• Factors Associated with Intentional and Unintentional Non-adherence to Adjuvant Endocrine Therapy Following Breast Cancer

      Brett, Jo; Fenlon, Deborah F.; Boulton, Mary; Hulbert-Williams, Nicholas J.; Walter, Fiona M.; Donnelly, Peter; Lavery, Bernadette; Morgan, Adrienne; Morris, Carolyn; Watson, Eila; et al. (Wiley, 2016-11-30)
      Adherence to adjuvant endocrine therapy (AET) following breast cancer is known to be sub-optimal despite its known efficacy in reducing recurrence and mortality. This study aims to investigate factors associated with non-adherence and inform the development of interventions to support women and promote adherence. A questionnaire survey to measure level of adherence, side effects experienced, beliefs about medicine, support received and socio-demographic details was sent to 292 women 2-4 years post breast cancer diagnosis. Differences between non-adherers and adherers to AET were explored, and factors associated with intentional and unintentional non-adherence are reported. Approximately one quarter of respondents, 46 (22%), were non-adherers, comprising 29 (14%) intentional non-adherers and 17 (8%) unintentional non-adherers. Factors significantly associated with intentional non-adherence were: the presence of side effects (p<0.03), greater concerns about AET (p<0.001), and a lower perceived necessity to take AET (p<0.001). Half of the sample (105/211) reported that side effects had a moderate or high impact on their quality of life. Factors associated with unintentional non-adherence were: younger age (<65), (p<0.001), post-secondary education (p=0.046), and paid employment (p=0.031). There are distinct differences between intentional non-adherence and unintentional non-adherence. Differentiation between the two types of non-adherence may help tailor support and advice interventions
    • Fear of cancer recurrence in oral and oropharyngeal cancer patients: An investigation of the clinical encounter

      Ozakinci, Gozde; Swash, Brooke; Humphris, Gerry; Rogers, Simon; Hulbert-Williams, Nicholas J.; University of St Andrews; University of Chester; Edge Hill University (Wiley-Blackwell, 2017-10-12)
      Fear of cancer recurrence (FCR) is common among individuals treated for cancer. Explorations of how this fear is expressed within an oncology setting and responded to are currently lacking. The aim was to investigate how head and neck cancer survivors in follow-up consultations express FCR, how a health care professional addresses recurrence fears, and examining how survivors experience this interaction. We recorded the follow-up consultations of those participants who have reported FCR as a concern on the Patient Concerns Inventory. We also conducted a follow-up phone interview with the participants. We analysed the transcripts using thematic analysis. Five men and six women were recruited, aged 55-87 (mean age = 64). Follow-up consultation analyses revealed that the consultant used ‘normalising FCR,’ ‘reassurance,’ and ‘offer of referral to a counsellor’. Interviews revealed themes around how they coped with FCR, relevance of personal history on FCR, and the impact of feeling gratitude towards the consultant on expression of FCR. Analyses indicate that patients may feel reluctant to raise their FCR with their clinician for fear of appearing ‘ungrateful’ or of damaging a relationship that is held in high esteem. Findings indicate the initiation of FCR with patients can be beneficial for patient support.
    • The Finding My Way UK Clinical Trial: Adaptation report and protocol for a replication randomised controlled efficacy trial of a web-based psychological programme to support cancer survivors

      Hulbert-Williams, Nicholas J; Leslie, Monica; Hulbert-Williams, Lee; Koczwara, Bogda; Watson, Eila K; Hall, Peter S; Ashley, Laura; Coulson, Neil S; Jackson, Richard; Millington, Sue; et al.
      Background: Cancer survivors frequently report a range of unmet psychological and supportive care needs; these often continue after treatment has finished, and are predictive of psychological distress and poor health-related quality of life. Online interventions demonstrate good efficacy in addressing these concerns and are more accessible than face to face interventions. Finding My Way is an online, psycho-educational and cognitive behaviour therapy intervention for cancer survivors developed in Australia. Previous trials have demonstrated Finding My Way to be acceptable, highly adhered to, and effective in reducing the impact of distress on quality of life, whilst leading to cost-savings through health-resource use reduction. Objectives: Our study will adapt the Australian Finding My Way website for a UK cancer care context, and then undertake a single-blinded, randomised controlled trial (RCT) of Finding My Way UK against a treatment-as-usual waitlist control. Methods: As much as possible, our trial design replicates the existing Australian RCT of Finding My Way. Following a comprehensive adaptation of the web-resource, we will recruit 294 participants (147 per study arm) from across clinical sites in North West England and North Wales. Participants will: (i) have been diagnosed with cancer of any type in the last six months, (ii) have received anti-cancer treatment with curative intent, (iii) be over 16 years of age, (iv) be proficient in English and (v) have access to the internet and an active email address. Participants will be identified and recruited through the NIHR Clinical Research Network. Measures of distress, quality of life, and health economic outcomes will be collected using a self-report online questionnaire at baseline, mid-treatment, post-treatment and both three- and six-month follow-up. Quantitative data will be analysed using intention-to-treat Mixed-Model Repeated Measures analysis. Embedded semi-structured qualitative interviews will probe engagement with, and experiences of using, Finding My Way UK and suggestions for future improvements. Results: Website adaptation work was completed in January 2021. A panel of cancer survivors and healthcare professionals provided feedback on the test version of Finding My Way UK. Feedback was positive overall, though minor updates were made to website navigation, inclusivity, terminology and the wording of the Improving Communication and Sexuality and Intimacy content. Recruitment for the clinical trial commenced in April 2021. We aim to report on findings from mid 2023. Conclusions: Replication studies are an important aspect of the scientific process, particularly in psychological and clinical trial literatures, and especially in different geographical settings. Prior to replicating the Finding My Way trial in the UK setting, some content updating was required. If Finding My Way UK now replicates Australian findings, we will have identified a novel and cost-effective method of psychosocial care delivery for UK cancer survivors.
    • “For the love of the game”: The hidden mental health consequences of sport teams’ initiations

      Lafferty, Moira E.; Wakefield, Caroline; Ryan, David; University of Chester, Liverpool Hope (British Psychological Society, 2017)
      Abstract: Objectives: Initiations events, often referred to as welcome activities, are commonplace traditions in many sports teams. The short and long-term impact on the mental health of initiates, initiators and bystanders has been a focus of recent research attention. The present study aimed to explore the initiation experiences of UK student athletes and the subsequent effect on well-being. Design: Cross-sectional qualitative design using retrospective interviews. Methods: Sixteen sport team members were recruited through purposive sampling. Semi-structured interviews were conducted exploring participant experiences of welcome activities in their university sport teams. Results were transcribed verbatim and analysed using thematic analysis. Results: Six themes emerged from the data. These were: rite of passage; challenges; rules; reputation; persuasion and hierarchy. These themes were mapped onto the non-relational maltreatment conceptual framework that includes physical, social and emotional elements of bullying. In contrast to U.S. based studies, the results indicated that social bullying was the most prevalent, followed by emotional, and finally physical bullying. Conclusions: The study highlighted the occurrence of physical, social and emotional bullying during the initiation activities of sports’ teams. Furthermore, reference was made to the natural time progression in university sport that perpetuates the cycle of bullying and establishes the initiates as future initiators. For initiates who successfully negotiate the events, the effects of the bullying are minimised. However, for some this bullying can have serious mental health impacts both in the short and long term, whilst the challenges and risk behaviours may threaten the broader well-being of all involved.
    • Friendship as a moderator of the relationship between social skills problems and peer victimisation

      Fox, Claire L.; Boulton, Michael J.; Keele University ; University College Chester (Wiley, 2006-02-10)
      This article discusses a study in which of 449 aged 9 to 11 year olds completed a peer nomination inventory which was then used to assess social skills problems, peer victimisation, peer acceptance, and several different aspects of friendship.
    • Gender differences in psychosocial predictors of attitudes towards reporting child sexual abuse

      Humphries, Rachel L.; Debowska, Agata; Boduszek, Daniel; Mattison, Michelle L. A.; University of Chester, University of Huddersfield, SWPS University of Social Sciences and Humanities (Taylor & Francis, 2016-05-02)
      There is a dearth of research investigating psychosocial correlates of attitudes towards reporting child sexual abuse (CSA) in males and females, and a lack of such studies drawing on participants from the UK. Therefore, the main objective of this paper is to examine gender differences in social and psychological predictors of attitudes towards reporting CSA. Participants drawn from the UK general population were recruited via an opportunistic sampling method. Cross-sectional design using self-report questionnaire was utilized. Hierarchical multiple regression analyses revealed that social support, masculinity, and age form significant associations with attitudes towards reporting CSA in females (total variance explained by the model was 25%). In the male sample, the only significant predictor of attitudes towards reporting CSA was interpersonal manipulation (total variance explained by the model was 9%). This study provides an important insight into psychosocial barriers/facilitators to reporting CSA. Such knowledge is crucial for the early detection and prevention of abuse.
    • Gender differences in the correlates of reactive aggression

      Debowska, Agata; Mattison, Michelle L. A.; Boduszek, Daniel; University of Chester ; University of Huddersfield ; University of Huddersfield (de Gruyter, 2015-11)
      The main aim of the present study was to examine the relationships between four psychopathy dimensions (Interpersonal Manipulation, Callous Affect, Erratic Lifestyle, and Antisocial Behaviour) as well as childhood exposure to violence and reactive aggression in men and women. Participants were a sample of working adults (N = 319) recruited from the University of Security in Poznan. Results indicated that reactive aggression among males formed significant associations with Erratic Lifestyle, Interpersonal Manipulation, and childhood exposure to violence. Only one correlate, Erratic Lifestyle, was a significant correlate of reactive aggression in females. These findings are discussed in light of theory and previous research findings.
    • Gender, social background and sexual attitudes among Chinese students

      Higgins, Louise; Sun, Chun Hui; University of Chester ; Beijing Normal University (Taylor & Francis, 2007-01)
      This article discusses current attitudes to sexual behaviour and marriage amongst 1100 university students from different parts of China.
    • Genuine and simulated suicide notes: An analysis of content

      Ioannou, Maria; Debowska, Agata; University of Huddersfield ; University of Chester (Elsevier, 2014-11-01)
      The present study examined genuine and simulated suicide notes aiming to identify the measures of content that best differentiate between the two. Thirty- three genuine and thirty-three simulated suicide notes were content-analysed and data subjected to Smallest Space Analysis (SSA), a Multidimensional Scaling Procedure. The core of all suicide notes was discovered to be constructed with the use of three variables: expressions of love, positive construction of partner and apologies. Furthermore, four different genuine suicide note themes (‘planned escape’, ‘negative affect and self-mitigation’, ‘positive affect and failed relationship’, ‘lack of self-acceptance’) and three simulated suicide note themes (‘escape’, ‘positive affect and self-blame’, ‘purposeless life’) were identified revealing that authentic suicide note themes were more internally consistent and clearer to interpret.
    • Gestural communication and mating tactics in wild chimpanzees.

      Roberts, Anna I.; Roberts, Sam G. B.; University of Chester (Public Library of Science, 2015-11-04)
      The extent to which primates can flexibly adjust the production of gestural communication according to the presence and visual attention of the audience provides key insights into the social cognition underpinning gestural communication, such as an understanding of third party relationships. Gestures given in a mating context provide an ideal area for examining this flexibility, as frequently the interests of a male signaller, a female recipient and a rival male bystander conflict. Dominant chimpanzee males seek to monopolize matings, but subordinate males may use gestural communication flexibly to achieve matings despite their low rank. Here we show that the production of mating gestures in wild male East African chimpanzees (Pan troglodytes schweunfurthii) was influenced by a conflict of interest with females, which in turn was influenced by the presence and visual attention of rival males. When the conflict of interest was low (the rival male was present and looking away), chimpanzees used visual/ tactile gestures over auditory gestures. However, when the conflict of interest was high (the rival male was absent, or was present and looking at the signaller) chimpanzees used auditory gestures over visual/ tactile gestures. Further, the production of mating gestures was more common when the number of oestrous and non-oestrus females in the party increased, when the female was visually perceptive and when there was no wind. Females played an active role in mating behaviour, approaching for copulations more often when the number of oestrus females in the party increased and when the rival male was absent, or was present and looking away. Examining how social and ecological factors affect mating tactics in primates may thus contribute to understanding the previously unexplained reproductive success of subordinate male chimpanzees.
    • Gestural repertoire size is associated with social proximity measures in wild chimpanzees.

      Roberts, Anna I.; Chakrabarti, Anwesha; Roberts, Sam G. B. (2019-02-01)
      Studying the communication systems of primates can provide insights into the evolutionary origins of human language. Some theories propose that language evolved to help meet the demands of managing complex social relationships. Examining the associations between sociality and communication in the great apes can help to identify the specific selection pressures that may have been important for language evolution. In particular, gestural communication is believed to be important because it is a relatively recent trait seen only in primates and particularly in the great apes. However, the extent to which more complex gestural communication plays a role in managing social relationships, as compared to less complex gestural communication, is not well understood. Using social network analysis, we examined the association between complex gesturing (indexed as repertoire size) and complexity of social relationships indexed as proximity (the duration of time spent within 10 m, per hour spent in same party) in wild chimpanzees (Pan troglodytes schweinfurthii). Repertoire size (the total number of gesture types a focal subject produced toward other individuals) and dyadic repertoire size (the number of gesture types produced toward the dyad partner, per hour spent within 10 meters) were positively associated with proximity at the level of the group (centrality in the proximity network) and the dyad (proximity duration between dyads), respectively. Further, the repertoire size of visual and auditory short-range gestures was positively associated with proximity, while the repertoire size of tactile gesture was negatively associated with proximity. Overall these results suggest that gestural repertoire size has important implications for maintaining social relationships in wild chimpanzees and more broadly that gestural communication may have played an important role in language evolution. [Abstract copyright: © 2019 Wiley Periodicals, Inc.]
    • The Gravitational Pull of Identity: Professional Growth in Sport, Exercise, and Performance Psychologists

      Tod, David; McEwan, Hayley; Chandler, Charlotte; Eubank, Martin; Lafferty, Moira; Liverpool John Moores; University of West Scotland; University of Derby; Liverpool John Moores; University of Chester
      Theories based in symbolic interactionism and narrative psychology can help us understand practitioner identity. Drawing on theories from these approaches, our purpose in this article is to distil research on sport psychologist growth, argue professional identity is a central goal in practitioner development, and offer applied implications. Professional growth includes movement from the self as an expert, who solves clients’ problems, to the self as a facilitator, who works alongside clients. Practitioners strive towards being authentic and along the way, develop self-awareness, learn to manage anxiety, and choose their preferred ways of working. A key feature of being authentic is an articulated professional identity. Practitioners can shape their professional identities by interacting with helpful people, consuming various genres of literature, and engaging in different types of writing.
    • Greater cross-viewer similarity of semantic associations for representational than for abstract artworks

      Schepman, Astrid; Rodway, Paul; Pullen, Sarah J.; Department of Psychology, University of Chester (The Association for Research in Vision and Ophthalmology, Inc., 2015-10-22)
      It has been shown previously that liking and valence of associations in response to artworks show greater convergence across viewers for representational than for abstract artwork. The current research explored whether the same applies to the semantic content of the associations. We used data gained with an adapted Unique Corporate Association Valence (UCAV) measure, which invited 24 participants to give short verbal responses to 11 abstract and 11 representational artworks. We paired the responses randomly to responses given to the same artwork, and computed semantic similarity scores using UMBC Ebiquity software. This showed significantly greater semantic similarity scores for representational than abstract art. A control analysis, in which responses were randomly paired with responses from the same category (abstract, representational) showed no significant results, ruling out a baseline effect. For both abstract and representational artworks, randomly paired responses resembled each other less than responses from the same artworks, but the effect was much larger for representational artworks. Our work shows that individuals share semantic associations in response to artworks with other viewers to a greater extent when the artwork is representational than abstract. Our novel method shows potential utility for many areas of psychology that aim to understand the semantic convergence of people’s verbal responses, not least aesthetic psychology.
    • Gut thinking and eye tracking: Evidence for a central preference heuristic

      Thoma, Volker; Rodway, Paul; Tamlyn, Guy; University of East London; University of Chester (Taylor and Francis, 2021-09-01)
      People prefer the central item in an array of items. This could be due to applying a decision heuristic or greater visual attention to the central item. We manipulated task instructions as participants chose one from three consumer items. The instructions were to “think carefully” in one block and to “use gut feeling” in another. A centrality preference appeared only in the “gut” condition, which was also negatively correlated with self-reported reflective thinking disposition (Need-for-Cognition). Eye-movement patterns, however, were equivalent across both instruction conditions with more frequent and longer fixations on the middle items. The findings demonstrate an effect of instructions on the centrality preference for non-identical consumer items, and provide evidence for a heuristic cause of the centrality preference rather than the allocation of visual attention. The results also show that the centrality preference is more likely to be present when people choose quickly and intuitively.
    • ‘Haematological cancers, they’re a funny bunch’: A qualitative study of Non-Hodgkin lymphoma patient experiences of unmet supportive care needs.

      Swash, Brooke; Hulbert-Williams, Nicholas J.; Bramwell, Ros; University of Chester; University of Cambridge (SAGE, 2016-07-28)
      Despite high levels of psychological distress, there is a scarcity of research on unmet supportive care needs in haematological cancer patients. This qualitative study used an in-depth interpretative phenomenological approach to investigate the needs reported by six Non-Hodgkin lymphoma patients and explored how these needs consequently shaped the patient experience. Emergent themes included: concerns for family, information needs and the need for psychological support. Participants reported feeling different to other cancer patients. Lack of understanding of their diagnosis by friends and family, and access to relevant support services, are notable unmet needs that differ from previous findings.
    • Helping school students deal with peer provocations and avoid hostile attribution bias with a co-operative cross-age teaching intervention: A pilot study

      Boulton, Michael J.; Boulton, Louise; University of Chester (Wiley, 2017)
      Cross-age tutoring and co-operative group work have been shown to help student tutors and tutees acquire academic and non-academic skills and knowledge. A novel intervention (Cross-Age Teaching Zone, CATZ) that combined them was tested for its effects on student tutors’ thinking skills associated with (i) dealing pro-socially with peer provocations and (ii) avoiding hostile attribution bias. Small co-operative groups of 11 and 15 year old students (n= 228) designed a CATZ lesson on these themes and delivered it to younger students. The CATZ tutors, but not matched controls (n = 189), showed significant improvements on both outcome measures. Participants aged 9 to 15 years (n = 469) were also asked about: (1) their willingness to act as CATZ tutors/tutees, (2) how effective they think such CATZ activities would be, (3) how much they valued autonomy in how they might deliver CATZ, and (4) their relative preference for being taught by older students versus teachers. Overall, participants expressed positive views of CATZ. This evidence for the effectiveness and social validity of CATZ support its more widespread use in schools to help students learn patterns of thinking that can help them avoid aggressive and conflict behavior.
    • The high prevalence of pre-existing mental health complaints in clients attending Saint Mary’s Sexual Assault Referral Centre: implications for initial management and engagement with the Independent Sexual Violence Advisor Service at the Centre

      Manning, Daisy; Majeed-Ariss, Rabiya; Mattison, Michelle L. A.; White, Catherine; University of Manchester Medical School; Saint Mary's Sexual Assault Referral Centre; University of Chester (Elsevier, 2018-12-05)
      Background: The Saint Mary’s Sexual Assault Referral Centre has a unique service delivery model whereby it provides an integrated physical and psychological support services to clients, women men and children, living in Greater Manchester. The service is available to those who have reported rape or sexual assault, whether this is recent or historic. Clients living in surrounding areas of Cheshire are provided with forensic and medical services at Saint Mary’s Centre, with follow-up care provided locally, as appropriate. Aims: The primary objective was to identify the prevalence of self-reported pre-existing mental health complaints amongst adult clients who attended Saint Mary’s Centre for a forensic medical examination. The secondary objective was to consider levels of engagement with the Centre’s Independent Sexual Violence Advisor service by comparing clients who reported a mental health complaint to clients who did not. Method: One-hundred and eighty sets of client’s notes from 2016 were retrospectively analysed. Client inclusion criteria were that they were (a) over the age of 18 years when attending the Centre, (b) had attended for a forensic medical examination. Results: 69% of clients analysed reported a pre-existing mental health complaint. The time taken for clients to present to Saint Mary’s Centre following a reported assault tended to be later for the clients with self-reported mental health problems than those without. However, there was no difference in the long-term engagement with the Centre’s Independent Sexual Violence Advisor service at the Centre between the two groups. Conclusion: Prevalence of self-reported pre-existing mental health complaints is extremely high in clients presenting at Saint Mary’s Centre as compared to national and regional prevalence rates for mental health complaints in the general population. The vulnerability of this client group should be considered when they attend a SARC and support provided should be appropriate and accessible to their needs. Staff should have adequate training and supervision to be able to respond in this way.
    • High stakes lies: Police and non-police accuracy in detecting deception

      Wright Whelan, Clea; Wagstaff, Graham; Wheatcroft, Jacqueline M.; University of Chester ; University of Liverpool ; University of Liverpool (Taylor & Francis, 2014-06-26)
      To date, the majority of investigations in to accuracy in detecting deception have used low stakes lies as stimulus materials, and findings from these studies suggest that people are generally poor at detecting deception. The research presented here utilised real life, high stakes lies as stimulus materials, to investigate the accuracy of police and non-police observers in detecting deception. It was hypothesised that both police and non-police observers would achieve above chance levels of accuracy in detecting deception, that police officers would be more accurate at detecting deception than non-police observers, that confidence in veracity judgements would be positively related to accuracy, and that consensus judgements would predict veracity. 107 observers (70 police officers and 37 non-police participants) watched 36 videos of people lying or telling the truth in an extremely high stakes, real life situation. Police observers achieved mean accuracy in detecting deception of 72%, non-police observers achieved 68% mean accuracy, and confidence in veracity judgements were positively related to accuracy. Consensus judgements correctly predicted veracity in 92% of cases.
    • High-stakes lies: Verbal and nonverbal cues to deception in public appeals for help with missing or murdered relatives

      Wright Whelan, Clea; Wagstaff, Graham; Wheatcroft, Jacqueline M.; University of Liverpool (Taylor & Francis, 2013-09-23)
      Low ecological validity is a common limitation in deception studies. The present study investigated the real life, high stake context of public appeals for help with missing or murdered relatives. Behaviours which discriminated between honest and deceptive appeals included some previously identified in research on high stakes lies (deceptive appeals contained more equivocal language, gaze aversion, head shaking, and speech errors), and a number of previously unidentified behaviours (honest appeals contained more references to norms of emotion/behaviour, more expressions of hope of finding the missing relative alive, more expressions of positive emotion towards the relative, more expressions of concern/pain, and an avoidance of brutal language). Case by case analyses yielded 78% correct classifications. Implications are discussed with reference to the importance of using ecologically valid data in deception studies, the context specific nature of some deceptive behaviours, and social interactionist, and individual behavioural profile, accounts of cues to deception.
    • How can Respectfulness in Medical Professionals be Increased? A Complex but Important Question.

      Clucas, Claudine; St Claire, Lindsay; University of Chester; University of Bristol (Springer Verlag, 2016-12-14)
      Respectfulness is demanded of doctors and predicts more positive patient health-related outcomes but research is scarce on ways to promote it. This study explores two ways to conceptualize unconditional respect from medical students, defined as respect paid to people on the basis of their humanity, in order to inform strategies to increase it. Unconditional respect conceptualized as an attitude suggests that unconditional respect and conditional respect are additive, whereas unconditional respect conceptualized as a personality trait suggests that people who are high on unconditional respect afford equal respect to all humans regardless of their merits. One-hundred and eighty one medical students completed an unconditional respect measure then read a description of a respect-worthy or a non-respect-worthy man and indicated their respect towards him. The study found a main effect for unconditional respect and a main effect for target respect-worthiness but no interaction between the two when respect paid to the target was assessed, supporting the attitude-based conceptualization. This suggests that unconditional respect can be increased through relevant interventions aimed at increasing the relative salience to doctors of the human worth of individuals. Interventions to increase unconditional respect are discussed.