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Examining eHealth use as a coping strategy for cancer-adjustment: An application of the Chronic Illness Model

Background: The internet is increasingly used as a coping strategy by cancer patients for information and support (‘eHealth’), however its association with distress remains unclear. This cross-sectional study investigated whether eHealth use mediates the relationship between illness perceptions, social support, and distress. Methods: Adult heterogeneous cancer patients (n=88) completed a self-report battery of measures. Demographic, medical and psychosocial differences between eHealth users (n=50) and non-users (n=38) were analysed, and hierarchical multiple regressions were then used to test for mediations. Results: Compared to non-users, eHealth users were significantly younger, more highly educated and more likely to be employed. eHealth users had more negative perceived consequences resulting from their illness than non-users, but did not differ in levels of distress or social support. eHealth use was significantly positively related to three types of illness perceptions (consequences, identity, and psychological causes), and with distress, thus meeting the criteria for mediation testing. However, in multivariate mediation testing, eHealth use was not a significant mediator of the relationship between these variables. Conclusions: While eHealth use was related to illness perceptions and distress, its role as a mediator was not supported. A longitudinal evaluation of eHealth use as a coping strategy is recommended.

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Attitudinal, normative, and control beliefs underlying people’s curbside household waste recycling decisions

This study examined the beliefs underlying people’s decision-making, from a theory of planned behaviour (TPB) framework, in the prediction of curbside household waste recycling. Community members in Brisbane, Australia (N = 148) completed a questionnaire assessing the belief based TPB measures of attitudinal beliefs (costs and benefits), normative beliefs (important referents), and control beliefs (barriers) in relation to engaging in curbside household waste recycling for a 2-week period. Two weeks later, participants completed self report measures of recycling behaviour for the previous fortnight. The results revealed that the attitudinal, normative, and control beliefs for people who performed higher and lower levels of recycling differed significantly. A regression analysis identified both normative and control beliefs as the main determinants of recycling behaviour. For normative beliefs, high level recyclers perceived more approval from referents such as partners, friends, and neighbours to recycle all eligible materials. In addition, the strong results for control beliefs indicated that barriers such as forgetfulness, lack of time, and laziness were rated as more likely to hamper optimal recycling performance for low level recyclers. These findings provide important applied information about beliefs to target in the development of future community recycling campaigns.

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Job stress, wellbeing, work-life balance and work-life conflict among Australian academics

Escalating stress and pressures, along with organisational change in universities has led to the increased importance of research in to the impact of perceived job stress, work-life balance and work-life conflict amongst academics. Yet, very few studies have examined academics’ ability to balance work and personal life, and overcome work-life conflict. Drawing on Spillover theory (Zedeck, 1992), our study hypothesised that high levels of perceived job pressure stress and job threat stress would predict increased levels of work-life conflict, and decreased levels of work-life balance. Due to the well-documented relationship between stress and health, the influence of job stress on wellbeing was also investigated in this sample of academics (N =139). Perceived job stress (threat and pressure-type stressors) was associated with poorer work-life balance, and increased conflict between academics’ work and personal lives. Perceived job threat-type stress made a stronger contribution and was a significant predictor of work-life balance and work-life conflict scores, than perceived job pressure-type stress. Perceived job threat-type stress among academics was also a significant predictor and associated with poorer wellbeing and increased ill-being, but perceived job pressure-type stress was not related to academics’ wellbeing or ill-being.

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Self-reported anxious- and avoidant-related attachment correlated to interpersonal problems by patients starting psychotherapy

Attachment theory is an encompassing theory for understanding human reactions to life stressors, such as loss and separation, and interpersonal problems are common reasons for seeking psychotherapy. Psychotherapy may be an opportunity to revise insecure attachment and handle interpersonal problems. This study examined attachment styles and interpersonal problems in a clinical sample of psychotherapy patients (n = 168) at the start of psychotherapy. The main aim was to study how self-reported attachment styles, measured by the Attachment Style Questionnaire (ASQ), correlated with interpersonal problems measured using the Inventory of Interpersonal Problems (IIP). Avoidant-related and anxious-related attachment scales correlated positively to the total IIP scores. Inconsistent with findings in nonclinical samples, specific interpersonal problems in the dominant and affiliative parts of the IIP correlated positively to both the anxious-related and the avoidantrelated attachment scales. The findings imply that a challenge for the therapist at the start of psychotherapy is to balance providing security with encouraging exploration of feelings, thoughts, and behaviour in the patient’s interpersonal problems in current relationships. Exploring individual profiles of attachment styles helps to clarify motives in expressed interpersonal problems.

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The influence of confidence in memory on checking behaviours

Recent theories of Obsessive Compulsive Disorder have suggested that meta-cognitive beliefs, particular confidence in memory, may relate to the maintenance of symptoms. For example, individuals who worry that their memory is deficient may check in order to ensure that the doors are locked, regardless of their actual memory ability. While studies have related meta-memory beliefs to OCD symptoms, and have found that memory is affected by checking behaviours; to date, no experimental literature has attempted to ascertain whether lowered confidence in memory directly leads to greater checking behaviours. In the current study 46 non-clinical participants completed a battery of questionnaires measuring these constructs, before undertaking a “memory task” designed to manipulate their level of confidence in their memory. The effect of the manipulation on the level of checking on a visuomemory task was subsequently assessed. The questionnaires indicated that cognitive confidence predicted variation in obsessive-compulsive symptoms over-and-above the influence of depressive symptoms and other OCD-related beliefs. However, while confidence in memory was successfully manipulated, the group with increased memory confidence was not found to have lower checking behaviours. Limitations of the study are discussed and directions for further research are suggested.

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