Initial Emotional Reactions Research Articles

“This is really something: same place, same day result, same day treatment” women’s experiences of testing positive for HPV and receiving same-day treatment in Papua New Guinea: an interpretative phenomenological analysis

IntroductionHuman papillomavirus (HPV) testing is transforming cervical screening globally. The World Health Organization (WHO) now recommends same-day HPV screen-and-treat for primary cervical screening in low- and middle-income countries (LMIC) but there is a lack of evidence on women’s lived experience of testing positive for oncogenic HPV and receiving same-day treatment. This study aimed to address this knowledge gap among women participating in a same-day HPV screen-and-treat (HPV S&T) program in Papua New Guinea.MethodsAs part of a larger qualitative study, this paper explores the lived experiences of 26 women who tested positive for oncogenic HPV and were treated the same day. We analysed the data using the interpretative phenomenological analysis method. All data were managed using Nvivo 12.5.ResultsThe interpretative phenomenological analysis led to three superordinate themes: 1) facing and alleviating initial worries, (2) transforming the disclosure process, and (3) connecting to their faith. Women’s experiences of the same day HPV screen-and-treat were framed by initial emotional reactions to their positive HPV test result, and having access to treatment on the same day, which helped address their worries and fears, and transformed their experience of disclosing their test result and subsequent treatment to family and friends.ConclusionThis study shows that, while women experience similar initial emotional reactions, undergoing same day treatment quickly resolved the women’s worries, making this program highly acceptable. Overall, women’s engagement in the program confirmed its high acceptability and cultural congruence, leaving women feeling empowered and hopeful about their future, and the future of all Papua New Guinea women.

Parents’ Psychological Adaptation after Receiving a Fetal Diagnosis: A Systematic Review

A fetal diagnosis places an unexpected psychological burden on parents and triggers a complex pregnancy experience. Parents who choose to continue the pregnancy have unique perspectives as they prepare for birth. It is crucial to understand these families’ experiences to inform their care and support. This qualitative systematic review explored the psychological adjustment of parents who continued gestation after they received a fetal diagnosis. A systematic database search was conducted with subsequent thematic analysis of fourteen included studies. Parents experienced intense initial emotional reactions to the diagnosis including shock and grief, followed by a complex processing period influenced by personal and social factors. The findings demonstrate a need for improved multidisciplinary parental support for families who receive a fetal diagnosis and add rationale for the addition of psychological services to the care teams of prospective parents. Keywords: prenatal, fetal diagnosis, pregnancy, parents, emotions, process

Social-cognitive mediators of the relationship of media exposure to acute mass violence and distress among adolescents.

Traditional and social media coverage of acute mass violence (AMV; e.g., terrorism, mass shootings) create an environment where the possibility of being the victim of AMV is constantly portrayed and this media exposure has been linked to distress among people not directly affected. We explored how initial emotional reactions to media exposure to AMV, threat perception, and core beliefs may mediate the media exposure to current anxiety or depression symptoms relationship. Adolescents (N = 342) in the United States aged 13-17 years old (M = 15.43, SD = 1.29; 71.6% female) completed online surveys asking about time spent watching AMV coverage in the media, initial emotional reactions to the media coverage, threat perception, core beliefs, and current anxiety and depression symptoms. Mediation was tested with PROCESS (Hayes, 2018) for anxiety and depression. Sex and having lived in a community exposed to an AMV event were control variables. Bootstrap confidence intervals (95%) for the unstandardized indirect effects of core beliefs, initial anxious emotional reactions, and personal threat perception based on 5,000 bootstrap samples did not include zero, providing support for mediation. Core beliefs and initial anxious emotional reactions were mediators between time-consuming AMV-related media and current anxiety symptoms. Personal threat perception and initial anxious emotional reactions mediated the relationship between time-consuming AMV-related media and current depression symptoms. The impact of media exposure to AMV on depression and anxiety can be understood through its influence on initial anxious reactions, core beliefs, and threat perception. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

New beginnings in post graduate medical education. Latin American Medical Education Leaders Forum

Introduction: The consequences of the Covid-19 epidemic have been catastrophic for Latin America in 2021. This study explores experiences, lessons learned, and practice changes during this critical time in post-graduate medical education in Latin America. Methods: A panel of 53 post-graduate medical education leaders from 8 Latin American countries and Canada was invited to participate in the 2021 Latin American Medical Education Leaders Forum to share their experiences, lessons learned, and main educational practice changes given the Covid-19 pandemic scenario. Participants were selected following a snowball technique with the goal of obtaining a diverse group of experts. Small group discussions were conducted by bilingual facilitators based on a semi-structured questionnaire. The plenary session with the main conclusions of each group was recorded and fully transcribed for a thematic analysis using a framework methods approach. Results: Participants´ profiles included 13 experienced clinician-educators, 19 program directors, and 23 deans or organizational representatives. Seven specific themes emerged. They followed a pattern that went from an initial emotional reaction of surprise to a complex collective response. The responses highlighted the value of adaptability, the application of new digital skills, a renovated residents’ protagonism, the strengthening of humanism in medicine, the openness of new perspectives in wellness, and finally, an unresolved challenge of assessment in medical education in a virtual post-pandemic scenario. Conclusion: A diverse panel of medical educators from Latin America and Canada identified changes triggered by the Covid-19 pandemic that could transform postgraduate medical education in the region.

Understanding mental health outcomes related to compassion fatigue in parents of children diagnosed with intellectual disability.

Parenting a child diagnosed with intellectual disability includes a variety of stressors. The degree to which stress affects these parents has been given little emphasis. Compassion fatigue includes experiencing an emotional response to being unable to relieve the suffering of a loved one, burnout, strain and stress on the caregiver. Compassion fatigue develops in parents of children diagnosed with intellectual disability due to their caregiving roles. A phenomenological qualitative study was conducted using 25 semi-structured interviews to understand the mental health outcomes of parents caring for a child diagnosed with intellectual disability. The results showed that initial emotional reactions after receiving their child's diagnosis was a combination of anxiety, depression and compassion satisfaction. This study's findings suggest that parents of children diagnosed with intellectual disability experience moderate levels of compassion fatigue in the caring of their child. This research provides evidence that the caregiving of a child diagnosed with intellectual disability comes with a myriad of stressors that can lead to compassion fatigue.

Perspectives on the psychological and emotional burden of having gestational diabetes amongst low-income women in Cape Town, South Africa

BackgroundThe diagnosis of gestational diabetes mellitus (GDM) may affect women’s mental wellbeing, functioning and quality of life, with potentially negative effects on treatment adherence. Identifying and addressing the psychological and emotional needs of women with GDM, could have benefits for sustainable long-term behavioural change following the affected pregnancy. This study explored the lived experiences of women with GDM and the impact of GDM on their experience of pregnancy and sense of well-being.MethodsPurposive sampling was used to recruit women who had been diagnosed with GDM in their previous pregnancy and received antenatal care at a tertiary hospital in Cape Town, South Africa. This was a descriptive qualitative study using a combination of focus groups and in-depth interviews for an in- depth exploration of women’s lived experiences of GDM, their context and perceived needs. Data analysis followed an iterative thematic analysis approach.ResultsThirty-five women participated in nine focus groups and five in-depth interviews. Women discussed the emotional and psychological burden of having GDM, highlighting (i) their initial emotional reactions to receiving a GDM diagnosis, (ii) their experience of adjusting to the constraints of living with GDM (iii) their feelings of apprehension about childbirth and their maternal role and (iv) their feelings of abandonment in the post-partum period once the intensive support from both health system and family ends.ConclusionsThe current biomedical model used in the management of GDM, is highly foetal-centric and fails to acknowledge important psychological factors that contribute to women’s overall wellbeing and experience of pregnancy. These results demonstrate the importance of incorporating mental health support in the management and care for women with GDM in public health services, along with facilitating emotional support from partners and family members. Based on our findings, we recommend routine mental health and psychosocial vulnerability screening and monitoring for women diagnosed with GDM throughout pregnancy and postpartum to improve prognoses.

The Dutch Citizen Forum on Public Reimbursement of Healthcare: A Qualitative Analysis of Opinion Change

Background: A deliberative Citizen Forum ‘Choices in healthcare’ was held in the Netherlands to obtain insight into the criteria informed citizens would propose for the public reimbursement of healthcare. During 3 weekends, 24 citizens participated in evidence-informed deliberation on the basis of 8 case studies. The aim of this study was to assess how the opinions of 8 participants in the deliberative Citizens Forum changed and if so, why participants themselves believe their opinions have changed, whether participation influenced their perceived reasonableness of other participants in the forum and whether it influenced their opinions about involvement of citizens in decision-making. Methods: Semi-structured interviews were held with 8 participants before and after their participation in the Citizen Forum. Using the method of reconstructing interpretive frames opinions about the public reimbursement of healthcare were reconstructed. Results: Participants’ opinions changed over time; they became more aware of the complexity of decision-making and came to accept that there are limits to the available resources and accept cost as a criterion for reimbursement decisionmaking. Participants report that exchanging arguments and personal experiences with other participants made them change their initial opinions. Participants ascribed increases in the perceived reasonableness of other participants’ opinions to feelings of group-bonding and becoming more familiar with each other’s personal circumstances. Participants further believe that citizens represent an additional opinion to that of other stakeholders and believe their opinions should be considered in relation to those of other stakeholders, given they are provided with opportunities for critical discussion. Conclusion: Organized deliberation should allow for the exchange of arguments and the sharing of personal experiences which is linked to learning. On the one hand this is reflected in the uptake of new arguments and on the other hand in the revision, specification or expansion of personal argumentation. Providing opportunities for critical deliberation is key to prevent citizens from adhering to initial emotional reactions that remain unchallenged and which may no longer be supported after deliberation.

The dissociative subtype of posttraumatic stress disorder is associated with subcortical white matter network alterations

Posttraumatic stress disorder (PTSD) is characterized by intrusions, avoidance, and hyperarousal while patients of the dissociative subtype (PTSD-D) experience additional dissociative symptoms. A neurobiological model proposes hyper-inhibition of limbic structures mediated by prefrontal cortices to underlie dissociation in PTSD. Here, we tested whether functional alterations in fronto-limbic circuits are underpinned by white matter network abnormalities on a network level. 23 women with PTSD-D and 19 women with classic PTSD participated. We employed deterministic diffusion tractography and graph theoretical analyses. Mean fractional anisotropy (FA) was chosen as a network weight and group differences assessed using network-based statistics. No significant white matter network alterations comprising both frontal and limbic structures in PTSD-D relative to classic PTSD were found. A subsequent whole brain exploratory analysis revealed relative FA alterations in PTSD-D in two subcortical networks, comprising connections between the left amygdala, hippocampus, and thalamus as well as links between the left ventral diencephalon, putamen, and pallidum, respectively. Dissociative symptom severity in the PTSD-D group correlated with FA values within both networks. Our findings suggest fronto-limbic inhibition in PTSD-D may present a dynamic neural process, which is not hard-wired via white matter tracts. Our exploratory results point towards altered fiber tract communication in a limbic-thalamic circuit, which may underlie (a) an initial strong emotional reaction to trauma reminders before conscious regulatory processes are enabled and (b) deficits in early sensory processing. In addition, aberrant structural connectivity in low-level motor regions may present neural correlates for dissociation as a passive threat-response.

Learning sustainability as an effect of disruption

Since sustainability is subjective and context dependent, sustainability education should focus on the development of a personal understanding of sustainability through critical reflection of values and behaviour. Emotions can motivate value clarification – a prerequisite to transform worldviews and behaviour. The article presents the disruptive learning theory, aiming to inspire educators to design pedagogical interventions that stimulate initial emotions, triggering deep learning within sustainability. Inspired by transformative learning, pedagogic interventions (visual cues) were designed and implemented with the intention of stimulating an initial emotional reaction. Here, different teaching strategies and methods were combined to stimulate deep learning. Using constructivist grounded theory, this research explored the impact of these pedagogical interventions on student teachers’ thoughts and emotions. The analysis of students’ experiences revealed that initial emotions progressively stimulated more critical thinking about anthropocentricism and existing interdependencies among nature, self, society and economy, which in turn triggered value clarification and change agency. Based on the findings, the disruptive learning theory emerged. It contains three processes: (1) disruption (2) deep learning and (3) change agency. Practically, disruptive learning initially evokes emotions that foster personal connections with lecture content, opening space for deep learning to evaluate the need to change perspectives and/or behaviour.

Lay people's psychological reactions and helping intention after friends' cancer disclosure: An exploratory analysis using vignettes.

Stigma, anticipated responses from others, and their relationships may affect patients' decision-making of cancer disclosure. However, little research has explored responses to cancer disclosure and the outcome from receivers' perspectives who had stereotypic views of cancer. This vignette study aimed to explore how lay people with negative attitude to cancer would react to the friend's cancer disclosure. A cross-sectional survey study was conducted in community organisations. Of 161 recruited, 91 participants returned their questionnaires (56.5% of response rate). A total of 88 responses to open-ended questions were qualitatively analysed. Thematic analysis extracted four themes: 'Initial emotional reactions and the acceptance of the friend's cancer diagnosis'; 'Empathy, trust and helping intention'; 'Sharing informational and emotional support provision'; and 'Offering help, but waiting and seeing the friend's request.' As a result of comparison to these themes by the participants' familiarity of cancer patients in their real life, it was found that participants, who had not known any cancer patients, did not report the acceptance of the friends' cancer diagnosis and informational support provision to share. Intervention for lay people who felt difficulty with accepting friends' cancer diagnosis may be helpful to reduce the impact of friends' cancer diagnosis.

Understanding parental causal explanations and help seeking in attention-deficit/ hyperactivity disorder: perspectives from a developing Asian nation.

Research on parental understanding of causation and help-seeking for ADHD comes from ethnic minorities in developed nations; research from Asia is scarce. Our purpose was to explore perceptions of Indian parents regarding causation and diagnosis of problematic childhood behaviors diagnosed as ADHD or hyperkinetic disorder, and to understand the process of decision making and help seeking using a qualitative study design. In-depth, semi-structured interviews were conducted with 52 parents (33 mothers and 19 fathers), focusing on initial emotional reactions and cognitive appraisals, decision making, parental causal explanations and perceptions regarding diagnosis and symptom labeling. Mothers were decision makers for seeking professional help either singly or jointly in 76.1% of cases. Initial reactions ranged from those with negative valence (negative emotional reactions and cognitive appraisals) to ambi-valence (recognition of problems, but at the same time not accepting completely) and positive valence (sense of relief and hopefulness). Psycho-social explanations (63.46%) were more common than biological explanations (51.82%), with 19.23% reporting both explanations. Biological explanations included illness model (e.g. brain problem, obstetric complications), hereditary and intellectual disability. Psycho-social explanations included psychological (e.g. lack of motivation) and social (e.g. problems with disciplining at home) causations. Irrespective of initial reactions and causal explanations, a significant majority of parents were aware of the diagnosis and labeled problems as symptoms attributable to ADHD. Our findings provide insights for development of culturally sensitive psycho-social interventions; from understanding of causal attributions, process of decision making and help seeking.

Design of Advertising Image as a Component of Sociocultural State of Society

The aim of the research is to investigate the connection of advertising image development with the socio-cultural situation in the Euro-American society, to reveal the features of its design as a visual communication. The methodology of the research consists in applying the empirical method, the analysis, the comparison and the generalization of European advertising products from the 1870's until the 2010's. This methodological approach allows us to comprehensively explore the advertising image on basis of which the advertising communications were modeled. Scientific novelty. On the basis of the analysis of the visual component of advertising products in relation with the socio-cultural state of the Euro-American society of the corresponding periods, it was found that in the modern information society and in the design of the advertising image there was a transition from the provocation of the typical initial emotional reactions of the addressee to the stimulation of a complex «game of signs» and personalization. Conclusions. Advertising images are considered to be one of the a components of visual communication, which today is interpreted as the basic means of information interaction in society. The designer involved in the development of these images must comprehend the factors that form it and realize the importance of their work for the socio-cultural state of society.

Olfactory language and abstraction across cultures.

Olfaction presents a particularly interesting arena to explore abstraction in language. Like other abstract domains, such as time, odours can be difficult to conceptualize. An odour cannot be seen or held, it can be difficult to locate in space, and for most people odours are difficult to verbalize. On the other hand, odours give rise to primary sensory experiences. Every time we inhale we are using olfaction to make sense of our environment. We present new experimental data from 30 Jahai hunter-gatherers from the Malay Peninsula and 30 matched Dutch participants from the Netherlands in an odour naming experiment. Participants smelled monomolecular odorants and named odours while reaction times, odour descriptors and facial expressions were measured. We show that while Dutch speakers relied on concrete descriptors, i.e. they referred to odour sources (e.g. smells like lemon), the Jahai used abstract vocabulary to name the same odours (e.g. musty). Despite this differential linguistic categorization, analysis of facial expressions showed that the two groups, nevertheless, had the same initial emotional reactions to odours. Critically, these cross-cultural data present a challenge for how to think about abstraction in language.This article is part of the theme issue ‘Varieties of abstract concepts: development, use and representation in the brain’.

Life-Changing Injuries: Psychological Intervention Throughout the Recovery Process Following Traumatic Amputations

Trauma amputation triggers intense psychological reactions and causes monumental life changes. Roughly half of amputations are the result of medical complications and half are from traumatic events such as industry and automobile accidents. Shock, dismay, and anger are typical initial emotional reactions. Pain, depression, and adaptation of life changes are longer term challenges. Psychological care should be an integrated component during all stages of recovery and adjustment.

The Resurrection of the Mummy: Its Myth and Meaning in Our Time

Mummies are not simply relics from an ancient past. From curiosity to horror, they arouse widely varying emotions and captivate the attention of everyone from archeologists to movie audiences around the world. This article ventures far behind the scenes and uses an alchemical perspective to understand the ancient Egyptian goal of transmuting dead flesh into an eternal body. This sacred ritual was carefully guarded with magical spells and the so-called mummy's curse. Tales of the ancient Egyptian lunar god Osiris and the solar god Aten provide a mythological framework that contextualizes the meaning, purpose, and function of the mummy and mummification. Taking us far beyond initial emotional reactions, the “resurrection” of the mummy in modern times offers a priceless opportunity to reawaken us to a lost wisdom tradition, and in so doing transform our profane culture of technology into a sacred science.

Emotional Reaction to Menarche and Menstrual Attitudes

The goal of this study was to examine current attitudes toward menstruation in adolescent postmenarcheal girls in relation to age at menarche, time since menarche had occurred, preparedness, and emotional reaction to menarche. Postmenarcheal adolescent girls from primary and secondary schools (N = 246) participated in the study, with an average age of 15.1 years and average age at menarche 12.4 years. Participants filled out the adapted version of Adolescent Menstrual Attitude Questionnaire (AMAQ; Marvan & Molina, 2002), Expected/Experienced Emotions related to Menarche Scale (Emo-M; Nakić Radoš, Mužinić Bikić, & Roso Perić, in press), Preparedness for the Menarche (PM; Rodriguez White, 2013), and Pubertal Development Scale (PDS; Petersen, Crockett, Richards, & Boxer, 1988). The two-way ANOVA showed that early maturers (≤11 years at menarche) had significantly higher level of negative attitudes than average maturers (12 years) and late maturers (≥13 years). Both early and average maturers had a higher level of secretive attitudes than late maturers. However, this effect was present only if menarche occurred in less than two years. Regression analyses showed that higher level of pleasant emotions at menarche predicted higher level of positive attitudes toward menstruation (45.2% variance explained). Lower age at menarche, less time from the menarche, and a higher level of unpleasant emotions at menarche predicted higher levels of secretive attitudes (35.1% variance explained) and negative attitudes (22.7% variance explained). In conclusion, age at menarche, time for adaptation to menstruation, and initial emotional reaction to menarche are significant determinants of menstrual attitudes in adolescent girls. Education and preparing girls for menstruation at early stages of puberty is necessary. Keywords: menarche, menstruation, attitudes, emotions, puberty

"Detached concern" of medical students in a cadaver dissection course: A phenomenological study.

The cadaver dissection course remains a time-honored tradition in medical education, partly because of its importance in cultivating professional attitudes in students. This study aims to investigate students' attitudes-specifically characterized as "detached concern"-in a cadaver dissection course. An interpretative phenomenological analysis was performed with semi-structured, focus group interviews among 12 third-year medical students from a Taiwanese medical school to reveal their perceptions and learning experiences regarding human cadaver dissection. Based on these interviews, four relevant categories of perspectives were delineated: (1) initial emotional impact, (2) human referents, (3) coping strategies, and (4) ways of perceiving cadavers. Students were divided into two groups based on these categories. Students in Group 1 developed mechanisms described as "detachment" to cope with their initial emotional reactions to cadaveric dissection, which was noted to have disruptive effects on their learning. They considered human referents to be learning obstacles and avoided contact with or thinking about the human referents while performing dissections. Some of them faced a conflict between perceiving the cadaver as a learning tool versus as a human being. This impasse could be resolved if they latently adopted a "perspective switch" between the concept of a learning tool (rational aspect) and a human being (sensitive aspect). The students in Group 2 had no obvious initial emotional reaction. For them, the human referents functioned as learning supports, and the cadavers were consistently perceived as humans. These students held the notion that "cadaver dissection is an act of love"; therefore, they did not experience any need to detach themselves from their feelings during dissection. This alternative attitude revealed that detached concern alone is not sufficient to describe the entire range of medical students' attitudes toward cadaver dissection. Anat Sci Educ 9: 265-271. © 2015 American Association of Anatomists.

What’s a Parent to Do? How Parents Respond to Notification of a Child’s Police Detention

The current qualitative study involved in-depth semistructured interviews with parents whose children had been taken into custody. Their initial emotional reactions, cognitive processing, and behavioral responses to their child’s detention were examined. Five themes emerged from the data: (1) Parents try to defer immediate interactions with the child rather than react out of emotion; (2) Parents feel anger toward their child, but disappointment and shock are more strongly expressed emotional responses; (3) Parents do not accept the behavior but do not reject their child; (4) Police behaviors communicate the seriousness of the act; and (5) The entire family suffers consequences from the child’s act. Findings highlight the experiences of the parents as they interacted with the juvenile justice system.

Acting on surprise: emotional response, multiple-channel information seeking and vaccination in the H1N1 flu epidemic

A survey conducted among college students (N = 205), one of the groups most susceptible to the H1N1 influenza virus, examined how people responded to the unexpected public health crisis from their initial emotional reaction, to information seeking, to vaccination behavior. Results showed that surprise upon first learning of the H1N1 flu was positively related to multiple-channel information seeking. People who used multiple channels to get updated about the pandemic reported more favorable attitudes about getting vaccinated against the H1N1 flu and were more likely to regard getting vaccinated as the norm. These cognitive antecedents were positively related to their actual vaccination behavior.

The effect of cognitive reappraisal on long‐term emotional experience and emotional memory

One's ability to properly regulate emotion is critical to psychological and physical well-being. Among various strategies to regulate emotion, cognitive reappraisal has been shown to modulate both emotional experience and emotional memory. However, most studies of reappraisal have focused on reappraisal of negative situations, with reappraisal of positive emotion receiving considerably less attention. In addition, the effects of reappraisal on emotional reactions to stimuli are typically only assessed either immediately or after a short delay, and it remains unclear whether reappraisal effects persist over longer time periods. We investigated the effect of cognitive reappraisal on emotional reactions and long-term episodic memory for positive and negative stimuli. Men and women viewed emotionally negative, positive, and neutral pictures while they were instructed to either increase, decrease, or maintain the initial emotional reactions elicited by the pictures. Subjective ratings of emotional valence and arousal were assessed during the regulation task and again after 1 week. Memory for the pictures was assessed with free recall. Results indicated that pictures accompanied by instructions to increase emotion were better recalled than pictures reappraised to decrease emotion. Modulation of emotional arousal elicited by stimuli persisted over a week, but this effect was observed only for men. These findings suggest that cognitive reappraisal can have long-lasting effects on emotional reactions to stimuli. However, the sex differences observed for the effects of reappraisal on emotional reactions highlight the importance of considering individual differences in the effects of regulation.