Higher Levels Of Hostility Research Articles

Bonding over bashing: Discussing LGBTI topics in far-right alternative news media comments sections

Abstract This study investigates virtual community-building practices and discriminatory views in PAL NWS, a Dutch-speaking Belgian far-right alternative news medium, by examining discussions in the comments sections. Thematic analysis was applied to a total of 1,127 comments by 343 users in response to 50 articles about LGBTI topics. The findings show that far-right alternative news sites can function as virtual communities that facilitate polarization. The comments exhibited a high level of hostility towards LGBTI individuals, particularly toward transgender people and public displays of LGBTI inclusion. Furthermore, Muslims were homogeneously perceived as homophobes, and LGBTI topics were understood as (woke) ideological suppression by a dogmatic minority. The results of this study have implications for understanding the dynamics of comments sections on alternative media and the potential for far-right news platforms to facilitate the spread of intolerance.

Factors influencing aggressive behavior as perceived by university students

BackgroundThe mainstay of producing highly qualified people in a nation is post-secondary education. A lot of pressure is placed on students to succeed. AimExplore the predictors of aggression within university students in Jordan. MethodsThe study employed a correlation design with a self-administered questionnaire distributed among Jordan University students using convenience sampling. Inclusion criteria encompassed currently enrolled students with adequate language proficiency and cognitive abilities, while exclusion criteria included absent or non-participating students. Prior to data collection, participants were provided with an invitation letter emphasizing privacy protection. Distribution occurred during academic classes, resulting in a 93 % response rate from 1,000 distributed questionnaires. After data screening, 925 questionnaires were deemed suitable for analysis. Ethical approval was obtained from the University of Jordan’s institutional review board (IRB), with participants assured of voluntary participation and confidentiality. These measures uphold rigorous research standards and ethical conduct. ResultsDepression, life satisfaction and spiritual well-being were significant predictors of aggression. life satisfaction and Spiritual well-being was inversely related to aggression, while depression was positively related to aggression. Higher levels of hostility were more frequently reported by male university students than female university students. ConclusionProviding contentious assessment for psychosocial and spiritual well-being are important way to manage aggression among university students. RecommendationsThe current study recommends elevating the function of social workers, mental health nurses, and psychological counselors in order to give periodic assessment, and to screen the psychosocial health indicators of aggression such as depression, a lack of spiritual health and a lack of life satisfaction.

Agresivitatea la adolescenți: caracteristici și implicații psihologice

Changes from society and those from each individual life increase the phenomenon of aggression. One of the most important age from human development is adolescence. Adolescents are facing essential biological, emotional and social changes that can conditionate the expending of aggression. According to the mention facts we studied aggressions and the corelates of aggression in adolescence. The obtained results highlight that for adolescents are characteristic aggressions and hostility. At the same time, we noted that for adolescents with high level of hostility are particular low level of self-confidence and the initiation of social contacts. Also, we consider that it is important and necessary to intervene with concrete techniques that can teach adolescents to manage aggression and inappropriate behaviour.

Exploring Gender Stereotypes among Prospective Foster Families

One of the acute social work issues in Ukraine is the deinstitutionalization of care for orphans and children left without parental care and the introduction of family care models. It is known that the success of such models largely depends on the motivations and values that inspire parents to place children, the socio-psychological characteristics of family members, gender aspects such as the distribution of household workload, the involvement of men in performing housework and care for children and so on.
 Building on social role theory, we examine gender stereotypes of prospective foster parents in Kyiv, Ukraine. The exploration of femininity and masculinity stereotypes was carried out using the Sex-Role Inventory (Bem, 1974), while the assessment of ambivalent sexism in the attitudes toward women and men was done through using a short version of the methodology of Glick and Fiske (1996). 83 paricipants of the mandatory trainings for prospective foster parents were questioned.
 Our study reveals that the prospective foster parents hold a biased set of beliefs. Almost a third of respondents’ responses concerning women show high indicators on the femininity scale and concerning men – on the masculinity scale. Also, respondents demonstrate a greater extent of benevolent rather than hostile sexism and describe a generalized image of women and men as androgynous individuals. High levels of hostility to feminism, especially among women, have been reported.
 Ukraine has all legal grounds for gender equality. Thus, from the intersectional point of view, the study results highlight the impact of culture and social norms on perceptions of gender and gender stereotyping.
 The paper ends with suggestions on training programs for both prospective foster parents and social workers, enchancing egalitarian family patterns and agency of women.

The relationship between father absence and hostility among Chinese depressed youths: A serial mediation model and the role of self-esteem and frustration tolerance.

While the association between father absence and youth hostility has been well-documented among depressed youths, there is a lack of research on the potential mechanism underlying such an association. This study aimed to test a serial mediation model of self-esteem and frustration tolerance on the link between father absence and youth hostility. A total of 137 Chinese youths with major depressive disorder were recruited from Wuhan Mental Health Center. They completed a survey including the Father Absence Questionnaire to measure father absence, the Chinese Hostility Inventory (CHI) to measure hostility, the Psychological Endurance Questionnaire to measure frustration tolerance, and the Self-esteem Scale (SES) to measure self-esteem. A series of multiple linear regression models were employed to assess the associations among father absence, self-esteem, frustration tolerance, and hostility. Although father absence was modestly associated with hostility (r = 0.30, p < 0.001), subsequent serial mediation analysis showed that father absence was not directly related to hostility (β = 0.06, p = 0.29) when self-esteem and frustration tolerance were included in the model. High levels of father absence had an adverse effect on levels of self-esteem, which decreased levels of frustration tolerance, and thus higher levels of hostility among depressed youths. The indirect effects of father absence on hostility through self-esteem, frustration tolerance, as well as through self-esteem and frustration tolerance serially accounted for 28%, 24%, and 24% of the total effect, respectively. Our study tested a serial mediation model of self-esteem and frustration tolerance as mediators between father absence and hostility among depressed youths. The findings strengthened our understanding of the potential mechanism underlying the association between self-esteem and frustration tolerance, which may provide useful guidance for future intervention programs.

Behavioral self-regulation in pediatric bipolar disorder and healthy offspring of bipolar patients.

This study investigated behavioral self-regulation problems using the Children's Hostility Inventory (CHI) in pediatric bipolar disorder (PBD), healthy offspring of bipolar disorder patients (HOBD), and healthy controls (HC) without previous history of psychiatric disorders. The CHI was administered to 41 consecutive children and adolescents diagnosed with PBD, to 16 HOBD, and to 22 HC. The inventory assessed irritability, expression, hostility, and aggression and was completed by the children with the help of their mothers. Adolescents and their respective parents were interviewed separately using the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL). All subscales of the CHI presented statistically significant differences, except for the subscale assessing feelings of suspicion. Pairwise comparisons revealed consistently significant differences between the PBD group and controls, indicating more self-regulation difficulties in the PBD group, represented by high levels of hostility and aggressive behavior. There were no significant differences between the PBD and HOBD groups. Future studies should further investigate if such behavior is state-dependent or a trait of bipolar juvenile expression. Expression of hostility and irritability should be considered relevant targets in psychosocial approaches addressing this population.

Positive Development and Parenting in the Face of Adversity: A Survey of Emerging Adults

Adverse childhood experiences may hinder young people from developing the positive traits and abilities they need to successfully navigate life. While parenting has been shown to support this development, its protective influence in the context of adversity is yet to be explored. This paper investigates the associations between emerging adults’ positive development and single and/or multiple experiences of adversity, and if parenting moderates those associations. Data from a new cross-sectional quantitative survey (n = 693; 28.2% male; aged 18–25 years) were used to measure positive development at age 18–25, adversities experienced up to age 18 (maltreatment, parental separation, and household substance use problems, mental health conditions, incarceration and domestic violence), and parenting received at age 15 (connectedness, hostility, and monitoring). Moderated multivariate logistic regressions indicated that respondents were at increased risk for low positive development if they had experienced cumulative adversity or lower monitoring. A significant interaction and visualised trends indicate that a higher level of hostility was associated with increased risk for low positive development only in respondents with no reported ACEs. The results indicate that young people who experience multiple types of adversity, parental hostility, and/or a lack of monitoring, may be less likely to develop the skills and attributes required to successfully tackle the challenges of life. Further investigation is warranted to tease out the multi-faceted relationships between these constructs and identify how and why adversity and parenting may impact young people’s ability to thrive.

‘Them’ without ‘us’: negative identities and affective polarization in Brazil

ABSTRACT High levels of hostility between those on opposing sides of politics have led to a burgeoning literature on the concept of affective polarization. Though a globally widespread phenomenon, extant literature has generated theoretical expectations and empirical findings mostly inspired by the United States and Western Europe. By studying the case of Brazil, I argue and show that traditional explanations do not provide satisfactory accounts of affective polarization in contexts where politics is only weakly structured by ideology or partisan attachments. I argue and show that in such contexts the concept of negative political identities can provide a much better explanation for why politics is so divisive. Using both the 2014 and 2018 waves of the Brazilian Electoral Studies (BES) and independently collected survey data (N = 1732), I provide robust empirical findings supporting the primacy of negative political identities over traditional explanations. Negative identification with the out-party/leader has a strong effect on dislike towards out-voters even when controlling for instrumental evaluations of political elites. This paper contributes to the comparative research agenda on affective polarization outside Western contexts, as well as to the study of negative political identities.

Modeling Firefighter Work State, Satisfaction and Well-Being

Previous research has suggested that high levels of hostility may result in negative outcomes such as aggression or disengagement and that this impact may be exasperated by the workplace environment. The current study contributes to knowledge regarding firefighters and the fire service work environment. Our purpose was to investigate relationships between work state, psychological well-being, general satisfaction and hostility for firefighters. Data analyses involved structural equation modeling and results indicated that positive work state is negatively related to satisfaction and positively related to psychological symptomatology. In particular, the present results suggest that positive working environment has significant impacts on many domains of firefighter life; consequently, creating a positive working environment should be considered a key area of intervention in assisting toward overall well-being for firefighters.

A much-abused tree: the rise and fall of the Lombardy poplar

Tree species, much like clothing, go in and out of fashion. The purpose of this study was to explore the cultural life of the Lombardy poplar and how it evolved from being greatly admired to reviled in the USA. Despite early widespread popularity, the Lombardy poplar fell swiftly from grace and bore the brunt of an unusually high level of hostility—it was variously called odious, nasty, greedy, and worthless. The country’s growing xenophobia and hostility to immigrants in the nineteenth century and the Know-Nothing Movement certainly reinforced and prolonged the hatred of the Lombardy Poplar as a ‘useless foreigner’, but this paper argues that though certainly tied to the early nativist movement, the shunning of the tree was more complex. It began in Philadelphia, with an unfounded claim that the Lombardy poplar produced a worm whose bite caused instant death, which led to panicked calls for the destruction of all poplars in the city. The worm fiasco was followed by changes in horticultural fashion, a growing sense of pride in all things American, and a greater appreciation for the admirable, even superior, qualities of their own native trees.

Assessment of Greek Smokers' Psychological Characteristics and Empathy While Smoking in Enclosed Public Spaces and Near Nonsmokers.

BackgroundSmoking presents a strong association between emotional intelligence and increased anxiety and depression. Empathy is a form of perception where people feel the emotional states of others as their own. The act of smoking expresses indifference to social norms and the health of nonsmokers, which speaks to smokers’ psychology. We conducted this study to identify the impact of smoking in psychology, empathy, and smoking behavior and examine the effect of smokers’ psychological characteristics and empathy toward smoking in enclosed public spaces and in front of nonsmokers.MethodologyA primary, quantitative, synchronous, correlational, and nonexperimental research was accomplished using validated, reliable questionnaires. We used random sampling to acquire the study population consisting of 453 employees of public dining areas, owners of public dining areas, and medical and nonmedical students at the University of Larissa, Greece. Data were collected via self-completed questionnaires on participant demographic information and smoking habits. We used SPSS Statistics for Windows, version 24.0 (IBM Corp., Armonk, NY) to analyze the data with significance set at 5%. We also used independent samples t-test, Mann-Whitney U test, Spearman’s coefficient, chi-square test, and factorial analysis of variance with significance set at 5%.ResultsWe found high levels of empathy in smokers with low psychosomatic symptoms. Smoking significantly affected levels of empathy (p<.001), annoyance when they are in a place where smoking is prohibited, someone else smoking (p<.001), recommendations of someone who smokes in a nonsmoking area to quit (p<.001), and hostility (p<.001). There was a statistically significant effect of double interaction sample category and smoking on empathy (p<.001). Smoking more than 15 cigarettes affected the levels of agreement in the perception that nonsmokers around them are bothered when they smoke (p=.004) and anxiety (p=.002). Perceptions about the annoyance of nonsmokers were negatively correlated with interpersonal sensitivity (p=.003), depression (p<.001), anxiety (p=.003), hostility (p<.001), paranoid ideation (p=.005), psychoticism (p=.001), and Global Severity Index (p=.006). Annoyance, when smoking is prohibited, was positively correlated with empathy (p=.001) while negatively correlated with somatization (p=.012) and hostility (p=.013). Smoking in prohibited places was related to somatization (p=.032), hostility (p<.001), and paranoid ideation (p=.001).ConclusionsThe purpose of this study was to examine the empathy and psychopathological characteristics of smokers in Greece. Smokers presented high levels of hostility and those who smoke more than 15 cigarettes per day indicated higher levels of anxiety than those who smoke less or not at all. Lower levels of empathy appeared in smokers, regardless of occupation. Smokers presented lower levels of annoyance when they are in a place where smoking is prohibited and someone else smokes. Participants with higher somatization, hostility, and lower empathy are less bothered when they are in a place where smoking is prohibited and someone else smokes. These findings could assist the development of communication materials aimed at smokers to help them understand that others nearby do not enjoy their smoking practices, especially in an enclosed area. These findings could also facilitate feasible antismoking laws with an overall goal to reduce smoking in a population.

The Role of Dynamic Risk and Protective Factors in Predicting Violent Recidivism: Intellectual Ability as a Possible Moderator?

This study investigated which risk and protective factors, based on the 14 clinical indicators of the Historical-Clinical-Future Revised, significantly predicted violent recidivism in a sample of 315 male forensic psychiatric patients. Additionally, it was investigated whether these associations were moderated by intellectual ability. Regarding risk factors, a stronger influence of risky network members, and higher levels of hostility, impulsivity, and addiction significantly predicted violent recidivism. Likewise, regarding protective factors, poorer social and labor skills, and a lower degree of patient's acceptance of crime responsibility were significant predictors of violent recidivism. Contrary to our expectations, better coping skills and more insight into risky behaviors that can lead to relapse also contributed significantly to an increased likelihood of violent recidivism. Intellectual ability had no significant moderating effect on the associations between the factors and violent recidivism. The results offer an insight into which factors need to be prioritized during treatment.

“I Didn’t Come Here to Make Trouble”: Resistance Strategies Utilized by Transgender and Gender Diverse Youth in the Midwestern U.S.

Research on transgender and gender diverse (TGD) youth demonstrates the negative outcomes associated with trauma and oppression based on gender identity and expression. Related research illustrates how TGD youth are resilient in the face of oppression through individual (e.g., navigating difficult relationships, seeking mental health support) and community (e.g., access to community resources) factors. However, this research is limited by an understanding of resilience as overcoming challenges rather than exploring the possibly unique ways that TGD youth resist oppression as a form of resilience. This qualitative study utilized in-depth interviews with 19 TGD youth living in two Midwestern states, a region of the U.S. characterized by high levels of hostility and victimization toward TGD young people. Thematic analyses revealed the ways in which TGD youth engage in resistance strategies in the face of oppression. At an intrapersonal level, strategies included resisting oppressive narratives, affirming one’s own gender, maintaining authenticity, and finding hope. At an interpersonal level, strategies were standing up for self and others, educating others, and avoiding hostility. Finally, at a community-level, TGD youth were engaging in activism and organizing and enhancing visibility and representation. Findings are discussed and implications are identified.

The Impact of Hostility on Quality of Life, Functioning, and Suicidal Ideation Among Male Veterans with Posttraumatic Stress Disorder.

Veterans with posttraumatic stress disorder (PTSD) often experience high levels of hostility. Although studies have found that PTSD is associated with poorer quality of life (QoL), increased functional impairment, lower levels of social support, and increased suicidal ideation, it is unclear if hostility impacts these domains in veterans with PTSD above and beyond the impact from PTSD and depressive symptoms. The present study aimed to examine whether hostility is related to several indices of poorer QoL and functioning after controlling for demographic characteristics, PTSD symptoms, and depressive symptoms. Participants (N = 641) were male U.S. veterans seeking PTSD treatment through a specialty clinic in the Veterans Affairs Healthcare System. Veterans completed the Davidson Trauma Scale for DSM-IV (DTS), Personality Assessment Inventory (PAI), Quality of Life Inventory, and the Sheehan Disability Scale. Hierarchical regressions were conducted to examine the impact of PAI measures of hostility on QoL, functioning, social support, and suicidal ideation beyond DTS, depression, race, and age. After covarying for DTS total score, depression symptoms, age, and race, higher levels of hostility were significantly associated with higher degrees of functional impairment and lower degrees of social support, ΔR2 = .01 and ΔR2 = .02, respectively. Higher levels of hostility were significantly related to diminished functioning and lower social support beyond PTSD and depressive symptoms in veterans seeking treatment for PTSD. These findings highlight the importance of assessing and treating hostility in veterans with PTSD.

Gender differences in self-reported social functioning of patients with chronic coronary artery disease and affective disorders

Aim. To determine gender differences in self-reported social functioning of patients with comorbidity of affective disorders (ADs) and chronic coronary artery disease. Materials and methods . Self-reported social functioning of 248 cardiological patients (194 men (78.2%) and 54 women (21.8%)) with chronic coronary artery disease (CAD) and ADs was studied using the Social Adaptation Self-evaluation Scale (SASS). The mean age of patients with chronic CAD in men was (57.2 ± 6.5) years, and in women (59.3 ± 7.1), p = 0.04. Qualitative and quantitative indicators were investigated using the Mann – Whitney, Wilcoxon and T-test; χ2 (Pearson›s goodness-of-fit test) was used to estimate the frequencies. Results . ADs were represented by chronic mood disorders (45%), first-time depressive episodes (DEs) 24%, recurrent DEs 24.5%, as well as bipolar II disorder (BD II) 6.5%. ADs in 42.4% of patients were associated with psychosocial stressors (mainly, loss), p = 0.02. Men statistically significantly more often (37.1%, 72/194) than women (16.7%, 9/54) communicated more scarcely with others as a result of projection mechanisms, a high level of hostility, passive aggressiveness and lack of initiative, typical for patients with ADs, p = 0.003. Conclusion. The social functioning of patients with ADs and chronic coronary artery disease was complicated irrespective of gender. Women were single and bereaved of their children more often than men. Due to the low level of communication outside the family and outside of professional activity, most of the patients maintained communication mainly with the family. However, due to ADs, they were not able to feel support from family members and rarely initiated communication with other people (men did it statistically significantly more often than women).

Monoamine oxidase a gene polymorphism associated with hostility in male population of 45-64 in Russia/Siberia

IntroductionThe presence of low-activity alleles of the MAOA gene increases the risk of hostility.ObjectivesTo study the association of hostility with high and low-active variants of the MAOA gene in an open population of men 45-64 years.MethodsUnder the WHO International Program MONICA-psychosocial and HAPIEE a representative sample of men aged 45–64 years (n = 781 men, average age was 56.48 ± 0.2 years) examined in 2003-2005. All respondents independently completed a questionnaire on hostility. From the surveyed sample using the random number method 156 men were selected who were genotyped for MAOA-uVNTR polymorphism.ResultsIt was found the level of hostility in the population of men was 60.3%. In persons with low-active alleles of the MAOA-L gene (allele 2 and 3) a high level of hostility was more common - 50.9%. The results of building a logistic regression model showed that the presence of low-active alleles (2; 3) of the MAOA gene increases the likelihood of hostility OR = 2,103 (95% CI 1,137-3,889, p = 0.018).ConclusionsOur findings allow us to conclude that the low-active allele of the MAOA-L gene is associated with hostility.

Prevalence of ischemic heart disease depending on factors of psychoemotional stress among men of mature age (epidemiological study)

To establish associations of the prevalence of ischemic heart disease (IHD) and factors of psychoemotional stress in men of the open urban population in the age group 4564 years after two decades of life. A cross-sectional epidemiological study using a model of the city of Tyumen was conducted on a representative sample of the population among males of mature age (4564 years). Based on standard epidemiological methods, IHD was established according to strict epidemiological criteria definite IHD. The study of the factors of psycho-emotional stress (depression, hostility, life exhaustion) was carried out according to the algorithms of the World Health Organization program MONICA-psychosocial. When calculating the odds ratio for the development of IHD, a low level of psycho-emotional stress factors was regarded as the absence of a sign, a combination of medium and high levels as a presence. The prevalence of ischemic heart disease in the open population (on the model of Tyumen) according to strict epidemiological criteria in men aged 4554 years was 8.2%, at the age of 5564 years 19.2%, a predominance of painless form of ischemic heart disease was revealed. According to the levels of factors of psychoemotional stress in mature men, mainly the average level of depression and life exhaustion, a high level of hostility were established. In men of an open population (on the model of Tyumen), depending on the psychoemotional stress, a high risk of developing a certain coronary heart disease was established in the age categories 4554 and 5564 years old in the presence of depression, at the age of 5564 years in the presence of hostility or life exhaustion. Consequently, the data obtained indicate the importance of further studying the factors of psychoemotional stress in men of mature age in Siberian populations, their relationships with conventional risk factors for coronary artery disease, as well as the advisability of preventive measures aimed at weakening the influence of not only conventional risk factors, but also factors of psycho-emotional stress. among the Russian population.

The Prevalence of Anxiety, Aggression, and Hostility at Sportswoman: A Study on Boxing

The study of various types of psychological manifestations in women athletes in age groups, in such a primordially masculine form of martial arts, such as boxing, is very relevant and in demand in the study of modern women's sports. This article presents the materials of a study devoted to the identification among women boxers of different age groups of the psychological manifestations of aggressiveness, hostility and their types, as well as personal and situational anxiety during the pre-start period of their sports activities, as well as methods and means of overcoming them by athletes. The aim of the article is the presentation and analysis of the identified indicators of the level of aggressiveness, hostility, personal and situational anxiety in athletes of the studied groups. In the study, we used a survey of athletes, according to the method of Bass-Darki (in the modification of A.K. Osnitsky) and the determination of indices of aggressiveness and hostility, to determine the level of aggressiveness (external manifestation) to specific individuals and the hostility (and its orientation toward the external environment) of the person under study; determination of the degree of personal and situational anxiety of athletes in the pre-launch period, using a test questionnaire according to Ch.D. Spielberger (adapted by V.Yu. Khavkin); extended interviewing method. It was reliably established that in all age groups of athletes (n = 127), different increased levels of aggressiveness were present in 40 (31.50%). A high level of hostility was identified in 39 (30.71%) of all athletes. It was also revealed that all high levels of personal anxiety were identified in 41 (32.28%) athletes of all age groups, and in 46 (36.22%) of all athletes - all high levels of situational anxiety. When conducting extended interviews, it was found that all representatives of different age groups have no aggressiveness directed at rivals. The manifestations of verbal aggression predominate, mainly among athletes of puberty and youthful ages. It was determined that personal and situational anxiety prevails among young athletes with a small sports record and an insufficient level of experience in participating in competitions at various levels. It is noted that the level of aggressiveness, hostility, personal and situational anxiety significantly decreases for all athletes, as their sports experience, professional skill, and competitive experience increase.

Hostility in cancer patients as an underexplored facet of distress.

In the present study, we aimed to assess hostility and to examine its association with formal psychiatric diagnosis, coping, cancer worries, and quality of life in cancer patients. The World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) to make an ICD-10 (International Classification of Disease) psychiatric diagnosis was applied to 516 cancer outpatients. The patients also completed the Brief Symptom Inventory-53 to assess hostility (BSI-HOS), and the Mini-Mental Adjustment to cancer scale (Mini-MAC). A subset of patients completed the Cancer Worries Inventory (CWI), the Openness Scale, and the Quality of Life Index. By analyzing the distribution of the responses 25% of the patients had moderate and 11% high levels of hostility, with about 20% being BSI-HOS "cases." Hostility was higher in patients with a formal ICD-10 psychiatric diagnosis (mainly major depression, other depressive disorders, anxiety disorders) than patients without ICD-10 diagnosis. However, about 25% of ICD-10-non cases also had moderate-to-high hostility levels. Hostility was associated with Mini-MAC hopelessness and anxious preoccupation, poorer quality of life, worries (mainly problems sin interpersonal relationships), and inability to openly discuss these problems within the family. Hostility and its components should be considered as dimensions to be more carefully explored in screening for distress in cancer clinical settings for its implications in negatively impacting on quality of life, coping and relationships with the family, and possibly the health care system.

Un paso adelante, dos pasos hacia atrás. Las relaciones de Estados Unidos con Cuba bajo los presidentes Obama y Trump

Desde el triunfo de Fidel Castro en Cuba en 1959, las relaciones de Estados Unios con la isla caribeña fueron caracterizadas durante más de medio siglo por una alta hostilidad y conflictividad. Eso cambió durante el segundo mandato de Barak Obama con una serie de medidas que parecieron señalar el despegue de una nueva época de cooperación entre ambos países. Esa estrategia de descongelamiento de las relaciones bilaterales terminó, sin embargo, con lavictoria electoral de Donald Trump y su estrategia favorita América first, que instrumentalizó de manera extrema la política externa para fines de la política interna. Para satisfacer a sus adherentes, entre ellos los cubanoamericanos en el Estado de Florida, Trump revertió paso por paso una gran parte de la política de apertura de su antecesor con efectos económicos negativos tanto para los cubanos como, aunque menos, para empresas y ciudadanos estadounidensesy empeoró sustancialmente la imagen de Estados Unidos y de su gobierno tanto en la región como en Europa. Un cambio generacional en la comunidad cubana en Miami, protestas de la Unión Europea y de ciertos sectores económicos en Estados Unidos despiertan por otra parte dudas si la política rígida de sanciones de la administración Trump sobreviva realmente a las próximas elecciones en Estados Unidos en 2020. Como conceptos analíticos nos sirven el neorealismo, el socialconstructivismo y el concepto intermestic polictics.