Extrapolating from D. H. Barlow (2000), the authors explored whether perceived control moderated the relation between coping with career indecision and choice anxiety among 126 women in low‐level jobs. Analyses of the women's career indecision, coping, perceived control, and career choice anxiety scores through regression identified the moderator effect. Perceived control interacted with problem‐focused coping to increase accountable variance in choice anxiety (p < .05). Women perceiving high control and doing more problem‐focused coping reported lower anxiety than did women doing comparable coping but perceiving lower control. Implications are discussed for interventions with women in low‐level jobs.
Reports of positive and negative life changes since diagnosis are common among adults actively receiving treatment for cancer. Assessments of both valenced PTG scores can provide a broader profile of biopsychosocial adjustment and symptom reporting during cancer treatment.
Objective: Seminal advances in virtual human (VH) technology have introduced highly interactive, computer-animated VH interviewers. Their utility for aiding in chronic pain care is unknown. We developed three interactive telehealth VH interviews-a standard painfocused, a psychosocial risk factor, and a pain psychology and neuroscience educational interview. We then conducted a preliminary investigation of their feasibility, acceptability, and efficacy. We also experimentally compared a human and a computer-generated VH voice. Methods: Patients (N = 94, age = 22-78 years) with chronic musculoskeletal pain were randomly assigned to the standard (n = 31), psychosocial (n = 34), or educational (n = 29) VH interview and one of the two VH voices. Acceptability ratings included patient satisfaction and expectations/evaluations of the VH interview. Outcomes assessed at baseline and about 1-month postinterview were pain intensity, interference, emotional distress, pain catastrophizing, and readiness for pain self-management. Linear mixed-effects models were used to test between-and within-condition effects. Results: Acceptability ratings showed that satisfaction with the VH and telehealth format was generally high, with no condition differences. Study attrition was low (n = 5). Intent-to-treat-analyses showed that, compared with the standard interview, the psychosocial interview yielded a significantly greater reduction in pain interference ( p = .049, d = 0.43) and a marginally greater reduction in pain intensity ( p = .054, d = 0.36), whereas the educational interview led to a marginally greater yet nonsignificant increase in readiness for change ( p = .095, d = 0.24), as well as several significant improvements within-condition. Results did not differ by VH voice. Conclusions: Interactive VH interviewers hold promise for improving chronic pain care, including probing for psychosocial risk factors and providing pain-related education.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.