecosystems at impact points, along with a heavy discharge of metallic Hg. The discharged Hg has not yet impacted on MMHg concentrations in fish or in hair of fish consumers. Hair Hg concentration, used as a biomarker of fish consumption, indicates that the Amazonian riparians are acquiring an excellent source of protein carrying important nutrients, the lack of which could aggravate their existing health problems. Therefore, in a scenario of insufficient health services and an unhealthy environment, food habits based on fish consumption are part of a successful survival strategy and recommendations for changes are not yet justifiable.

  19. Patient - implant dimension mismatch in total knee arthroplasty: Is it worth worrying? An Indian scenario

    PubMed Central

    Thilak, Jai; George, Melvin J

    2016-01-01

    Background: The correct sizing of the components in both anteroposterior and mediolateral (ML) dimensions is crucial for the success of a total knee arthroplasty (TKA). The size of the implants selected is based on the intraoperative measurements. The currently used TKA implants available to us are based on morphometric measurements obtained from a Western/Caucasian population. Hence, the risk of component ML mismatch is more common in Asian sub-population, as they are of a smaller built and stature. This study aims to look into the following aspects agnitude of the ML mismatch between the femoral component and the patient's anatomical dimension, evaluation of gender variations in distal femur dimensions, and gender-wise and implant-wise correlation of ML mismatch. Materials and Methods: Intraoperatively, the distal femoral dimensions were measured using sterile calipers after removing the osteophytes and compared with the ML dimension of the implant used. ML mismatch length thus obtained is correlated with the various parameters. Results: Males showed larger distal femoral dimensions when compared to females. Males had larger ML mismatch. None of the implants used perfectly matched the patient's anatomical dimensions. Patients with larger mismatch had lower scorings at 2 years postoperative followup. Conclusion: Implant manufacturers need to design more options of femoral implants for a better fit in our subset of patients. The exact magnitude of mismatch which can cause functional implications need to be made out. The mismatch being one of the important factors for the success of the surgery, we should focus more on this aspect. PMID:27746494

  20. Patients with irritable bowel syndrome are more burdened by co-morbidity and worry about serious diseases than healthy controls- eight years follow-up of IBS patients in primary care

    PubMed Central

    2013-01-01

    Background Irritable Bowel Syndrome (IBS) is a hidden public health disease that affects up to 20% of the general population. Although co-morbidity can affect diagnose setting and treatment of the disease, there are few studies concerning diagnosed and registered co-morbidity for IBS patients in primary care. The aim of this study was to analyse co-morbidity among IBS-patients compared to age- and sex-matched controls from the general population using data from a county-wide computerized medical record system. Methods IBS cases were recruited from three Swedish primary health care centres during a five-years period and controls from the same corresponding geographical areas. Co-morbidity data for IBS-patients and morbidity data for controls were derived from a population-based Health Care Register (HCR) covering all diagnoses in primary as well as hospital care in the region. Odds Ratios with 95% confidence intervals for morbidity in gastro-intestinal and non-gastrointestinal diagnoses for cases with irritable bowel syndrome compared to controls were calculated separately for each gender and diagnosis. Results We identified more co-morbidity among IBS patients of both sexes, compared to matched controls in the general population. Patients with IBS were particularly more worried about having a serious disease than their control group. The risk among male IBS-cases to get this latter diagnose was three times higher compared to the male controls. Conclusions In this population based case–control study, the analysis of diagnoses from the HCR revealed a broad spectrum of common co-morbidity and significantly more physician-recorded diagnoses among IBS-patients in comparisons to the control group. PMID:24025070

  1. Why public health people are more worried than excited over e-cigarettes.

    PubMed

    Pisinger, Charlotta

    2014-12-09

    The research field on e-cigarettes is characterized by severe methodological problems, severe conflicts of interest, relatively few and often small studies, inconsistencies and contradictions in results, and a lack of long-term follow-up. Therefore, no firm conclusions can be drawn on the harm of e-cigarettes, but they can hardly be called safe. Experimental studies indicate negative health effects and, amongst others, the major ingredient propylene glycol warrants concern. Growing evidence raises doubt about the efficacy of e-cigarettes as a smoking cessation aid. Unfortunately, it seems that many smokers use e-cigarettes with the intention to quit but switch to long-term use of e-cigarettes or dual use. Use is spreading rapidly to minors, ex-smokers, and never-smokers. It is questionable whether the potential health benefits obtained by some smokers outweigh the potential harm by use of non-smokers, of undermining of complete cessation, smokers' dual use, and of eventual re-normalization of smoking. Even if e-cigarettes are significantly less harmful than conventional cigarettes, the product may have a very negative impact on public health if its use is spread to a large part of the population.

  2. Must We Still Be Worried About Multiple Arteries in Kidney Transplantation?

    PubMed Central

    Moreno-Alarcón, Cristóbal; Server-Pastor, Gerardo; López-González, Pedro Ángel; López-Cubillana, Pedro; Ruiz-Morcillo, José Carlos; Doñate-Iñíguez, Gloria; Olarte-Barragán, Edgar Humberto; Gómez-Gómez, Guillermo Antonio

    2012-01-01

    Background Multiple renal arteries in kidney grafts have been associated with an increased rate of vascular and urologic complications. Our objective is to compare the outcome of transplanted patients who receive a single pedicle kidney with those who receive a multiple arterial graft. Objectives To find our the differences in the outcome and complications in patients undergoing kidney transplantation with one single artery or with multiple arteries. Patients and Methods We analyzed 147 kidney transplantations, (all performed in our hospital over a 3 year period). population divided into two groups: group A for those who presented with only one renal artery, or group B for those with more than one renal artery. Homogeneous vascular reconstructions and implantation rules were applied in all patients. We compared the rates of renal failure between the two groups, urinary and vascular complications, patient and graft survivals and the levels of creatinine clearance during the first year of post-transplantation. Results No significant differences were found between the two groups regarding to the values analyzed. Conclusions As many other authors, we do believe that the presence of multiple renal arteries in kidney grafts should not be considered as a predictive factor of transplantation failure. PMID:23577333

  3. Resistance to niclosamide in Oncomelania hupensis, the intermediate host of Schistosoma japonicum: should we be worried?

    PubMed

    Dai, Jian-Rong; Li, You-Zi; Wang, Wei; Xing, Yun-Tian; Qu, Guo-Li; Liang, You-Sheng

    2015-02-01

    As the currently only available molluscicide, niclosamide has been widely used for snail control for over 2 decades in China. There is therefore a concern about the emergence of niclosamide-resistant snail populations following repeated, extensive use of the chemical. The purpose of this study was to investigate the likelihood of niclosamide resistance in Oncomelania hupensis in China. Active adult O. hupensis snails derived from 20 counties of 10 schistosomiasis-endemic provinces of China, of 10 snails in each drug concentration, were immersed in solutions of 1, 0.5, 0.25, 0.125, 0.063, 0.032, 0.016 and 0.008 mg L-1 of a 50% wettable powder of niclosamide ethanolamine salt (WPN) for 24 and 48 h at 25 °C, and the median lethal concentration (LC50) was estimated. Then, the 24- and 48-h WPN LC50 values were compared with those determined in the same sampling sites in 2002. The results indicated that the 24- and 48-h WPN LC50 values for O. hupensis were not significantly different from those determined in 2002 (P = 0.202 and 0.796, respectively). It is concluded that the current sensitivity of O. hupensis to niclosamide has not changed after more than 2 decades of repeated, extensive application in the main endemic foci of China, and there is no evidence of resistance to niclosamide detected in O. hupensis.

  4. "What--me worry?" "Why so serious?": a personal view on the Fukushima nuclear reactor accidents.

    PubMed

    Gallucci, Raymond

    2012-09-01

    Infrequently, it seems that a significant accident precursor or, worse, an actual accident, involving a commercial nuclear power reactor occurs to remind us of the need to reexamine the safety of this important electrical power technology from a risk perspective. Twenty-five years since the major core damage accident at Chernobyl in the Ukraine, the Fukushima reactor complex in Japan experienced multiple core damages as a result of an earthquake-induced tsunami beyond either the earthquake or tsunami design basis for the site. Although the tsunami itself killed tens of thousands of people and left the area devastated and virtually uninhabitable, much concern still arose from the potential radioactive releases from the damaged reactors, even though there was little population left in the area to be affected. As a lifelong probabilistic safety analyst in nuclear engineering, even I must admit to a recurrence of the doubt regarding nuclear power safety after Fukushima that I had experienced after Three Mile Island and Chernobyl. This article is my attempt to "recover" my personal perspective on acceptable risk by examining both the domestic and worldwide history of commercial nuclear power plant accidents and attempting to quantify the risk in terms of the frequency of core damage that one might glean from a review of operational history. © 2012 Society for Risk Analysis.

  5. Exploring relationships among experience of regret, delay discounting, and worries about future effects of smoking among current smokers

    PubMed Central

    O'Connor, Richard; Thrasher, James F.; Bansal-Travers, Maansi

    2016-01-01

    Background Smoking regret differs by smoker characteristics (dependence) and may be linked to delay discounting (DD), where smaller immediate rewards are preferred to larger delayed rewards. It is hypothesized that those who exhibit stronger tendencies to delay rewards also express fewer future health concerns and possibly less regret about smoking. Objectives The objective is to determine the interrelationships of regret, dependence, and delay discounting among current smokers. Methods In July 2010, 1062 smokers completed a 45-minute at-home web based survey and answered questions including regret, dependence (Fagerstrom Test for Cigarette Dependence), and delay discounting (Monetary Choice Questionnaire). Relationships among these variables and perceived future health effects were analyzed using correlations, repeated measures analysis of variance, and generalized linear models. Results Most smokers (85%) regretted smoking. FTCD and log-k (DD) scores were positively associated (rs = 0.15, p<.001). Though a strong decline in log-k was shown as reward increased (p’s<.001), there were no differences in discounting by regret. Regret was positively associated with worries concerning health effects, quality of life, and finances (p’s<.001). Little association was found between DD and future health concerns. Conclusions / Importance Though this study confirms that regret for smoking is associated with perceived future risks as well as supports previous findings between FTCD and DD, it shows little association between DD and perceived future risks. PMID:27192133

  6. Are worry, rumination, and post-event processing one and the same? Development of the repetitive thinking questionnaire.

    PubMed

    McEvoy, Peter M; Mahoney, Alison E J; Moulds, Michelle L

    2010-06-01

    Accumulating evidence suggests that repetitive negative thinking (RNT) is a transdiagnostic phenomenon. However, various forms of RNT such as worry, rumination, and post-event processing have been assessed using separate measures and have almost exclusively been examined within the anxiety, depression, and social phobia literatures, respectively. A single transdiagnostic measure of RNT would facilitate the identification of transdiagnostic maintaining factors of RNT, and would be more efficient than administering separate measures for each disorder. Items from three existing measures of RNT were modified to remove diagnosis-specific content and administered to a sample of undergraduate students (N=284). Exploratory factor analysis yielded two factors labeled Repetitive Negative Thinking and Absence of Repetitive Thinking (ART). The RNT scale demonstrated high internal reliability and was associated with anxiety, depression, anger, shame, and general distress. Moreover, the RNT scale was associated with constructs that are theoretically related to engagement in RNT, including positive and negative metacognitions, cognitive avoidance, thought suppression, and thought control strategies. The ART scale had little predictive utility. Theoretical and clinical implications are discussed.

  7. [Sensitivity and specificity of the worry and anxiety questionnaire (WAQ) in a sample of health-care users in the province of Quebec].

    PubMed

    Belleville, G; Bélanger, L; Ladouceur, R; Morin, C-M

    2008-06-01

    Generalized anxiety disorder (GAD) is a prevalent anxiety disorder characterized by persistent, excessive worrying. Even if GAD's ill consequences on health and quality of life are well documented, this disorder is still difficult to identify in primary care. The worry and anxiety questionnaire (WAQ) is a questionnaire assessing specific GAD symptoms, as defined by the Diagnostic and Statistical Manual of Mental Disorders-4th Edition (DSM-IV). This study aimed at assessing the capacity of the French version of the WAQ's to identify individuals with GAD in a sample of individuals reporting a certain level of anxiety. A second objective was to identify which of its items better distinguish individuals with GAD from those without. According to these results, different scoring algorithms have been developed and their effect on the WAQ's sensitivity and specificity indicators has been explored. The sample was drawn from a mother study in which 1110 health-care users completed questionnaires while waiting for a medical consultation with a family physician. Of those, a subsample of 219 individuals reported anxiety symptoms typical of GAD, as assessed by the WAQ. Among those who agreed to participate in the study's second phase (n=176), 100 were randomly selected and invited within one to three months to a clinical interview assessing their anxiety symptoms more thoroughly. Thirty-three individuals accepted and thus formed the present sample. The clinical interview was the anxiety disorders interview schedule (ADIS). The ADIS is a semi-structured diagnostic interview following the DSM-IV criteria. It assesses all anxiety disorders and includes screening questions on mood, substance use and psychotic disorders. Participants also completed the WAQ for a second time at the time of the interview. Nineteen individuals received a diagnosis of GAD after completing the ADIS while 13 did not. Sixteen of the 19 individuals with GAD were correctly identified with the WAQ, compared to

  8. A novel theory of experiential avoidance in generalized anxiety disorder: a review and synthesis of research supporting a contrast avoidance model of worry.

    PubMed

    Newman, Michelle G; Llera, Sandra J

    2011-04-01

    An important emphasis of the literature on generalized anxiety disorder (GAD) has been to achieve a greater understanding of the function of emotion (e.g., avoidance, dysregulation) in the etiology and maintenance of this disorder. The purpose of the following paper is to propose a new way of conceptualizing emotional sequelae in GAD by detailing the Contrast Avoidance Model of Worry. In presenting this model, we review theory and data that led to our current position, which is that individuals with GAD are more sensitive to feeling emotionally vulnerable to unexpected negative events, and that worry (the key pathological feature of GAD) is employed to prolong and maintain a negative emotional state thereby avoiding an unexpected negative emotional shift, or contrast experience. We also discuss implications for treatment given the presence of a new target for emotional exposure techniques. Finally, we establish the Contrast Avoidance Model within the framework of extant theories and models of pathogenic processes of GAD.

  9. Mobility Device Use Among Older Adults and Incidence of Falls and Worry About Falling: Findings From the 2011–2012 National Health and Aging Trends Study

    PubMed Central

    Gell, Nancy M.; Wallace, Robert B.; LaCroix, Andrea Z.; Mroz, Tracy M.; Patel, Kushang V.

    2015-01-01

    OBJECTIVES To examine mobility device use prevalence among community-dwelling older adults in the U.S. and to investigate the incidence of falls and worry about falling by the type and number of mobility devices used. DESIGN Analysis of cross-sectional and longitudinal data from the 2011–2012 National Health and Aging Trends Study SETTING In-person interviews in the homes of study participants PARTICIPANTS Nationally representative sample of Medicare beneficiaries(N=7609). MEASUREMENTS Participants were asked about mobility device use (e.g., canes, walkers, wheelchairs and scooters) in the last month, one-year fall history and worry about falling. RESULTS Twenty-four percent of adults age ≥65 reported mobility device use in 2011 and 9.3% reported using multiple devices within the last month. Mobility device use increased with advancing age and was associated with non-White race/ethnicity, female sex, lower education level, greater multi-morbidity, and obesity (all P-values < 0.001). Adjusting for demographic, health characteristics, and physical function, the incidence of falls and recurrent falls were not associated with the use of multiple devices or any one particular type of mobility device. Activity-limiting worry about falling was significantly higher in cane-only users, compared with non-users. CONCLUSION The percentage of older adults reporting mobility device use is higher compared to results from previous national surveys and multiple device use is common among those who use any device. Mobility device use is not associated with increased incidence of falls compared to non-device users. Cane-only users may compensate for worry about falling by limiting activity. PMID:25953070

  10. Attention bias towards negative emotional information and its relationship with daily worry in the context of acute stress: An eye-tracking study.

    PubMed

    Macatee, Richard J; Albanese, Brian J; Schmidt, Norman B; Cougle, Jesse R

    2017-03-01

    Cognitive theories of anxiety psychopathology cite biased attention towards threat as a central vulnerability and maintaining factor. However, many studies have found threat bias indices to have poor reliability and have failed to observe the theorized relationship between threat bias and anxiety symptoms; this may be due to the non-unitary nature of threat bias and the influence of state-level variables on its expression. Accumulating data suggests that state anxious mood is important for the robust expression of threat bias and for relations to emerge between threat bias and symptoms, though this possibility has not been experimentally tested. Eye-tracking was used to assess multiple forms of threat bias (i.e., early vigilance, sustained attention, facilitated engagement, delayed disengagement) thought to be related to anxiety. A non-clinical sample (N = 165) was recruited to test the hypothesis that biased attention towards threat, but not dysphoric or positive emotional stimuli, during an anxious mood induction, but not at a pre-stress baseline, would prospectively predict greater worry symptoms on days in which more naturalistic stressors occurred. Results revealed the hypothesized moderation effect for sustained attention towards threat after the mood induction but not at baseline, though sustained attention towards dysphoric stimuli also moderated the effect of stressors on worry. Worry-relevant sustained attention towards negative emotional stimuli may be a partially mood-context dependent phenomenon. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. Representing randomness in the communication of individualized cancer risk estimates: effects on cancer risk perceptions, worry, and subjective uncertainty about risk

    PubMed Central

    Han, Paul K. J.; Klein, William M. P.; Killam, Bill; Lehman, Tom; Massett, Holly; Freedman, Andrew N.

    2011-01-01

    Objective To test the effect of novel representations of randomness on risk perceptions, worry, and subjective uncertainty about individualized colorectal cancer risk estimates. Methods A Web-based factorial experiment was conducted, in which 225 adults aged 40 years and older were provided with hypothetical individualized colorectal cancer risk estimates, using 5 different textual and visual representations varying in expressed randomness. Outcome measures were perceived cancer risk, cancer worry, and subjective uncertainty about cancer risk; the moderating effect of dispositional optimism was also examined. Results Representational format was significantly associated with subjective uncertainty about cancer risk, but not with perceived cancer risk or worry. A format using software-based animation to express randomness dynamically led to the highest subjective uncertainty, although a static visual non-random format also increased uncertainty. Dispositional optimism moderated this effect; between-format differences in uncertainty were significant only for participants with low optimism. Conclusion Representing randomness in individualized estimates of cancer risk increases subjective uncertainty about risk. A novel dynamic visual format produces the greatest effect, which is moderated by individual differences in optimism. Practice Implications Novel representations of randomness may be effective in improving people’s understanding of the essential uncertainty pertaining to individualized cancer risk estimates. PMID:21377311

  12. Psychosocial correlates of condom use and their relationship with worry about STI and HIV in native and immigrant adolescents in Spain.

    PubMed

    Bermúdez, M Paz; Castro, Angel; Buela-Casal, Gualberto

    2011-11-01

    The goal of this study was to analyze how worry about sexually-transmitted infections (STI) and HIV influences attitudes and self-efficacy towards condom use, HIV-related knowledge, HIV-perceived susceptibility and HIV-misconceptions in a multicultural sample in Spain. The sample was composed of 3,051 adolescents aged between 14 and 19 years old who lived in Spain. Of these, 67.7% were native Spaniards and the remaining 32.3% were Latin American immigrants. Results showed that worry about STI and HIV has a direct influence on condom use self-efficacy and HIV-knowledge and HIV-perceived susceptibility. Native Spanish adolescents showed higher positive attitudes towards condom use, greater HIV-knowledge and HIV-perceived susceptibility, and lower negative attitudes towards condoms use and HIV-misconceptions than Latin American adolescents. In the discussion, the importance of worry about STI and HIV is highlighted as a mediator variable that can predict risky sexual behavior and is related to cultural origin.

  13. "I can't stop worrying about everything"—experiences of rural Bangladeshi women during the first postpartum months.

    PubMed

    Edhborg, Maigun; Nasreen, Hashima E; Kabir, Zarina Nahar

    2015-01-01

    Over recent years, researchers have found evidence which indicates that the prevalence of postpartum depressive symptoms crosses cultural boundaries and is reported to be at least as high in non-Western countries as in Western countries. However, qualitative studies about new mothers' experiences from non-Western countries, such as Bangladesh, are rare, particularly in rural areas. This study aims to describe the experiences and concerns of rural Bangladeshi mothers with postpartum depressive symptoms. Open narrative interviews were conducted with 21 mothers with depressive symptoms 2-3 months postpartum, consecutively selected from a longitudinal study about prevalence and risk factors of perinatal depressive symptoms. Inductive content analysis was used to analyse data and three themes emerged: family dynamics, living at the limits of survival, and role of the cultural context after childbirth. These themes were based on six categories and 15 subcategories. The findings show that troublesome family relationships, including intimate partner violence and violence in the family, influenced the mothers' mental well-being. They and their families lived at the limit of survival and the mothers expressed fear and worries about their insecure situation regarding economic difficulties and health problems. They felt sorry for being unable to give their infants a good start in life and sad because they could not always follow the traditional norms related to childbirth. Thus, it is important to focus on the depressive symptoms among new mothers and offer counselling to those showing depressive symptoms, as the cultural traditions do not always alleviate these symptoms in the changing Bangladeshi society today.

  14. Subjective Well-Being in a Multicultural Urban Population: Structural, and Multivariate Analyses of the Ontario Health Survey Well-Being Scale

    ERIC Educational Resources Information Center

    John, Lindsay Herbert

    2004-01-01

    The validity of a scale, from the Ontario Health Survey, measuring the subjective sense of well-being, for a large multicultural population in Metropolitan Toronto, is examined through principal components analysis with oblique rotation. Four factors are extracted. Factor 1, is a stress and strain factor, and consists of health worries, feeling…

  15. Educational Malpractice Worrying You?

    ERIC Educational Resources Information Center

    Kelly, Cynthia; McCarthy, Bernice

    1980-01-01

    Reviews case studies of students who were promoted regularly in public schools without having mastered basic skills required at each grade level. Questions whether schools would improve if students were permitted to sue for educational malpractice. Identifies basic rights of students, teachers, parents, and administrators with regard to education.…

  16. Reactions and Worries.

    ERIC Educational Resources Information Center

    Spindler, George; Spindler, Louise

    1991-01-01

    The argument by H. Wolcott for the use of the term "propriospect" reminds scholars for the need of a diversified approach to complex processes grouped under the headings "transmission" or "acquisition" of culture. Transmission reflects a focus on the enactment of culture; acquisition reflects an emphasis on the…

  17. Worrying trends in econophysics

    NASA Astrophysics Data System (ADS)

    Gallegati, Mauro; Keen, Steve; Lux, Thomas; Ormerod, Paul

    2006-10-01

    Econophysics has already made a number of important empirical contributions to our understanding of the social and economic world. These fall mainly into the areas of finance and industrial economics, where in each case there is a large amount of reasonably well-defined data. More recently, Econophysics has also begun to tackle other areas of economics where data is much more sparse and much less reliable. In addition, econophysicists have attempted to apply the theoretical approach of statistical physics to try to understand empirical findings. Our concerns are fourfold. First, a lack of awareness of work that has been done within economics itself. Second, resistance to more rigorous and robust statistical methodology. Third, the belief that universal empirical regularities can be found in many areas of economic activity. Fourth, the theoretical models which are being used to explain empirical phenomena. The latter point is of particular concern. Essentially, the models are based upon models of statistical physics in which energy is conserved in exchange processes. There are examples in economics where the principle of conservation may be a reasonable approximation to reality, such as primitive hunter-gatherer societies. But in the industrialised capitalist economies, income is most definitely not conserved. The process of production and not exchange is responsible for this. Models which focus purely on exchange and not on production cannot by definition offer a realistic description of the generation of income in the capitalist, industrialised economies.

  18. Why Worry about Bullying?

    PubMed

    Pepler, Debra J; German, Jennifer; Craig, Wendy; Yamada, Samantha

    2011-01-01

    In this article, the authors review research to identify bullying as a critical public health issue for Canada. Drawing from recent World Health Organization surveys, they examine the prevalence of Canadian children and youth involved in bullying others or being victimized. There is a strong association between involvement in bullying and health problems for children who bully, those who are victimized and those involved in both bullying and being victimized. Health problems can manifest as physical complaints (e.g., headaches), mental health concerns (e.g., depression, anxiety) and psychosocial problems (e.g., substance use, crime). In Canada, there has recently been a disturbing incidence of Canadian children who have committed suicide as a result of prolonged victimization by peers. Healthcare professionals play a major role in protecting and promoting the health and well-being of Canadian children and youth. Given the significant mental and physical health problems associated with involvement in bullying, it is important that clinicians, especially primary care healthcare professionals, be able to identify signs and symptoms of such involvement. Healthcare professionals can play an essential role supporting children and their parents and advocating for the safety and protection for those at risk. By understanding bullying as a destructive relationship problem that significantly impacts physical and mental health, healthcare professionals can play a major role in promoting healthy relationships and healthy development for all Canadian children and youth. This review provides an overview of the nature of bullying and the physical and psychological health problems associated with involvement in bullying. The review is followed by a discussion of the implications for health professionals and a protocol for assessing the potential link between bullying and a child's physical and psychological symptoms.

  19. Feeling Anxious or Worried

    MedlinePlus

    ... are listed below. Social phobia is a strong fear of being judged by others and of being embarrassed. This fear can be so strong that it gets in ... where they might have to do something they fear will be uncomfortable. It can be hard for ...

  20. The construction of a "population problem" in colonial India, 1919-1947.

    PubMed

    Nair, Rahul

    2011-01-01

    This article examines the construction of a "population problem" among public health officials in India during the inter-war period. British colonial officials came to focus on India's population through their concern with high Indian infant and maternal mortality rates. They raised the problem of population as one way in which to highlight the importance of dealing with public health at an all-India basis, in a context of constitutional devolution of power to Indians where they feared such matters would be relegated to relative local unimportance. While they failed to significantly shape government policy, their arguments in support of India's 'population problem' nevertheless found a receptive audience in the colonial public sphere among Indian intellectuals, economists, eugenicists, women social reformers and birth controllers. The article contributes to the history of population control by situating its pre-history in British colonial public health and development policy and outside the logic of USA's Cold War strategic planning for Asia.

  1. Consumers' willingness to use a medication management service: the effect of medication-related worry and the social influence of the general practitioner.

    PubMed

    Carter, Stephen R; Moles, Rebekah J; White, Lesley; Chen, Timothy F

    2013-01-01

    Some consumers at risk of experiencing medication-related problems have chosen not to use pharmacist-provided medication management services. Previous research has shown that consumers' willingness to use the Australian Home Medicines Review (HMR) service depends on the extent to which they believe that they will receive medication information to assist them with self-management. The aim of this study was to develop and test a model of willingness to use HMR among consumers who were eligible to receive the service but have not yet experienced it. Specifically, this study aimed to determine the effects of consumers' medication-related worry and the social influence of the consumer's general practitioner (GP) over willingness. A cross-sectional postal survey was conducted among 1600 members of Council on the Ageing (NSW, Australia). Respondents were included in the study if they had not experienced an HMR and were taking more than 5 medicines daily or more than 12 doses daily. Measurement scales were developed or were based on previous research. Confirmatory factor analysis was used to test the reliability and validity of the multi-item scales. Multiple regression analysis and structural equation modeling (SEM) were used to test the model. Surveys received from 390 respondents (24.3%) were analyzed. Respondents held overall low-to-neutral positive outcome expectancy (POE). The SEM analysis revealed that worry had a direct effect on POE (β=0.35, P<.05) and an indirect effect on willingness (β=0.22, P<.05). Subjective norms had a direct effect on willingness (β=0.27, P<.05) but not POE. Worry was higher among those who had experienced a change in the medication regimen within the past 3 months (β=0.19, P<.001). Those consumers who were worried about their medicines were more willing to use HMR. The consumer's GP appeared to exert a significant positive social influence over willingness to use this medication management service. Copyright © 2013 Elsevier Inc. All

  2. The impact of genetic counseling on knowledge and emotional responses in Spanish population with family history of breast cancer.

    PubMed

    Cabrera, Esther; Blanco, Ignacio; Yagüe, Carmen; Zabalegui, Adelaida

    2010-03-01

    To assess a genetic counseling intervention measuring the distress, cancer risk perception, anxiety, worry and level of knowledge in people with familial history of breast cancer. One group pre- and post-test design. A total of 212 individuals completed a baseline questionnaire, 88.6% completed a second questionnaire one month later and 75.4% six months later. Counseling intervention significantly increased the knowledge level of the individuals who received genetic education and significantly decreased the cancer worry levels. Persons with low perception of their cancer risk also had low worry levels. There were no significant changes over time in cancer risk perception or in quality of life. Counseling in a high risk population seems to decrease cancer worry and to increase cancer knowledge thus enabling a counselee to take well-informed decisions. Furthermore, according to our results, such interventions do not increase anxiety and do not modify the quality of life, but do not adjust their cancer risk perception. Providing individuals at increased risk of breast cancer genetic services seem to enhance their understanding of breast cancer without causing adverse psychological effects or changes in their quality of life, and it could improve their preventive behaviours. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.

  3. Are Worry and Rumination Specific Pathways Linking Neuroticism and Symptoms of Anxiety and Depression in Patients with Generalized Anxiety Disorder, Major Depressive Disorder and Mixed Anxiety-Depressive Disorder?

    PubMed

    Merino, Hipólito; Senra, Carmen; Ferreiro, Fátima

    2016-01-01

    This study examines the relationships between neuroticism (higher-order vulnerability factor), the cognitive styles of worry, brooding and reflection (second-order vulnerability factors) and symptoms of anxiety and depression in three groups of patients: patients with Generalized Anxiety Disorder (GAD), with Major Depressive Disorder (MDD) and with Mixed Anxiety-Depressive Disorder (MADD). One hundred and thirty four patients completed a battery of questionnaires including measures of neuroticism, worry, rumination (brooding and reflection), anxiety and depression. Multiple mediation analyses indicate that worry may act as a mediating mechanism linking neuroticism and anxiety symptoms in the three diagnostic groups, whereas brooding-rumination may play a mediating role between neuroticism and depressive symptoms in patients with MDD and MADD and, with less certainty, in patients with GAD. Overall, our findings suggest that neuroticism may increase the risk of anxious and depressive symptoms via specific links involving either worry or brooding, respectively, and that both worry and brooding may operate in the three groups examined, irrespectively of whether anxiety or depression are the main emotions or whether they coexist without any clear predominance; consequently, we hypothesize the existence of "specific transdiagnostic" mechanisms.

  4. Are Worry and Rumination Specific Pathways Linking Neuroticism and Symptoms of Anxiety and Depression in Patients with Generalized Anxiety Disorder, Major Depressive Disorder and Mixed Anxiety-Depressive Disorder?

    PubMed Central

    Merino, Hipólito; Ferreiro, Fátima

    2016-01-01

    This study examines the relationships between neuroticism (higher-order vulnerability factor), the cognitive styles of worry, brooding and reflection (second-order vulnerability factors) and symptoms of anxiety and depression in three groups of patients: patients with Generalized Anxiety Disorder (GAD), with Major Depressive Disorder (MDD) and with Mixed Anxiety-Depressive Disorder (MADD). One hundred and thirty four patients completed a battery of questionnaires including measures of neuroticism, worry, rumination (brooding and reflection), anxiety and depression. Multiple mediation analyses indicate that worry may act as a mediating mechanism linking neuroticism and anxiety symptoms in the three diagnostic groups, whereas brooding-rumination may play a mediating role between neuroticism and depressive symptoms in patients with MDD and MADD and, with less certainty, in patients with GAD. Overall, our findings suggest that neuroticism may increase the risk of anxious and depressive symptoms via specific links involving either worry or brooding, respectively, and that both worry and brooding may operate in the three groups examined, irrespectively of whether anxiety or depression are the main emotions or whether they coexist without any clear predominance; consequently, we hypothesize the existence of "specific transdiagnostic" mechanisms. PMID:27243462

  5. Factor structure, reliability, and validity of the Penn State Worry Questionnaire: differences between African-American and White-American college students.

    PubMed

    Carter, Michele M; Sbrocco, Tracy; Miller, Oscar; Suchday, Sonia; Lewis, Evelyn L; Freedman, Rachel E K

    2005-01-01

    This study examined differences in the factor structure of the Penn State Worry Questionnaire (PSWQ) between African-American (n=181) and White-American (n=180) college students. Results from a confirmatory factor analysis indicated that the traditional single-factor solution did not provide the best fit for the data from either ethnic group. A multiple-group factor analysis indicated that underlying structure of Factor 1 was roughly equivalent between ethnic groups. Structure of Factor 2, however, differed between groups. Specifically, item 10 loaded on different factors for each group. In support of these analyses, an exploratory factor analyses (EFA) among White-American participants indicated the presence of a two-factor model while an EFA among African-Americans indicated the presence of three factors. Despite some overlap in the overall factor structure between ethnic groups, African-Americans scored significantly lower on the PSWQ than the White-American group. Furthermore, among African-Americans level of ethnic identity was negatively related to state and trait measures of anxiety, but unrelated to measures of depression and worry.

  6. Effects of optimism, social support, fighting spirit, cancer worry and internal health locus of control on positive affect in cancer survivors: a path analysis.

    PubMed

    Hodges, Kayleigh; Winstanley, Sue

    2012-12-01

    The psychological impact of a cancer diagnosis can extend through treatment, well into cancer survivorship and can be influenced by a range of psychosocial resources. At different stages in this trajectory, optimism is known to affect well-being directly. This study focusing upon the potential to flourish after cancer, investigates the relationship between optimism and positive affect during cancer survivorship together with four possible mediators: social support, fighting spirit, internal health locus of control and cancer worry, all of which have been shown to be important predictors of well-being in cancer patients. Participants (n = 102) from online cancer forums completed standardized questionnaires, and path analysis confirmed that optimism had a direct effect on positive affect in cancer survivors. Social support and fighting spirit were also shown to be significant mediators of this relationship, accounting collectively for 50% of the variance in positive affect. Whilst cancer worry and internal health locus of control could be predicted from levels of optimism, they did not mediate the optimism-positive affect relationship. Efforts to promote optimism and thus encourage fighting spirit at diagnosis through treatment may be worthwhile interventions, as would ensuring appropriate social support through the trajectory.

  7. Reduced Worries of Hypoglycaemia, High Satisfaction, and Increased Perceived Ease of Use after Experiencing Four Nights of MD-Logic Artificial Pancreas at Home (DREAM4)

    PubMed Central

    Ziegler, Claudia; Liberman, Alon; Nimri, Revital; Muller, Ido; Klemenčič, Simona; Bratina, Nataša; Bläsig, Sarah; Remus, Kerstin; Phillip, Moshe; Battelino, Tadej; Kordonouri, Olga; Danne, Thomas; Lange, Karin

    2015-01-01

    Aims. This study assesses the impact of using an AP-system at home on fear of hypoglycaemia. In addition, satisfaction and acceptance of the new technology are evaluated. Methods. In a multicentre, multinational study of 75 patients using the MD-Logic AP during four consecutive nights in home setting 59 of them (aged 10–54 years, 54% male, HbA1c 7.89 ± 0.69% [62.72 ± 7.51 mmol/mol], diabetes duration 11.6 ± 8.4 yrs) answered standardized questionnaires (HFS, adapted TAM, and AP satisfaction) before and after using the AP. Results. After experiencing the AP in home setting worries of hypoglycaemia were significantly reduced (before 1.04 ± 0.53 versus after 0.90 ± 0.63; P = 0.017). Perceived ease of use as a measure of acceptance with the AP significantly increased after personal experience (before 4.64 ± 0.94 versus after 5.06 ± 1.09; P = 0.002). The overall satisfaction mean score after using the AP was 3.02 ± 0.54 (range 0–4), demonstrating a high level of satisfaction with this technology. Conclusions. The four-night home-based experience of using MD Logic AP was associated with reduced worries of hypoglycaemia, high level of satisfaction, and increased perceived ease of use of the new technology in children, adolescents, and adults. PMID:26581230

  8. Living in the context of poverty and trajectories of breast cancer worry, knowledge, and perceived risk after a breast cancer risk education session.

    PubMed

    Bartle-Haring, Suzanne

    2010-01-01

    The purpose of this paper was to demonstrate how living in neighborhoods with high levels of poverty (while controlling for personal income) impacts personal characteristics, which in turn impacts retention of breast cancer risk knowledge and changes in worry and perceived risk. The data from this project come from a larger, National Cancer Institute-funded study that included a pretest, a breast cancer risk education session, a posttest, the option of an individualized risk assessment via the Gail Model and three follow-up phone calls over the next 9 months. The percent of individuals living below poverty in the community in which the participant resided was predictive of the personal characteristics assessed, and these characteristics were predictive of changes in breast cancer worry and knowledge across time. Differentiation of self and monitoring, two of the individual characteristics that seem to allow people to process and use information to make "rational" decisions about health care, seem to be impacted by the necessity for adaptation to a culture of poverty. Thus, as a health care community, we need to tailor our messages and our recommendations with an understanding of the complex intersection of poverty and health care decision making. Copyright © 2010 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  9. Psychometric comparison of the generalized anxiety disorder scale-7 and the Penn State Worry Questionnaire for measuring response during treatment of generalised anxiety disorder.

    PubMed

    Dear, Blake F; Titov, Nickolai; Sunderland, Matthew; McMillan, Dean; Anderson, Tracy; Lorian, Carolyn; Robinson, Emma

    2011-01-01

    The Penn State Worry Questionnaire (PSWQ) is a widely used measure of the worry characteristic of generalised anxiety disorder (GAD). The 7-item Generalized Anxiety Disorder Scale (GAD-7) is a new brief screening tool for GAD, which is being increasingly used in research and clinical practice. The present study sought to provide comparison data on the relative psychometric properties of these two scales. The data of 195 adults who met Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for GAD and who participated in two randomised treatment controlled trials were used. Factor analyses, internal consistency, correlational analyses, responsiveness to change, and agreement between the scales based on indentified clinical cutoffs were conducted. Factor analyses confirmed a one-factor structure for the GAD-7 and a three-factor structure involving two method factors for the PSWQ. Both the GAD-7 and the PSWQ demonstrated adequate internal consistency (Cronbach's alpha: .79-.91 and .86-.91, respectively), and moderate correlations (r = .51-.71) were observed between the scales across the treatment time points. The scales exhibited small correlations with the Sheehan Disability Scale at pretreatment (GAD-7 r = .38; PSWQ r = .26), but moderate correlations at posttreatment and follow-up (r = .59-.79). Agreement between the scales was limited using various clinical cutoffs identified within the literature. Both measures were sensitive to change, although the GAD-7 appeared to be more sensitive and may, therefore, confer some advantages in clinical work.

  10. Examining Factor Structure and Validating the Persian Version of the Pregnancy’s Worries and Stress Questionnaire for Pregnant Iranian Women

    PubMed Central

    Navidpour, Fariba; Dolatian, Mahrokh; Yaghmaei, Farideh; Majd, Hamid Alavi; Hashemi, Seyed Saeed

    2015-01-01

    Background and Objectives: Pregnant women tend to experience anxiety and stress when faced with the changes to their biology, environment and personal relationships. The identification of these factors and the prevention of their side effects are vital for both mother and fetus. The present study was conducted to validate and to examine the factor structure of the Persian version of the Pregnancy’s Worries and Stress Questionnaire. Materials and Methods: The 25-item PWSQ was first translated by specialists into Persian. The questionnaire’s validity was determined using face, content, criterion and construct validity and reliability of questionnaire was examined using Cronbach’s alpha. Confirmatory factor analysis was performed in AMOS and SPSS 21. Participants included healthy Iranian pregnant women (8-39 weeks) who refer to selected hospitals for prenatal care. Hospitals included private, social security and university hospitals and selected through the random cluster sampling method. Findings: The results of validity and reliability assessments of the questionnaire were acceptable. Cronbach’s alpha calculated showed a high internal consistency of 0.89. The confirmatory factor analysis using the χ2, CMIN/DF, IFI, CFI, NFI and NNFI indexes showed the 6-factor model to be the best fitted model for explaining the data. Conclusion: The questionnaire was translated into Persian to examine stress and worry specific to Iranian pregnant women. The psychometric results showed that the questionnaire is suitable for identifying Iranian pregnant women with pregnancy-related stress. PMID:26153186

  11. Living in the context of poverty and trajectories of breast cancer worry, knowledge and perceived risk after a breast cancer risk education session

    PubMed Central

    Bartle-Haring, Suzanne

    2010-01-01

    Objectives The purpose of this paper was to demonstrate how living in neighborhoods with high levels of poverty (while controlling for personal income) impacts personal characteristics which in turn impacts retention of breast cancer risk knowledge and changes in worry and perceived risk. Methods The data from this project come from a larger NCI funded study that included a pre-test, a breast cancer risk education session, a post-test, the option of an individualized risk assessment via the Gail Model and three follow-up phone calls over the next nine months. Results The percent of individuals living below poverty in the community in which the participant resided was predictive of the personal characteristics assessed, and these characteristics were predictive of changes in breast cancer worry, and knowledge across time. Conclusions Differentiation of self and monitoring, two of the individual characteristics that appear to allow people to process and use information to make “rational” decisions about health care, appear to be impacted by the necessity for adaptation to a culture of poverty. Thus, as a health care community, we need to tailor our messages and our recommendations with an understanding of the complex intersection of poverty and health care decision making. PMID:20688528

  12. Interpretability of the PedsQL™ Gastrointestinal Symptoms Scales and Gastrointestinal Worry Scales in Pediatric Patients With Functional and Organic Gastrointestinal Diseases

    PubMed Central

    Bendo, Cristiane B.; Shulman, Robert J.; Self, Mariella M.; Nurko, Samuel; Franciosi, James P.; Saps, Miguel; Saeed, Shehzad; Zacur, George M.; Vaughan Dark, Chelsea; Pohl, John F.

    2015-01-01

    Objective The present study investigates the clinical interpretability of the Pediatric Quality of Life Inventory™ (PedsQL™) Gastrointestinal Symptoms Scales and Worry Scales in pediatric patients with functional gastrointestinal disorders or organic gastrointestinal diseases in comparison with healthy controls. Methods The PedsQL™ Gastrointestinal Scales were completed by 587 patients with gastrointestinal disorders/diseases and 685 parents, and 513 healthy children and 337 parents. Minimal important difference (MID) scores were derived from the standard error of measurement (SEM). Cut-points were derived based on one and two standard deviations (SDs) from the healthy reference means. Results The percentages of patients below the scales’ cut-points were significantly greater than the healthy controls (most p values ≤ .001). Scale scores 2 SDs from the healthy reference means were within the range of scores for pediatric patients with a gastrointestinal disorder. MID values were generated using the SEM. Conclusions The findings support the clinical interpretability of the new PedsQL™ Gastrointestinal Symptoms Scales and Worry Scales. PMID:25682210

  13. QuickStats: Percentage* of Adults Aged ≥18 Years Who Are Very Worried about Medical Costs,(†) by Home Ownership(§) and Age Group - National Health Interview Survey,(¶) United States, 2015.

    PubMed

    2016-12-30

    In 2015, 15.6% of adults who lived in rental houses/apartments were very worried about paying for medical costs, compared with 8.7% of adults who lived in family-owned homes. Adults aged 18-39 years who lived in rental homes were more likely than those in family-owned homes to be very worried about paying medical costs (12.9% versus 8.0%). Among adults aged 40-64 years and ≥65 years, renters were twice as likely as home owners to be very worried about medical costs (22.3% versus 11.4%, and 8.6% versus 4.0%, respectively).

  14. 7 CFR 2.29 - Chief Economist.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Worker (SAW) Program; (iv) Pursuant to section 210A(a) of the INA (8 U.S.C. 1161(a)), determine jointly... information that must be reported by any person or entity who employs SAWs or RAWs in seasonal...

  15. The Elementary Economist, Volumes 1 and 2.

    ERIC Educational Resources Information Center

    Lesley Coll., Cambridge, MA. National Center of Economic Education for Children.

    These six newsletters present classroom tested activities in elementary economics. Each issue treats specific topics: scarcity, opportunity cost, production and specialization, consumption and demand, supply and production, prices and efficiency. In each issue, separate activities are provided for grades K-12, 3-4, and 5-6. For the most part,…

  16. Professional Training of Economists in the USA

    ERIC Educational Resources Information Center

    Rudnitska, Kateryna

    2014-01-01

    The article deals with the peculiarities of American professional undergraduate and graduate training in economics. The analysis of documents, scientific and educational literature demonstrates the diversity of the US training courses and combinations of disciplines in economics. It has been defined that leading position of the USA in the world…

  17. 7 CFR 2.29 - Chief Economist.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... assess the economic impact of all significant regulations proposed by any agency of the Department. (iii... impact assessment. (iii) Arrange for appropriate representation to attend all meetings, hearings, and... satellite remote sensing activities to assure full consideration and evaluation of advanced technology....

  18. Economists & Higher Learning in the Nineteenth Century.

    ERIC Educational Resources Information Center

    Barber, William J., Ed.

    As part of a multi-nation research project on the institutionalization of political economy in European, Japanese, and North American universities, the 14 essays in this volume explore the roots of academic economics in the United States during the 19th century. The organization of the essays is designed to show the catalytic role economists…

  19. The Elementary Economist, Volumes 1 and 2.

    ERIC Educational Resources Information Center

    Lesley Coll., Cambridge, MA. National Center of Economic Education for Children.

    These six newsletters present classroom tested activities in elementary economics. Each issue treats specific topics: scarcity, opportunity cost, production and specialization, consumption and demand, supply and production, prices and efficiency. In each issue, separate activities are provided for grades K-12, 3-4, and 5-6. For the most part,…

  20. Professional Training of Economists in the USA

    ERIC Educational Resources Information Center

    Rudnitska, Kateryna

    2014-01-01

    The article deals with the peculiarities of American professional undergraduate and graduate training in economics. The analysis of documents, scientific and educational literature demonstrates the diversity of the US training courses and combinations of disciplines in economics. It has been defined that leading position of the USA in the world…