We describe a case report on acceptance and commitment therapy (ACT) for a breast cancer survivor with chronic postsurgical pain, fear of cancer recurrence, and depression. As part of multidisciplinary therapy at the pain center, 17 sessions of ACT and two follow-up sessions were provided over approximately 6 months. Outcome measures (chronic pain and fear of cancer recurrence) and process measures (pain acceptance and valued action) were assessed. Outcome measures, including pain intensity, interference, quality of life, and fear of cancer recurrence, and ACT process measures improved after the intervention and at follow-up sessions compared to baseline. Over the treatment course, depression symptoms worsened, which necessitated a leave of absence from work for several months, during which time the patient engaged in intensive ACT. Ultimately, the patient returned to work, resumed her hobbies, and acquired a new habit of exercising, demonstrating changes to her lifestyle as well. The results support the efficacy of ACT in patients with multiple psychological and physical symptoms.
{"title":"Acceptance and Commitment Therapy in the Transdiagnostic Treatment of a Breast Cancer Survivor: A Case Study1","authors":"Mie Sakai, Masaki Kondo, Takeshi Sugiura, Tatsuo Akechi","doi":"10.1111/jpr.12422","DOIUrl":"10.1111/jpr.12422","url":null,"abstract":"<p>We describe a case report on acceptance and commitment therapy (ACT) for a breast cancer survivor with chronic postsurgical pain, fear of cancer recurrence, and depression. As part of multidisciplinary therapy at the pain center, 17 sessions of ACT and two follow-up sessions were provided over approximately 6 months. Outcome measures (chronic pain and fear of cancer recurrence) and process measures (pain acceptance and valued action) were assessed. Outcome measures, including pain intensity, interference, quality of life, and fear of cancer recurrence, and ACT process measures improved after the intervention and at follow-up sessions compared to baseline. Over the treatment course, depression symptoms worsened, which necessitated a leave of absence from work for several months, during which time the patient engaged in intensive ACT. Ultimately, the patient returned to work, resumed her hobbies, and acquired a new habit of exercising, demonstrating changes to her lifestyle as well. The results support the efficacy of ACT in patients with multiple psychological and physical symptoms.</p>","PeriodicalId":46699,"journal":{"name":"Japanese Psychological Research","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpr.12422","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79527454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Low socioeconomic status has various adverse effects on health, which can be mitigated through the shift-and-persist (S-P) strategy. Studies have focused on how this strategy can affect health in the face of adversity. However, that children learn this strategy from positive role models, such as parents, is an unexamined precondition of the theory. This study presents one bit of supporting evidence for this precondition by examining the similarity in S-P among parent–child dyads using the actor-partner interdependence model. We also examine parent and child strategies related to depressive tendencies based on mixed results in relevant research. The results from 309 parent–child pairs indicate that shifting and persisting tendencies and depressive tendencies were similar among the parent–child pairs. Furthermore, regardless of their socioeconomic status, the parents' and children's persisting scores predicted lower levels of depressive tendencies as actor effects. Although this study does not fully support S-P theory, it provides important insights regarding similar patterns of strategic tendencies between parents and children and highlights the importance of positive role models.
{"title":"Shift-and-Persist Strategy: Tendencies and Effect on Japanese Parents and Children's Mental Health1,2,3","authors":"Sumin Lee, Haruka Shimizu, Ken'ichiro Nakashima","doi":"10.1111/jpr.12421","DOIUrl":"10.1111/jpr.12421","url":null,"abstract":"<p>Low socioeconomic status has various adverse effects on health, which can be mitigated through the shift-and-persist (S-P) strategy. Studies have focused on how this strategy can affect health in the face of adversity. However, that children learn this strategy from positive role models, such as parents, is an unexamined precondition of the theory. This study presents one bit of supporting evidence for this precondition by examining the similarity in S-P among parent–child dyads using the actor-partner interdependence model. We also examine parent and child strategies related to depressive tendencies based on mixed results in relevant research. The results from 309 parent–child pairs indicate that shifting and persisting tendencies and depressive tendencies were similar among the parent–child pairs. Furthermore, regardless of their socioeconomic status, the parents' and children's persisting scores predicted lower levels of depressive tendencies as actor effects. Although this study does not fully support S-P theory, it provides important insights regarding similar patterns of strategic tendencies between parents and children and highlights the importance of positive role models.</p>","PeriodicalId":46699,"journal":{"name":"Japanese Psychological Research","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpr.12421","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85885646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
When people anticipate future regret, they overestimate its strength compared to experienced regret. Two experiments investigated this impact bias of regret by manipulating regret type (anticipated/experienced) in a within-subjects design. Regret was measured using the Japanese words kokaishita (後悔した) and kuyashi (悔しい), which are both translated as “regret” in English but differ in nuance in Japanese. We compared the participants' feelings of kokaishita and kuyashi when they failed at tasks in which their decisions did or did not affect the outcome. In Experiment 1 but not Experiment 2, the participants were offered an additional reward for task success. The results suggested that (a) impact bias occurs robustly when the same person both anticipates and experiences regret; (b) kokaishita is felt in response to decision failures, while kuyashi is felt for any kind of task failure; and (c) the presence of additional rewards influences the intensity of kokaishita but not that of kuyashi or impact bias.
{"title":"Impact Bias in Regret: Comparisons Between Within-Subjects and Between-Subjects Designs, Kokaishita and Kuyashi, and the Presence and Absence of Reward1,2","authors":"Kenshiro Ichimura, Daiki Taoka, Rina Miyahara","doi":"10.1111/jpr.12423","DOIUrl":"10.1111/jpr.12423","url":null,"abstract":"<p>When people anticipate future regret, they overestimate its strength compared to experienced regret. Two experiments investigated this impact bias of regret by manipulating regret type (anticipated/experienced) in a within-subjects design. Regret was measured using the Japanese words <i>kokaishita</i> (後悔した) and <i>kuyashi</i> (悔しい), which are both translated as “regret” in English but differ in nuance in Japanese. We compared the participants' feelings of <i>kokaishita</i> and <i>kuyashi</i> when they failed at tasks in which their decisions did or did not affect the outcome. In Experiment 1 but not Experiment 2, the participants were offered an additional reward for task success. The results suggested that (a) impact bias occurs robustly when the same person both anticipates and experiences regret; (b) <i>kokaishita</i> is felt in response to decision failures, while <i>kuyashi</i> is felt for any kind of task failure; and (c) the presence of additional rewards influences the intensity of <i>kokaishita</i> but not that of <i>kuyashi</i> or impact bias.</p>","PeriodicalId":46699,"journal":{"name":"Japanese Psychological Research","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpr.12423","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74198759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The ongoing coronavirus (COVID-19) pandemic, which presents a worldwide threat to humans, has focused people's attention on health and prompted the adoption of new behaviors to decrease infection risks. Concurrently, it has become clear that vulnerability to COVID-19 depends on the underlying social system and individual attitudes toward authority. For instance, many Japanese people may note that Americans protesting the government's COVID-19 restrictions and vaccine mandates claim freedom of choice, reflecting the dominant cultural value of individualism in U.S. society. Similarly, the cultural norm of collectivism is associated with people's acceptance of public health interventions (e.g., Lu et al., 2021, regarding mask usage). In the 2021 World Happiness Report, Sachs (2021) noted how cultural values influence health and preventive behavior.
Over the past 30 years, cultural psychologists investigating mutual relationships between culture and the mind have demonstrated culturally sanctioned aspects of the self, motivation, emotion, cognition, and so on (e.g., Cohen & Kitayama, 2019). With a growing body of evidence for cultural influences on health, the pandemic will hasten progress toward health research taking insights from a cultural psychological approach. While the 12 articles in the current special issue will not directly address the battle against COVID-19, we believe they will prove timely and suggestive for a better understanding of culture's role in health, given the focus on personal responsibility in the present period of crisis and uncertainty.
In the opening invited article, Miyamoto and Ryff (2022), two leading researchers in the field of culture and health, showed the theoretical and empirical relationships between culture and health. In “Culture and Health: Recent Developments and Future Directions,” they discussed the relationship between culture and health using publicly accessible comparable datasets from Midlife in the United States (MIDUS) and Midlife in Japan (MIDJA). They first reviewed the accumulated evidence on cultural influences on health. Next, they introduced both a micro perspective on biological factors and a macro perspective on socioeconomic inequalities and how these affect the link between culture and health. The review concluded by focusing on the changing historical context surrounding these cross-cultural investigations and the effect of growing economic inequality across cultures on the COVID-19 pandemic.
The other original papers in this issue can broadly be divided into three categories: “clinical–cultural psychology,” “cultural psychology with cross-cultural experimental datasets,” and “more global approaches using comparative cultures.” First, in the clinical area, in the article entitled “Japanese Clinical Psychologists' Consensus Beliefs about Mental Health: A Mixed-Methods Approach,” Sunohara et al. (2022
{"title":"Editorial: Culture and Health","authors":"Keiko Ishii, Yukiko Uchida","doi":"10.1111/jpr.12420","DOIUrl":"10.1111/jpr.12420","url":null,"abstract":"<p>The ongoing coronavirus (COVID-19) pandemic, which presents a worldwide threat to humans, has focused people's attention on health and prompted the adoption of new behaviors to decrease infection risks. Concurrently, it has become clear that vulnerability to COVID-19 depends on the underlying social system and individual attitudes toward authority. For instance, many Japanese people may note that Americans protesting the government's COVID-19 restrictions and vaccine mandates claim freedom of choice, reflecting the dominant cultural value of individualism in U.S. society. Similarly, the cultural norm of collectivism is associated with people's acceptance of public health interventions (e.g., Lu et al., <span>2021</span>, regarding mask usage). In the <i>2021 World Happiness Report</i>, Sachs (<span>2021</span>) noted how cultural values influence health and preventive behavior.</p><p>Over the past 30 years, cultural psychologists investigating mutual relationships between culture and the mind have demonstrated culturally sanctioned aspects of the self, motivation, emotion, cognition, and so on (e.g., Cohen & Kitayama, <span>2019</span>). With a growing body of evidence for cultural influences on health, the pandemic will hasten progress toward health research taking insights from a cultural psychological approach. While the 12 articles in the current special issue will not directly address the battle against COVID-19, we believe they will prove timely and suggestive for a better understanding of culture's role in health, given the focus on personal responsibility in the present period of crisis and uncertainty.</p><p>In the opening invited article, Miyamoto and Ryff (<span>2022</span>), two leading researchers in the field of culture and health, showed the theoretical and empirical relationships between culture and health. In “Culture and Health: Recent Developments and Future Directions,” they discussed the relationship between culture and health using publicly accessible comparable datasets from Midlife in the United States (MIDUS) and Midlife in Japan (MIDJA). They first reviewed the accumulated evidence on cultural influences on health. Next, they introduced both a micro perspective on biological factors and a macro perspective on socioeconomic inequalities and how these affect the link between culture and health. The review concluded by focusing on the changing historical context surrounding these cross-cultural investigations and the effect of growing economic inequality across cultures on the COVID-19 pandemic.</p><p>The other original papers in this issue can broadly be divided into three categories: “clinical–cultural psychology,” “cultural psychology with cross-cultural experimental datasets,” and “more global approaches using comparative cultures.” First, in the clinical area, in the article entitled “Japanese Clinical Psychologists' Consensus Beliefs about Mental Health: A Mixed-Methods Approach,” Sunohara et al. (<span>2022</s","PeriodicalId":46699,"journal":{"name":"Japanese Psychological Research","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpr.12420","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78916270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We examined a training program for developing cognitive complexity (cognitive complexity training [CCT]) for reducing gender harassment using data of workers in an actual work environment. CCT was conducted with 20 Japanese employees. The participants were administered the Gender Harassment Scale consisting of two subscales: the Commission (e.g., marginal role expectations of women, such as serving coffee and making photocopies) and the Omission (e.g., exclusion of women from essential jobs and core roles). The participants responded to the Gender Harassment Scale before CCT, right after CCT, and at the 2-week follow-up assessment. The results indicated that participants' post-CCT and follow-up Commission scores significantly improved compared to their pre-CCT scores.
{"title":"Cognitive Complexity Training Reduced Gender Harassment in a Small Japanese Company†","authors":"Atsuko Kobayashi, Ken'ichiro Tanaka","doi":"10.1111/jpr.12419","DOIUrl":"https://doi.org/10.1111/jpr.12419","url":null,"abstract":"<p>We examined a training program for developing cognitive complexity (cognitive complexity training [CCT]) for reducing gender harassment using data of workers in an actual work environment. CCT was conducted with 20 Japanese employees. The participants were administered the Gender Harassment Scale consisting of two subscales: the Commission (e.g., marginal role expectations of women, such as serving coffee and making photocopies) and the Omission (e.g., exclusion of women from essential jobs and core roles). The participants responded to the Gender Harassment Scale before CCT, right after CCT, and at the 2-week follow-up assessment. The results indicated that participants' post-CCT and follow-up Commission scores significantly improved compared to their pre-CCT scores.</p>","PeriodicalId":46699,"journal":{"name":"Japanese Psychological Research","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpr.12419","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141488172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to translate the Short Scale of Creative Self (SSCS) into Japanese and examine its psychometric properties. In total, 1,436 participants (Study 1: N = 957, Study 2: N = 479) completed the questionnaires. In Study 1, confirmatory factor analyses for Japanese versions of the scales resulted in bi-factor structures comprising one general factor and two subfactors; namely, creative self-efficacy (CSE) and creative personal identity (CPI). However, the Japanese version of the SSCS (SSCS-J) was essentially unidimensional, and scoring based on CSE and CPI lacked support. Therefore, it was necessary to calculate the total SSCS-J item scores to measure the creative self. Study 2 provided evidence for the concurrent, convergent, and discriminant validity of the scale. The current study also found that the SSCS-J had adequate test–retest reliability. The present findings suggest that the SSCS-J has sufficient reliability and validity.
{"title":"Development of the Japanese Version of the Short Scale of Creative Self†","authors":"Chiaki Ishiguro, Kazuki Matsumoto, Takumitsu Agata, Takeshi Okada","doi":"10.1111/jpr.12418","DOIUrl":"10.1111/jpr.12418","url":null,"abstract":"<p>This study aimed to translate the Short Scale of Creative Self (SSCS) into Japanese and examine its psychometric properties. In total, 1,436 participants (Study 1: <i>N</i> = 957, Study 2: <i>N =</i> 479) completed the questionnaires. In Study 1, confirmatory factor analyses for Japanese versions of the scales resulted in bi-factor structures comprising one general factor and two subfactors; namely, creative self-efficacy (CSE) and creative personal identity (CPI). However, the Japanese version of the SSCS (SSCS-J) was essentially unidimensional, and scoring based on CSE and CPI lacked support. Therefore, it was necessary to calculate the total SSCS-J item scores to measure the creative self. Study 2 provided evidence for the concurrent, convergent, and discriminant validity of the scale. The current study also found that the SSCS-J had adequate test–retest reliability. The present findings suggest that the SSCS-J has sufficient reliability and validity.</p>","PeriodicalId":46699,"journal":{"name":"Japanese Psychological Research","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpr.12418","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81317894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Momoka Sunohara, Jun Sasaki, Sonora Kogo, Andrew G. Ryder
This study applied a two-phase, mixed-methods research design, grounded in cultural consensus theory (CCT), to examine shared beliefs about mental health held by Japanese clinical psychologists (CPs). In CCT, qualitative methods are first used to identify culturally salient elements of a domain; factor analysis is then used to quantify the degree of sharedness, an approach known as cultural consensus analysis (CCA). First, a free-listing technique with 16 Japanese CPs was conducted to elicit salient terms for the two domains: (a) how members of the general public acquire beliefs about mental health; and (b) how Japanese mental healthcare ought to be reformed. In the second phase, CCA was conducted through a survey completed by 100 CPs. The free-listing analysis generated 21 and 23 culturally salient terms for the two domains, respectively. Then, CCA demonstrated that the two domains could each be characterized as a single cultural model with a high degree of consensus. CCT provides a systematic mixed-methods approach that is particularly well-suited to investigating culturally grounded shared beliefs held by people in a specific cultural context.
{"title":"Japanese Clinical Psychologists' Consensus Beliefs about Mental Health: A Mixed-Methods Approach","authors":"Momoka Sunohara, Jun Sasaki, Sonora Kogo, Andrew G. Ryder","doi":"10.1111/jpr.12410","DOIUrl":"10.1111/jpr.12410","url":null,"abstract":"<p>This study applied a two-phase, mixed-methods research design, grounded in cultural consensus theory (CCT), to examine shared beliefs about mental health held by Japanese clinical psychologists (CPs). In CCT, qualitative methods are first used to identify culturally salient elements of a domain; factor analysis is then used to quantify the degree of sharedness, an approach known as cultural consensus analysis (CCA). First, a free-listing technique with 16 Japanese CPs was conducted to elicit salient terms for the two domains: (a) how members of the general public acquire beliefs about mental health; and (b) how Japanese mental healthcare ought to be reformed. In the second phase, CCA was conducted through a survey completed by 100 CPs. The free-listing analysis generated 21 and 23 culturally salient terms for the two domains, respectively. Then, CCA demonstrated that the two domains could each be characterized as a single cultural model with a high degree of consensus. CCT provides a systematic mixed-methods approach that is particularly well-suited to investigating culturally grounded shared beliefs held by people in a specific cultural context.</p>","PeriodicalId":46699,"journal":{"name":"Japanese Psychological Research","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpr.12410","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83049916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
While the survival function of culture against infectious disease has been investigated, little is known about its psychological processes under the real-world threat of infection. Here, we compare the subjective COVID-19-related symptoms of Japanese and French adults during the spring of 2021. We tested two regression models describing the downregulation of symptoms by germ aversion, and by interdependent happiness, together with relational mobility and demographics. We regard germ aversion as an individualized fending-off process marked by discomfort with the general other in the face of possible infection. We regard interdependent happiness as a relational safeguarding process against possible infection. Results suggest that the effect of germ aversion differed across nations, negatively explaining symptoms in Japan but not in France, and that the effect of interdependent happiness was shared. A possible psychological mechanism whereby collectivist culture suppresses infection in the face of the pandemic is discussed.
{"title":"Harmony and Aversion in the Face of a Pandemic1","authors":"Hidefumi Hitokoto, Joane Adeclas","doi":"10.1111/jpr.12416","DOIUrl":"10.1111/jpr.12416","url":null,"abstract":"<p>While the survival function of culture against infectious disease has been investigated, little is known about its psychological processes under the real-world threat of infection. Here, we compare the subjective COVID-19-related symptoms of Japanese and French adults during the spring of 2021. We tested two regression models describing the downregulation of symptoms by germ aversion, and by interdependent happiness, together with relational mobility and demographics. We regard germ aversion as an individualized fending-off process marked by discomfort with the general other in the face of possible infection. We regard interdependent happiness as a relational safeguarding process against possible infection. Results suggest that the effect of germ aversion differed across nations, negatively explaining symptoms in Japan but not in France, and that the effect of interdependent happiness was shared. A possible psychological mechanism whereby collectivist culture suppresses infection in the face of the pandemic is discussed.</p>","PeriodicalId":46699,"journal":{"name":"Japanese Psychological Research","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpr.12416","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79195802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}