Important Areas Of Life Research Articles

Does young adults’ preferred role in decision making about health, money, and career depend on their advisors’ leadership skills?

Few empirical data exist on how decision making about health differs from that in other crucial life domains with less threatening consequences. To shed light on this issue we conducted a study with 175 young adults (average age 19 years). We presented the participants with scenarios involving advisors who provided assistance in making decisions about health, money, and career. For each scenario, participants were asked to what extent they wanted the advisor to exhibit several leadership styles and competencies and what role (active, collaborative, or passive) they preferred to play when making decisions. Results show that decision making about health is distinct from that in the other domains in three ways. First, most of the participants preferred to delegate decision making about their health to their physician, whereas they were willing to collaborate or play an active role in decision making about their career or money. Second, the competencies and leadership style preferred for the physician differed substantially from those desired for advisors in the other two domains: Participants expected physicians to show more transformational leadership--the style that is most effective in a wide range of environments--than those who provide advice about financial investments or career. Finally, participants' willingness to share medical decision making with their physician was tied to how strongly they preferred that the physician shows an effective leadership style. In contrast, motivation to participate in decision making in the other domains was not related to preferences regarding advisors' leadership style or competencies. Our results have implications for medical practice as they suggest that physicians are expected to have superior leadership skills compared to those who provide assistance in other important areas of life.

Escala de Avaliação do Transtorno Dismórfico Corporal (EA-TDC): propriedades psicométricas

This study analyzed the psychometric properties of the second version of the Assessment Scale for Body Dysmorphic Disorder (AS-BDD). It is a scale of self-report, with 40 items, developed to evaluate 3 dimensions of Body Dysmorphic Disorder (BDD): (a) excessive concern with a minor or imagined flaw in his/her personal physical characteristics, (b) significant clinical suffering and functional damage in important areas of life, and (c) such concern is not better explained by another disorder. The construct analysis by judges indicated accordance in 35 items which were answered by 30 patients diagnosed with BDD and 400 university students. The validity of criterion measures indicated ability to discriminate the items among the individuals of both sampled groups. The exploratory factor analysis suggested a unidimensional structure of the scale which allows to measuring "excessive concern with a minor or imagined flaw in his/her personal physical characteristics and the functional damages in different areas of life". The withheld items have shown excellent internal consistency. Cut point definitions and the ability to discriminate other disorders should be further studied.

Spiritual Well-Being of People with Psychiatric Disabilities: The Role of Religious Attendance, Social Network Size and Sense of Control

The influence of psychiatric symptoms, religious attendance, social network size, and sense of control on spiritual well-being were investigated in a cross-sectional study using the Spirituality Index of Well-being. Forty-seven participants with psychiatric disabilities from six consumer-run organizations participated. A factor analysis result revealed two domains of spiritual well-being for people with psychiatric disabilities: self-perceptions regarding making sense of life (developing life purpose) and self-efficacy in obtaining life goals. Based on our regression analyses, religious attendance, expanding social network size, and having a sense of control over important areas of life may enhance spiritual well-being in spite of severity of psychiatric symptoms. Supporting mental health consumers who hope to be fully integrated into social and spiritual communities is important. Given the increased attention to consumers' internal spiritual experiences in a recovery process, this study adds to knowledge about spirituality in the mental health field.

Meanings of participating in a lifestyle programme for persons with psychiatric disabilities

Lifestyle changes that affect physical and psychological health are described in research literature; however, the meaning of participating in a lifestyle intervention programme together with the staff has not been described. This study illuminates meanings of participating in a lifestyle programme as experienced by persons with psychiatric disabilities. The first author interviewed five women and six men with schizophrenia and depressive syndrome, aged 26-53, participating in a lifestyle programme. The transcribed interviews were analysed using a phenomenological hermeneutic approach inspired by the philosophy of Ricoeur. Meanings of participating in a lifestyle programme include my health can be improved as both the physical effects and the obstacles are considered and the daily life is partially given a changed content in new experiences and by participating in something to take pride in. The meanings of participating together with the staff mean an increased sense of closeness and equality with the staff expressed in changes in relationships and the difference between the two groups being revealed and also in becoming aware of the life situation, an insight into the loss of a healthy life but also hope for the future is expressed. The conclusions that could be drawn from this study are that a lifestyle intervention affects health and other important life areas such as the content of daily life and the relationship with the carers, which appears to affect the sense of hope and the ability to see new possibilities. Carers should find situations and activities where the residents and carers participate under equal conditions giving the residents the opportunity to leave the sick roll, experience equality and develop good relationships.

Quality of Life, Needs, and Interest Among Cocaine Users: Differences by Cocaine Use Intensity and Lifetime Severity of Addiction to Cocaine

We examined the quality of life (QoL) of 149 patients who were recruited in 2005 at outpatient treatment centers for cocaine dependence in Spain. Important life areas and life areas with potential need and interest to change in order to improve the QoL were analyzed in terms of patients’ cocaine use intensity within the previous six months and lifetime severity addiction to cocaine. The Spanish versions of the Drug User Quality of Life Scale and the Lifetime Severity Index for Cocaine were used to measure QoL, needs and interest, and severity addiction to cocaine. The data analysis employed t-tests, linear regression, Mann–Whitney U tests, multivariate regression, and chi-square tests. Tailoring treatment programs to address the life areas that are considered relevant to cocaine users considering their intensity of consumption and lifetime severity addiction to cocaine may improve retention and treatment outcomes. Further research needs to consider patients of different ethnic backgrounds and cultural contexts. The study's limitations are noted.

Differences in quality of life modalities give rise to needs of individual support in patients with ALS and their next of kin

The aim of this study was to examine health-related quality of life (HRQoL), individual QoL, anxiety and depression in patients with amyotrophic lateral sclerosis (ALS) and their next of kin in relation to patients' physical function over time. 35 patients and their next of kin were studied using the Short Form-36 Health Survey (SF-36), Schedule for Evaluation of Individual Quality of Life-Direct Weighting (SEIQoL-DW), and Hospital Anxiety and Depression Scale (HADS) and patients also by the Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised and the Norris scale every fourth to sixth month, one to four times. Changes were found over time in both patients and their next of kin in the SF-36 but not in the SEIQoL-DW or HADS. Patients rated worse than their next of kin in the SF-36 physical subscales and next of kin rated worse than the patients in the global QoL score in SEIQoL-DW. Health, hobbies, and total relations were important areas in the SEIQoL-DW among all participants, but some important areas also differed between the patients and their next of kin. In most important areas among the pairs, the next of kin estimated their functioning/satisfaction worse than patients estimated their functioning/satisfaction. There were few changes over time in the QoL among the participants. Although most of the estimates in patients and their next of kin were equal, there were also some differences. These results emphasize the importance of support for both patients and their next of kin and that support ought to be given on both individual bases and together in pairs. The SEIQoL-DW might give signposts in the care through the course of the disease about what should be focused on to increase satisfaction of the important areas of life and might help the person to find coping strategies to handle his or her life situation.

Change in what matters to palliative patients: eliciting information about adaptation with SEIQoL-DW

This study was carried out to investigate the usefulness of the SEIQoL-DW to elicit information about response shifts in palliative patients. The instrument measures individual quality of life and allows respondents to choose, rate and weight important areas of life (cues). We explored patients' reconceptualizations (ie, change in cues) and their value change (ie, change of cues weights). Results of 21 patients showed what mattered to these patients and how they had adjusted to deteriorating health. There is a risk that repeated measurements do not provide all the information that is potentially present and relevant to explore response shifts. But clear instructions to interviewers, such as careful listening, probing self-evident cues such as health and family, and accurate recording of cues on the forms may overcome this risk. Future research is recommended to explore the possibilities of regular assessments to facilitate better adjustment of patients. Palliative Medicine 2007; 21 : 581—586

What is important to me right now? Age differences in domain selectivity depend on the measure

Do older individuals have fewer important areas of life than their younger counterparts? While several recent theories of successful aging posit that selectivity in life domains and goal pursuits are important components of successful adult development and aging, it is not obvious how one would evaluate this claim empirically. The current study used four approaches to evaluate age differences in the number and content of life domains currently selected as important in an individual’s life. Two open-ended and two non-open-ended tools were used; the primary result was that age differences in number of selected domains emerged on the open-ended measures but not the others. Age differences in content of domains differed across assessment tools as well, but were consistent with an age-related shift in focus toward group involvement and leisure activities. Implications for practitioners attempting to discern optimal levels of life engagement for older individuals are discussed.

Quality of life change and response shift in patients admitted to palliative care units: a pilot study

This pilot study was carried out to determine to what extent patients admitted to palliative care units (PCUs) in The Netherlands maintained good levels of individual quality of life (QoL), and to what extent response shift - a measure of adaptation - influenced QoL at the end of life. Two components of response shift were measured: reconceptualization (exchanging important areas of life) and value change (changing the perceived importance of important areas of life). Twenty patients admitted to PCUs were interviewed at one week, three weeks, and five weeks after admission. Results show that individual QoL was high and remained stable over the three measurement points. The individual QoL of patients who did not reconceptualize or did not change values was higher than the individual QoL of patients who did. The current pilot data need to be corroborated with data from additional respondents.

The Conundrum of School Desegregation: Positive Student Outcomes and Waning Support

The Brown v. Board of Education (1954) decision was a landmark in many respects. Most importantly, it overturned the separate but equal doctrine embodied in Plessy v. Ferguson (1896), laying the groundwork for massive change in our society. In particular, it laid the basis for dismantling state supported racial segregation in education, housing, and other important areas of life. For social scientists there is another, though less important, reason why the Brown decision was so crucial. It was the first case in which a Supreme Court decision specifically mentioned the input of social science experts (Cook, 1979). Although there is a lack of agreement about how important a role this input played, social scientists were buoyed by the fact that a statement signed by a large number of leading social scientists was cited.

The Impact of Men's and Women's Retirement on Marital Relations: A Comparative Analysis

ABSTRACT The study examined whether men's and women's retirement have a differential impact on several aspects of marital life: Power relations (as reflected in decision-making), spousal resources, division of household tasks, and quality of marriage. Questionnaires were distributed to a sample of 519 pre-retired and retired Israelis. The findings indicate that in general, both men's and women's retirement have a similar impact on marital relations in all of the areas examined. No appreciable change in spousal resources was found after retirement, but there was evidence of change in decision-making patterns about spending time and carrying out feminine and general tasks. Retired respondents of both sexes reported fewer marital complaints than the pre-retired respondents, but also expressed less marital enjoyment. It was also found that men's retirement has a different impact than women's retirement on decisions about household affairs and performance of feminine tasks. In addition, gender-based differences were found in several areas, irrespective of employment status. The women reported higher quality of marriage than did the men, and more resources for strengthening the family, whereas the men perceived themselves as making more decisions in the important areas of life, as more hardy, and as controlling the family's financial resources.

Towards the Good Life: A Population Survey of Dimensions of Quality of Life

The aim of the analyses presented here was to explore subjective and objective components and predictors of self-rated quality of life (QoL). The vehicle for the study was a questionnaire module on perceptions of quality of life, which was commissioned by the authors for inclusion in the Office of National Statistics (ONS) Omnibus Survey in Great Britain. For the survey, 2033 randomly sampled adults aged 16 and over were interviewed in their own homes (77% response rate). Multiple regression analyses showed that relatively little of the variance in overall QoL ratings was explained by the objective, socio-demographic indicators (5%), and the addition of the health status indicator (reported longstanding illness) contributed nothing. The subjective ratings of life in self-nominated areas of importance explained the most, with those who did not prioritise the area at all as the referent (relationships, finances, own health, others' health, work and social life). These variables contributed over twice as much as the objective and health status variables, indicating the relative importance of self-nominated 'important areas of life' over theoretically important, objective variables and reported illness. However, the final model still only explained a modest amount of the variance in quality of life ratings (16%), confirming the amorphous nature of quality of life.

Deficit syndromes in schizophrenic patients 15 years after their first hospitalisation: preliminary results of a follow-up study.

This study is a follow-up study on broadly defined schizophrenic disorders. Patients were assessed standardized at the time of their first hospitalization (admission and discharge) and reassessed in an standardized manner 15 years later. The aim of the analyses presented here was to evaluate the frequency of patients with markedly expressed negative symptoms in terms of deficit syndrome and to analyze which of the variables assessed at the time of first hospitalization were predictive concerning deficit syndromes at follow-up. Results indicate that nearly one third of patients have developed a deficit syndrome 15 years after their first hospitalization. These patients are characterized by severe impairments in important areas of life, such as partnership or employment. Furthermore, apart from more pronounced negative symptoms, these patients also have more paranoid-hallucinatory symptoms than schizophrenic patients without deficit syndromes. Predictive signs for non-development of a deficit syndrome 15 years later were good global functioning, female gender, pronounced depressive symptoms and good treatment response concerning negative and paranoid-hallucinatory symptoms at first hospitalization. A longer duration of symptoms prior to first hospitalization, lack of a partnership, pronounced negative symptoms at admission and at discharge were predictive of developing a deficit syndrome. Results are discussed with regard to the literature and to methodological limitations.

Relationships of personality disorders with problem severity in methadone patients

The prevalence of DSM-III-R personality disorders were assessed in a sample of 179 male methadone maintained opiate addicts. The discriminant validity of three personality disorder (PD) groupings were compared with respect to Axis I disorders, functioning in a number of important life areas, risk for HIV infection, and social judgment/sensitivity. Results showed that a PD, regardless of the number or type, identified patients with more employment, family/social, and psychiatric problems, increased risk for HIV infection, and poor social judgment/sensitivity. Few differences were revealed when three clusters of PDs (Cluster A, B, and C) were compared. With few exceptions, subjects with antisocial PD were no worse off than those with any other PD with respect to current functioning.

In Search of a Foundation for Christian Ethics

At the present time the Church is frequently exhorted to give an ethical lead. Yet what would be the nature of such direction—the dissemination of practical wisdom from the Scriptures, the provision of a blue-print for the realisation of the Kingdom of God on earth, or just emotional encouragement to moral effort? Theological colleges offer courses on ‘Christian Ethics’, and for certain degrees there are papers bearing this title, yet what exactly is the nature of the discipline? Is it any more than the retailing of the moral judgments of distinguished Christians in the past, and information concerning certain important areas of life in regard to which Christians ought to come to some sort of practical decision? Is Christian Ethics a discipline at all, or just an unmapped, and possibly an unmappable, field between dogmatics and practical theology?