Gerotranscendence and wisdom in Polish older adults. The longitudinal mediation analysis of forgiveness.

Objectives: The goal of the present study was to investigate whether forgiveness played a mediating role in the relationships between gerotranscendence and wisdom among people in late adulthood. Method: The study included 416 participants aged 60 to 75 years. The following measures were used: the Gerotranscendence Scale Type 2 (GST2), the Heartland Forgiveness Scale and the Self-Assessed Wisdom Scale (SAWS). To verify the hypothesis, a longitudinal three-wave field study was conducted. Results: The results suggest that an increase in gerotranscendence is associated with an increase in forgiveness and wisdom. In addition, greater willingness to forgive co-occurs with higher levels of wisdom. Moreover, dispositional forgiveness mediates the relationship between gerotranscendence and wisdom - a higher gerotranscendence leads to a higher wisdom through an increase in forgiveness. Conclusion: The results of our research add to the knowledge of the mechanism of the relationship between gerotranscendence and wisdom and support the thesis that late adulthood presents individuals with new challenges and opportunities for creative personal development.

Wisdom and wellbeing in polish older adults: the mediating role of forgiveness.

Objectives: Possible correlations between wisdom and wellbeing among older people have been extensively debated in psychology. At the same time, researchers emphasize that the effect of older adults' wisdom on their wellbeing depends on numerous mediators. A review of the literature suggests that forgiveness might be one such variable. Thus, this study aimed to investigate whether forgiveness mediated the relationship between wisdom and wellbeing in late adulthood. Method: In total, 481 participants aged from 60 to 92 years (M = 68.84; SD = 6.31) were involved in the study. All older people participating in the study lived independently in their households. Four psychological instruments were used: (1) the Self-Assessed Wisdom Scale; (2) the Heartland Forgiveness Scale; (3) the Psychological Wellbeing Scale; and (4) the Satisfaction with Life Scale. Therefore, the measurement of the analyzed variables was self-reported. Results: The results showed that forgiveness mediated the relationships between wisdom and wellbeing in the older population. The indirect effects demonstrated that forgiveness mediated the relationships between wisdom and wellbeing. Wisdom related to higher forgiveness (ß = 0.21; p < 0.01), which, in turn, was related to a higher level of psychological (ß = 0.48; p < 0.01) and subjective (ß = 0.36; p < 0.01) wellbeing. Conclusion: These findings suggest that forgiveness is an important element of wisdom and wellbeing. The greater the wisdom the participants showed, the stronger the tendency to forgive and the better wellbeing they reported.

The role of emotional functioning in the relationship between health anxiety and cyberchondria.

Access to health information can have positive effects in the form of increased health awareness. However, self-diagnosis based on information available on websites can be dangerous, causing distress as an increasing amount of time is spent on searching. The main aim of the study was to determine the role of emotional functioning in the relationship between health anxiety and cyberchondria. The study included N = 615 participants aged 18 to 83 years (M = 43.86, SD = 14.57). The authors used the Cyberchondria Severity Scale, the Short Health Anxiety Inventory, the Life Orientation Test, the Difficulties in Emotion Regulation Scale, and the Kessler 6 Psychological Distress Scale. The results demonstrate that health anxiety is significantly related to cyberchondria and that pessimism and difficulties in emotion regulation act as mediators in this relationship. Supplementary Information: The online version contains supplementary material available at 10.1007/s12144-022-04126-3.

Religiosity and social support in Polish older adults: the mediating role of wisdom. Perspectives on Lars Tornstam's theory of gerotranscendence.

Objectives: The purpose of this study was to examine whether wisdom is a mediator in the relationships between religious meaning system and social support among older adults. According to the theory of gerotranscendence, associations of religiousness and social support are complex and suggest the existence of wisdom in their internal structures.Method: The study included 466 persons aged 50-75. Three measures were used: Religious Meaning System Scale (RMSS), Three-Dimensional Wisdom Scale (3D-WS) and Berlin Social Support Scales (BSSS).Results: The analyses allowed for a partial verification of the hypothesis that wisdom is a mediator in the relationship between the religious meaning system and the multidimensional social support in late adulthood. It was confirmed that wisdom mediates the relationship between the religious meaning system and three out of the five dimensions of social support (perceived available support, actually received support and protective buffering support). Conclusion: These findings suggest that wisdom is an important element of religious meaning system and social support that is used by people as a part of their maturing into gerotranscendence to cope with life's difficulties and challenges.

The Temperament Risk Factor, Disease Severity, and Quality of Life in Patients with Psoriasis.

BACKGROUND: Psoriasis exerts a profound negative impact on health-related quality of life (QoL). Although the severity of psoriasis is one potential variable that contributes to decreased QoL, previous studies have shown only weak or no association between measures of psoriasis severity and QoL. We hypothesized that this relationship is moderated by temperament factors. OBJECTIVE: We aimed to verify whether the relationship between disease severity and QoL is moderated by a constellation of temperament traits (i.e., temperament risk factors) and whether this moderation takes place via cognitive-appraisal and coping processes. METHODS: One hundred fifty patients with psoriasis vulgaris participated in the study. Psoriasis severity was assessed by a standardized measure, the Psoriasis Area and Severity Index (PASI), and the patients also completed a battery of psychological questionnaires assessing QoL, temperament, disease-related cognitive appraisals, and coping strategies. RESULTS: A specific constellation of temperament traits was found to moderate the strength of the association between the PASI and QoL. This constellation of temperament traits was associated with certain disease-related cognitive appraisals (i.e., threat, obstacle/loss, harm, profit, value) and emotion-focused coping strategies (i.e., self-blame, avoidance, resignation, seeking social support, and seeking information). CONCLUSION: The constellation of temperament traits is a crucial individual variable that strongly moderates the negative impact of psoriasis severity on QoL, potentially through the activation of non-adaptive cognitive appraisals and coping strategies in susceptible individuals.

Polish Adaptation of the Death Attitude Profile-Revised.

The article presents the results of work on the Polish adaptation of the Death Attitude Profile-Revised by Wong, Reker, and Gesser (1994). The psychometric properties of the Polish version of the tool have been described. The results are consistent with the original version of the questionnaire and confirm that the Polish version of Death Attitude Profile-Revised fulfils the psychometric requirements for psychological tests and, as a result, can be applied in scientific research. The final version of the questionnaire consists of 32 items (including 31 diagnostic ones) that make up five dimensions of attitudes toward death: (a) Fear of Death, (b) Death Avoidance, (c) Neutral Acceptance, (d) Escape Acceptance, and (e) Approach Acceptance. The questionnaire was tested on 1,285 subjects aged 13 to 90 years (M = 47.27, SD = 18.21). Reliability values (Cronbach's α) for individual scales vary from α = .63 to α = .89. Confirmatory factor analysis was used to evaluate the validity of the questionnaire.

The mediating role of types of coping styles in the relations between temperamental traits and staff burnout among psychiatric nurses. / Mediacyjna rola stylów radzenia sobie ze stresem w zwiazkach temperamentu i wypalenia zawodowego. Badania pielegniarek psychiatrycznych.

OBJECTIVES: Temperamental traits are indicated as some predictors of occupational burnout. At the same time, researchers emphasise that the importance of temperamental features for occurrences of burnout syndrome in medical staff is dependent on numerous intermediary variables, including ways of handling problematic situations. The overarching aim of presented studies was to examine whether styles of coping with stressful situations mediate relationships between temperamental traits and particular components of occupational burnout in psychiatric nurses. METHODS: The study examined 60 women working in the psychiatric health care sector. Three psychological methods were employed in this research project: (1) Strelau Temperament Inventory by Strelau and Zawadzki (STI); (2) Coping Inventory for Stressful Situations by Endler and Parker (CISS); (3) Maslach Burnout Inventory - Human Services Survey (MBI-HSS). RESULTS: Conducted analyses allowed to confirm the mediating role of task style and emotional style in relationship between temperamental traits (briskness, perseveration, emotional reactivity, sensory sensitivity, activity) and occupational burnout. In the case of avoidance style there are no grounds to consider it as a mediator in the area of analysed dependencies. CONCLUSIONS: Providing psychiatric nurses with help: (1) should focus more on strengthening task style, rather than on rising awareness regarding the harmfulness of avoidance tendencies in the area of coping; (2) what seems important is developing the ability to experience negative emotions revealed in contacts with patients in a creative way.

Coping with stress and quality of life in women with stress urinary incontinence.

INTRODUCTION: Urinary incontinence (UI) involves uncontrolled leakage of urine through the urethra as a result of damage to its sphincter muscle and a disturbed function of the urogenital diaphragm within the pelvis minor. The symptoms of UI radically impair psychological, somatic, and social functioning. The aim of each disease stress coping process is to reduce the impact of harmful agents as well as the acquisition of necessary preventive measures in order to combat the disorder. Aim of the study was to assess the relationship between coping styles used when dealing with stress associated with disease and the quality of life. MATERIAL AND METHODS: The study was carried out at an outpatients' clinic located in the Lublin Province (eastern Poland), covering 150 women with diagnosed stress urinary incontinence, aged between 32 and 79. The following methods were used: (a) Coping Inventory for Stressful Situations (Endler, Parker) to assess coping styles, (b) CASP-19 scale (Higgins, Hyde, Wiggins, Blade) to measure the overall quality of life, and (c) Urinary Incontinence Life Quality Scale (Szymona-Palkowska, Kraczkowski). RESULTS: The preferred style in the studied group of women was Task-Oriented Coping. This style is associated with a low score on the Independence from Symptoms scale and low Control, being simultaneously correlated with Autonomy and Self-Realisation. Emotion-Oriented Coping is associated with low psychological, physical and social well-being, as well as with little independence from the disease symptoms, little pleasure and self-realisation, but it gives a sense of internal control. Avoidance-Oriented Coping does not significantly correlate with any of the Overall Quality of Life dimensions. CONCLUSIONS: Women suffering from UI tend to try to solve their problem by means of cognitive transformation. In their situation, clinging to the problem turns out to be a depressing factor and entails a lower quality of their life.

The Polish version of Skindex-29: psychometric properties of an instrument to measure quality of life in dermatology.

INTRODUCTION: Skin conditions have a negative impact on quality of life and it is necessary to quantify this impact. Skindex-29 is a self-report questionnaire developed to measure dermatology-specific quality of life. AIM: The objective of this study is to adapt this questionnaire to Polish conditions. The adaptation procedure involved the works on the linguistic content of the items and testing psychometric properties of the Polish version of Skindex-29, including item characteristics, factorial structure, aspects of reliability and validity. MATERIAL AND METHODS: Two-hundred and ninety patients (63.4% women and 35.2% men) suffering from a range of skin conditions were recruited from several dermatological out-patient and in-patient clinics in Poland. Quality of life was measured using Skindex-29 and appropriate clinical data were collected. RESULTS: The global score of Skindex-29 showed the normal distribution. Cronbach's α reliability coefficients were found to be high to very high for all Skindex-29 indexes. Factor analysis yielded four factors, in contrast to the original version of the questionnaire, for which a three-factor solution had been reported. Skindex-29 validity was demonstrated by showing the differences in the quality of life scores across different diagnostic categories, and between in-patients and out-patients. Skindex-29 global scores were found to be significantly predicted by the localization of the skin lesions on legs, anogenital areas and palms. CONCLUSIONS: The findings of this study support reliability and validity of the Polish version of Skindex-29, but they also raise questions to its three-factor structure.

Selected determinants of quality of life in women with urinary incontinence.

Urinary incontinence (UI) is one of the most common diseases in women. It involves uncontrolled leaking of urine through the urethra. UI incidence depends on age and in certain age groups it can affect up to 60% of the female population. The symptoms can be persistent and due to their embarrassing nature they can lead to significant deterioration of quality of life and psychological functioning. The aim of this study was to investigate the relationship between the quality of life and selected aspects of functioning. Seventy female outpatients of a public clinic in Naleczów, Poland, were examined, and the following methods were used: the Urinary Incontinence Life Quality Scale (Szymona-Palkowska, Kraczkowski), Disease-Related Appraisal Scale (Janowski, Steuden), Coping Inventory for Stressful Situations (Endler, Parker), Disease-Related Social Support Scale (Brachowicz, Janowski, Sadowska), and the Knowledge Appraisal Scale for Urinary Incontinence (Szymona-Palkowska, Kraczkowski). The obtained results suggest that the strongest predictors for the quality of life with UI would be: perception of the disease as an injustice and a challenge (a reverse relationship) and an avoidance-oriented style of coping with stress through companionship seeking (a positive relationship). The duration of the disease and the level of related knowledge proved to be crucial in the analysis of one dimension, i.e. distance to the symptoms.

Clinical and psychological characteristics of patients with psoriasis reporting various frequencies of pruritus.

BACKGROUND: Pruritus is a common subjective symptom of psoriasis whose levels may be affected by a range of variables. The objective of this study was to evaluate the frequency of pruritus and its associations with clinical and psychological characteristics of psoriasis patients. MATERIALS AND METHODS: One-hundred and seventy-four patients with psoriasis took part in the study, and they were assessed on clinical (psoriasis area and severity index [PASI], localization of lesions, pruritus severity, duration of the disease) and psychological (coping, personality, cognitive appraisal of the disease, quality of life) variables. ANOVA, Pearson's χ(2)-tests, and correlational analyses were employed to analyze the data. RESULTS: The frequency of reported pruritus was found to be related to PASI (P < 0.000) and localization of skin lesions on visible body areas (P < 0.05). Patients reporting more frequent pruritus were significantly older (P < 0.05), had lower quality of life (P < 0.000), more frequently used coping strategies of resignation (P < 0.05) and self-blame (P < 0.05), and tended to appraise their disease in terms of a threat (P < 0.05), obstacle/loss (P < 0.05), and harm (P < 0.01). No significant associations were found between pruritus and basic personality traits. After controlling for age, all these variables remained significantly correlated with pruritus, whereas after controlling for psoriasis severity, only age, quality of life, and a coping strategy of resignation still significantly correlated with pruritus frequency. CONCLUSIONS: The findings emphasize the importance of pruritus in the majority of psoriasis patients and its significant association with compromised quality of life, older age, greater psoriasis severity, and a specific pattern of psychological responses to stress.

Social support and adaptation to the disease in men and women with psoriasis.

Social support was shown to be an important factor buffering negative effects of stress in a range of clinical populations. Little is known, however, about the role of social support in the population of patients with psoriasis although strong psychosocial stress has been implicated in this disease. The objective of this study was to evaluate the association between social support and selected indices of adaptation to life with the disease, including health-related quality of life, depressive symptoms and acceptance of life with the disease, in a sample of patients with psoriasis. Additionally, gender differences in these relationships were analyzed. One-hundred-four patients with psoriasis completed psychological tests measuring disease-related social support, health-related quality of life, depressive symptoms and acceptance of life with the disease. Psoriasis severity was assessed by Psoriasis Area and Severity Index. The patients reporting higher social support levels had significantly higher quality of life, lower depression levels, and higher acceptance of life with the disease. The strengths of these effects, however, were different in women and men. Higher social support was slightly more closely associated with better acceptance of life with the disease in men than in women. However, higher social support was more closely associated to lower depression and better quality of life in women than in men. Among different types of social support, tangible support was found to be the best predictor for the all adaptation indices. Effects of social support perceived by psoriasis patients on adaptation to the disease may be gender-related and exact pathways of these effects may depend on the type on the dimension of social support and the selected type of adaptation indicator. Tangible support seems the most important type of support contributing to better adaptation in both women and men with psoriasis.

Factors accounting for psychosocial functioning in patients with low back pain.

Low back pain (LBP) is a chronic disorder which exerts a profound impact on various spheres of psychosocial functioning, including emotional distress, functional limitations and decrements in social contacts. The objective of this study was to investigate the associations between the indices of psychosocial functioning in patients with chronic LBP and a range of psychological factors. Specifically, the study aimed at exploring the relative participation of personality, social support, disease-related cognitive appraisals and coping styles in accounting for the differences in psychosocial functioning of patients with LBP. One-hundred-twenty patients with LBP took part in the study and completed a battery of psychological questionnaires: NEO-Five Factors Inventory, Ways of Coping Questionnaire, Disease-Related Social Support Scale, Disease-Related Appraisals Scale and Psychosocial Functioning Questionnaire (PFQ). The PFQ dimensions were used as dependent variables in a series of stepwise regression analysis models with the scores from other questionnaires entered as independent variables. A cognitive appraisal of the disease in terms of an obstacle was strongly related to all domains of functioning; however, other appraisals (threat, challenge, harm, profit and overall disease importance) were uniquely associated with particular domains of functioning. Deprivation of social support was a significant predictor of distress experienced in interpersonal context and of sense of being disabled. Among basic personality traits, agreeableness was negatively associated with distress in interpersonal context, and conscientiousness was positively related to acceptance of life with the disease. Problem-focus coping was linked to higher acceptance of life with the disease. Among sociodemographic variables, older age and lower educational level were related to greater subjective feelings of being disabled. Pain severity was found unrelated to any of psychosocial functioning domains. Different aspects of psychosocial functioning are best accounted for by diverse patterns of psychological factors, which suggests involvement of different psychological mechanisms in development of LBP-related disability.

[The stress level and structure in parents awaiting babies from high risk pregnancies]. / Ocena nasilenia i struktury stresu u rodziców w przypadkach ciazy wysokiego ryzyka.

OBJECTIVES: The analysis of stress in patients with high risk pregnancies. DESIGN: The purpose of this research was analysis of stress level and structure in patients awaiting the baby from high risk pregnancies. MATERIALS AND METHODS: 50 married couples were recruited to the study: 14 with threatened abortion, 18 with impending preterm delivery and 18 with a chronic disease (preeclampsia or diabetes). Trauma Symptoms Inventory (J. Briere) was implemented in this research. RESULTS: Women exhibited higher levels of anxious arousal (AA). They revealed more frequently lowered mood and depression (D), as well as anger and irritability (AI). The clinical type of the threat seems to be the factor modifying the level of experienced stress. The highest level of stress occurred in those couples in which the women suffered from a chronic disease (preeclampsia, diabetes). CONCLUSIONS: Threatened pregnancy is a trigger for psychological stress in parents. Both women and men reveal increased behaviours directed to reduction of emotional tension. The level of experienced stress is most heavily affected by the type of threat. The symptoms of stress are similar in both parents in a group with a particular diagnosis.