1 15 TH INTERNATIONAL CONFERENCE OF THE A.P.P.A.C. ASSOCIATION OF PSYCHOLOGY & PSYCHIATRY FOR ADULTS & CHILDREN Neuropsychiatric, Psychological and Social Sciences Today May 4 7, 2010 the Athens Hilton Hotel, GREECE BOOK OF ABSTRACTS ANNOUNCEMENTS (ENGLISH) SPIRITUALITY, HEALTH, AND ARCHITECTURE: WITH RESPECT TO STRESS A. Nejati MS Student, Miami University, OH, USA We should become fully aware of the Spiritual Presence around us and in us as God present to our spirit; Spirit not as a mysterious substance but as God present in communities and personalities, grasping them, inspiring them, transforming them. Paul Tillich. Despite the fact that many contemporary wellness approaches are focused on physical and medical assets, there is a deep connection between spirituality and health, healing and general wellbeing. According to the theory of Rudolf Steiner, the spiritual philosopher, the human being is a fourfold entity which includes material (physical body), life (etheric body), soul (astral body or consciousness), and spirit (ego or self-consciousness). According to his anthroposophical philosophy, understanding the human being as a whole can influence our perception of lifestyle which is essentially interrelated to wellness. Currently, stress, anxiety and physical and mental pressure are the well-documented causes for many severe diseases such as cancer. I pose how can spirituality help the human being to manage their everyday stress and how can architecture enhance wellness, health and healing in a spiritual way? In developed countries, such as the USA, the complexity of urban lifestyles does not always allow a separation or relief from stressful environments. Living with high stress makes it difficult to find concentrated time to experience the distinct aspects of life beyond everyday issues. Therefore, this paper addresses how environmental qualities can motivate the human spirit in order to deal with and counteract highpressured environments. In addition, this paper shows how returning to and focusing on inherent aspects of our being through architecture can affect our real wellness, health, healing, and general wellbeing. My approach is based on personal and individual experiences woven with theoretical viewpoints partially guided by Anthroposophy. Examining the English etymological root related to spirituality, health, healing and well-being is one method for finding out how far our general contemporary understanding of terms is from the original concepts behind them. As a result, the concept will be embodied in a spiritual wellness center in the heart of an urban environment where stress is one of the most relevant issues in all people s everyday lives, ignoring their gender, age and culture. So selecting the site of this project is one my most challenging issues in this process. The program of my spiritual wellness center is different from a hospital or technical healthcare center because my audiences are broader than physical or mental patients. The multifunctional program includes wellness educational practices, for example, libraries and lecture halls, some special wellness methods like yoga, different recreational activities based on historical and traditional concepts, for instance, Roman Thermae, and finally a small hotel. THE UNCONSCIOUS IN PSYCHOTHERAPEUTIC DISCOURSE: THE LANGUAGE OF EXPLANATION VERSUS THE LANGUAGE OF OPERATION. Prof. D.P. Fourie PhD., Clinical Psychologist, Professor, Psychology Dept., University of South Africa, Pretoria, SOUTH AFRICA In the process of psychotherapy it can be useful to distinguish between the language of explanation and the language of operation. The latter refers to the manner in which the therapist speaks to the client(s) while the language of explanation has to do with the way the therapist thinks about the particular problem. A central concept which is widely used in both languages in the course of psychotherapy is that of the unconscious (mind) but the way it is used often implies that the unconscious (mind) is a concrete entity located somewhere in the brain. This paper discusses the reality of the unconscious and shows that this concept is flawed as an explanation of problem formation and problem resolution but that it can be fruitfully employed in the language of operation. A case description is provided to illustrate how this can be done. THE STUDY OF PSYCHOMETRIC EVALUATION OF THE CONNOR DAVIDSON RESILIENCE SCALE (CD-RISC) IN IRANIAN HIGH SCHOOL STUDENTS A. Ghamarani¹, Dr. M.B. Kajbaf², Dr. H.R. Oreizi² and Dr. S. Amiri² ¹ PhD Student, Psychology Dept., Educational Science and Psychology Faculty, University of Isfahan, IRAN ² PhD, Psychology Dept., Faculty of Educational Science and Psychology, University of Isfahan Introduction & Aim: The aim of this study was to investigation of the psychometric evaluation of the Connor Davidson Resilience Scale (CD- RISC,2003) in a sample of high school students in Iran. Method: To pursue this aim, above questionnaire was administered on 200 high school students (100 girls and 100 boys). Results: Factor analysis yielded one general factor. The reliability coefficient of the Iranian version of CD-RISC, was 0/91. Conclusions: Taken together, the result of this study indicated that the construct of resilience and its measurement from the West can be helpful and applicable in understanding Iranian adaptive behaviors. Also, result demonstrated that the CD-RISC possesses good psychometric qualities for use in Iran.
2 CHILDHOOD OBESITY AND MOTHERS EMOTIONAL STATE Dr. M. Dixe¹, A. Querido², Dr. H. Catarino¹ and M. Lopes² ¹ PhD. Teacher, School of Health Sciences, Polytechnic Institute of Leiria, PORTUGAL ² MsD. Teacher, School of Health Sciences, Polytechnic Institute of Leiria Introduction and Aim: In Childhood obesity is important to notice mothers emotional state and their understanding of their emotional world. We aim to determine the prevalence of obesity in children aged 6 to 12 years and the relationship between emotional state of mothers and childhood obesity. Method: A correlational study using a non-probabilistic intentional sample of 107 mothers - 50 of normal weigh children and 57 overweighed children. The prevalence of child obesity was 46.7%. A questionnaire of sociodemographic and family characteristics, weigh control; emotional state - Brief Symptom Inventory (Canavarro, 1995) and NEO-FFI-20 (Bertoquini, & Ribeiro, 2006) to assess personality styles (emotional, interpersonal, experiential, attitudinal, motivational) was applied to mothers visiting Portuguese health centers during Results: In both groups, averages of anxiety /depression scale showed similar values with no statistically significant differences in emotional state of mothers (p> 0.05). Regarding personality traits, overweight / obese children mothers had higher values in all dimensions, than normal weight children mothers, although with no statistical significance (p> 0.05). Conclusion: No influence of parental variables on childhood obesity was found. However, parents personality profile is stated as an important variable in overweight /obesity control programs. We suggest replication in larger samples. CHILDHOOD OBESITY AND MOTHER/SON ATTACHMENT. Dr. M. Dixe¹, A. Querido², Dr. H. Catarino¹ and M. Lopes² ¹ PhD. Teacher, School of Health Sciences, Polytechnic Institute of Leiria, PORTUGAL ² MsD. Teacher, School of Health Sciences, Polytechnic Institute of Leiria Introduction and aims: Identify the type of attachment and parental involvement of mothers of obese and non obese schoolchildren, and determine the predictors of obesity in school-age children. Method: This study correlates childhood obesity and type of mother / son attachment. A nonprobabilistic intentional sample of 50 mothers of obese children and 57 mothers of non-obese children, aged 6 to 12 years, were asked a questionnaire consisting of: sociodemographic and family characteristics, weight control, Mothers Perception of Child Attachment Behavior (Dias, Soares & Freire, 2002) and Scale of Parental Involvement in Childhood (Gameiro et.al, 2006). Mothers were questioned in childhood health consultations in Portuguese Health Centers during Results: In average, overweight / obesity children mothers had lower secure attachment and lower parental involvement in all dimensions, than mothers of normal weight children. No statistical significance, contradicts other studies including Trombin et.al (2003). Mothers age (younger) and their BMI (highest) are childhood obesity predictors (p <0.001), opposite to responsibility and concern with children s weight by mothers, which are not. Conclusion: In this study attachment and maternal involvement in children are not predictors of childhood obesity. This could indicate that a holistic intervention preventing childhood obesity is needed. WHY COGNITIVE SCHEMAS CAN PREDICT SEXUAL OFFENDERS: A CASE STUDY ANALYSIS D.G. Lyrakos Clinical Psychologist, Cognitive Therapist, Athens, GREECE Sexual offences over the past decade have been increased dramatically, mainly because the victims have a tendency to report them instead of avoiding it, or blaming themselves. The present presentation is a case study based on a 30 year old male, who has been convicted for 4 sexual offences (rapes) and he underwent cognitive therapy-schema focused approach. In the present case study we are going to present diagnostic clusters of the patient and the schemas produced through the therapeutic sessions and how those schemas can explain and even predict sexual offences. THE IMPACT OF SELF ESTEEM ON THE PERCEIVED AFFILIATION GROUP AT ROMANIAN PREADOLESCENTS WITH BEHAVIORAL PROBLEMS. Dr. R. Urea Ph.D, Psychologist, Lecturer Special Education Dept., Faculty of Psychology & Educational Sciences, Bucharest University, ROMANIA It is well known that teenagers pass through a lot and dramatic psychological changes. A lot of researches have been done. But, most recently, the attention of experts has focus on preadolescents, especially form the time that these children has an increase level of development, especially on cognition level and a decrease level of stability at emotional field. Therefore, we made an investigation that has had the aim to reveal the specific of the self esteem at Romanian preadolescents with behavioural problems and the impact on perceived school environment and school group. We used in our research the following investigation methods: The Self esteem Questionnaire, The attitudinal Questionnaire, and the, and Social Perception for Affiliations Group Quiz; all of these instruments were created for Romanian preadolescents. The results had revealed some basic features of self esteem of Romanian preadolescents with behavioural problems and some features of their attitudes towards the educational process. The conclusion, which came through from this research, is a specific typology of the influences of self esteem of Romanian preadolescents with behavioural problems on the perceived school environment INTERPERSONAL RELATIONSHIPS OF ADOLESCENTS AS A DETERMINANT OF EMOTIONAL INTELLIGENCE F. Nasir¹ and Prof. S. Munaf² ¹ Ph.D. Student, Clinical Psychology Dept., Institute of Clinical Psychology, University of Karachi, PAKISTAN ² Ph.D., Professor and Former Director of Institute of Clinical Psychology, University of Karachi The aim of the study was to determine the relationship of emotional intelligence of adolescents with their interpersonal relationships. It was hypothesized that there would be positive correlation of interpersonal relationships and emotional intelligence scores of adolescents. Sample included 188 students of secondary classes of different schools of Karachi, Pakistan. With the consent of the principals, adolescents were approached in group settings. They were requested to sign the informed consent form, followed by the administration of demographic information form, Emotional Quotient Inventory Youth Version (BarOn & Parker, 2000) and Clinical Assessment of Interpersonal Relationships (Bracken, 2006). The tests were scored according to the standard procedures and Pearson product moment indicated positive correlation (r =.231, N = 188, p<.01)
3 between interpersonal relationships and emotional intelligence scores. Thus the present research was done keeping in focus the opportunity to give workshop on emotional intelligence which can improve the interpersonal relationships of adolescents. INTERNALISING AND EXTERNALISING BEHAVIOUR PROBLEMS IN PAKISTANI ADOLESCENTS N. Soomro¹ and Dr. J. Clarbour² ¹ Ph.D Student, Psychology Dept., University of York, U.K. ² Ph.D, C. Psych, C. Si, Chartered Forensic Psychologist, Senior Lecturer, Psychology Dept., University of York The major aim of this study is to explore emotional styles and assess internalising and externalising behaviour problems among Pakistani adolescents, using a newly developed scale the Emotional behaviour Scale for Pakistani adolescents (EBS-PA). Like the original EBS (EBS; Clarbour & Roger, 2004). It consists of three subscales: social anxiety, malevolent aggression and social self-esteem. A series of four studies were conducted to evaluate the psychometric properties of the EBS-PA including factorial structure, content and discriminative validity and reliability. These studies demonstrate the EBS-PA is a promising screening tool to measure emotional and behavioural problems in Pakistani adolescents. The EBS-PA was administered to 750 Year 8 schoolchildren in Pakistan, where a significant gender difference was found on the EBS-PA subscales. The results show that more girls than boys were categorised as being at an abnormal range for internalising behaviour. On the contrary, more boys were found to be at high risk of externalising problems than girls. Overall, only 54% of adolescents were in the normal range for internalising behaviour, whereas 81% were categorised in the normal range for externalising behavioural problems. Comparison data are also presented based on socioeconomic class. The implications of these findings for future assessment and intervention are discussed. INCORPORATING SIBLINGS INTO FAMILY-BASED INTERVENTIONS: THE FAMILY CHECK-UP AS APPLIED TO ADOLESCENT ALCOHOL USE Dr. Ch. Slomkowski¹, Dr. R. Rende¹ and Prof. A. Spirito² ¹ PhD. Research Psychologists, Butler Hospital, Providence, Rhode Island, USA ² PhD Professor, Brown University, Providence, RI Introduction and Aim: Most intervention focus on only one child per family. We present data on substance use patterns in siblings of adolescents with alcohol problems in an ongoing study delivering a family-based psychosocial intervention (the Family Check-Up). We also explore how the family dynamics differ when both siblings are currently using substances. Method: The IP, one or two parents, and an adolescent sibling have undergone a baseline evaluation which includes assessment for current substance use and family interaction. Results: Over 50% of the siblings endorse current substance use; older siblings are more likely to be using versus younger siblings. Older, but not younger siblings, as compared to IP, are more likely to smoke cigarettes in addition to using alcohol. There are higher rates of substance-promoting behavior and undermining of parental authority when both siblings are substance users. Conclusion: Adolescents with alcohol-related problems are likely to have siblings who also use substances. Family-based interventions could gain an additional level of efficacy by including siblings as well as adolescents who are using substances. PSYCHOSOCIAL INTERVENTIONS FOR ADOLESCENT ALCOHOL USE IN THE GENOMIC ERA: EMERGING CONCEPTS Dr. R. Rende¹, Dr. Ch. Slomkowski¹ and Prof. A. Spirito² ¹ PhD. Research Psychologists, Butler Hospital, Providence, Rhode Island, USA ² PhD Professor, Brown University, Providence, RI Introduction and Aim: We describe on ongoing study delivering a family-based psychosocial intervention (the Family Check-Up) to adolescents with alcohol-related problems and their adolescent siblings. Given the family-based design, we review the evidence for incorporating genetic markers of risk for alcohol abuse within this type of study. Method: We provide a review of informative behavioural genetic studies to ascertain the evidence supporting the role of genes in adolescent drinking and substance use, along with implications for psychosocial intervention. Results: Most studies suggest the potential role of genes both in terms of pathways to seeking alcohol, as well as reactivity to alcohol. We provide a review of these findings and provide a discussion of the most profitable linkages between specific intermediate phenotypes (e.g., impulsivity, risk-taking, subjective reactions to alcohol) and candidate gene markers. Conclusion: There is a need to develop empirically-supported conceptual models that posit the phenotypes of interest that may be targeted by an intervention, along with biologically-relevant candidate genes that could potentially moderate the effects of psychosocial intervention. IDENTIFYING AUTISTIC DISORDER IN CHILDREN UNDER 2 YEARS OF AGE. Prof. R.L. Young Associate Professor, School of Psychology, Flinders University of South Australia, Adelaide, AUSTRALIA Background: The difficulty in identifying Autistic Disorder at an early age may partly arise from the fact that existing tools and the current diagnostic criteria defined in the ICD-10 (1992) and DSM-IV-TR (2000) describe behaviors thought to occur later in the developmental pathology of the disorder. Objectives: The ADEC (Autism Detection in Early Childhood; ACER, 2007) was developed to provide a psychometrically sound screening tool for clinicians to more accurately identify autism in children under the age of three years. Methods: The referred sample ranged in age from 14 to 36 months. Data were collected from three groups; those who had received a diagnosis of Autistic Disorder, those at risk of developing the disorder and typically developing children. The concurrent validity of the tool was examined by administering it together with the Childhood Autism Rating Scale (CARS; Schopler, Reichler, De Vellis, & Daly, 1980), the Autism Diagnostic Interview - Revised (ADI-R) (Le Couteur et al., 1989; Lord, Rutter, & Le Couteur, 1994), DSM-IV-TR (APA, 2000) criteria and Modified Checklist for Autism in Toddlers (M-CHAT). Other psychometric properties relating to its validity and reliability are also addressed. Results: The ADEC was well-correlated with existing measures of Autistic Disorder some of which are labour intensive and require staff highly trained in the administration and interpretation of these data. Further, when comparing the development of skills in the autism group to that in typically developing group, the age at which the absence of these skills becomes of clinical significance is noted. Conclusions: Results indicate that signs of autism are present in many children as early as 12 months. These behaviours should thus be targeted in early intervention to minimise the effect on other behaviours that any delay in their acquisition may cause.
4 A COMPARATIVE STUDY OF COGNITIVE FUNCTIONING OF CHILDREN WITH AUTISM AND ATTENTION-DEFICIT HYPERACTIVITY DISORDER I. Gul¹ and N.B. Yazdani² ¹ MSc., PhD Scholar, School of Health Studies, University of Bradford,UK Lecturer, Fatima Jinnah Women University, Rawalpindi, PAKISTAN ² Graduate Student, Behavioral Science Dept., Fatima Jinnah Women University, Rawalpindi Introduction & Aims: Autism and Attention-deficit/hyperactivity disorder (ADHD) are childhood-onset neuro-developmental disorders which significantly effect the cognitive functioning. The present study was conducted to assess and compare cognitive functioning of Children with Autism, ADHD and Healthy controls. Methods: A sample of 90 children (8-12 years) with Autism, ADHD and Healthy controls (30 each) was selected. The symptom severity of Autism and ADHD was assessed with Gilliam Autism rating Scale 2(GARS 2) and Strengths and Weakness of the ADHD- Symptoms and Normal- Behavior (SWAN) respectively. Cognitive functioning in terms of, visuospatial processing, Memory, Executive and Sensorimotor Functioning was assessed with four subtests of A Developmental neuropsychological Assessment (NEPSY 1). Results: Analysis of Variance indicated a significant difference in all domains of cognitive functioning such as Executive functioning (F = 7.9; p =.001), Visuospatial processing (F = 4.0; p =.02), Immediate Memory (F = 70.7; p =.001), Delayed Memory (F =68.0 p=.001) and Sensorimotor functioning (F = 4.1; p =.02). Post-hoc analysis revealed that Cognitive functioning of Autistic children was more impaired as compared to ADHD and control group. Conclusion: The study highlighted the importance of cognitive assessment of children with developmental disorders for rehabilitation and management programs. This study would be a source of awareness and information for parents, and teachers who are working with these children. AUTISM SPECTRUM DISORDERS: THE CASE OF ASPERGER S SYNDROME Dr. P. Siaperas Msc, PhD, CPsychol., Research Associate, Developmental Psychiatry Section, University of Cambridge, UK The last few decades there is growing knowledge about pervasive developmental disorders. This term points to the fact that autism is a serious abnormality with biological causes affecting the developmental process. Therefore it differs from mental disorders which do not impact so directly on development. In addition, today we are used to talk about autism spectrum where on one side of the spectrum are people with autism (usually called Kanner autism) who have additional severe and profound intellectual disabilities and on the other are people with the features of autism but without intellectual disabilities and usually average or high performance on intelligence tests. People on this side of spectrum are diagnosed as high functioning autism or Asperger s syndrome (AS). The current paper is focused on this end of the autism spectrum and presents the different psychological theories and observations that describe the syndrome. COPING STRATEGIES USED BY PARENTS OF CHILDREN WITH AUTISM. Dr. M. Dixe¹, A. Querido², Dr. H. Catarino¹ and M. Lopes² ¹ PhD. Teacher, School of Health Sciences, Polytechnic Institute of Leiria, PORTUGAL ² MsD. Teacher, School of Health Sciences, Polytechnic Institute of Leiria Introduction and aims: The purpose of this research was to determine the level of family adaptation among parents of children diagnosed with autism spectrum disorder (ASD) and to identify differences in F-COPES scores based on family demographics, children characteristics and time of ASD diagnosis. Methods. A Cross sectional co-relational study was conducted. A descriptive survey used a convenience sample of 50 parents (38 mothers and 12 fathers) of children with ASD. Family adaptation was measured by the Family Crisis Oriented Personal Evaluation Scales (F- COPESs). All data were analysed using SPSS 14.0 for Windows. Results: The analysis of the Means and standard deviation shows that parents use more strategies of reframing (M=3,8; SD=0,7) than spiritual support (M=2,9; SD=0,9). Acquiring social support as neighbourhood were the less used coping strategy (M=1,8; SD=0,8). We did not find statistical significant differences between coping strategies used by parents of children with autism and childrens age at the time of diagnosis or gender (p>0,05). Families with no other children, mobilized to acquire and accept help and acquired social support more frequently (p<0,05). Conclusions: These results will be useful to professionals working with families of children with autism. THE PREVENTING ROLE OF MATERNAL RESPONSIVENESS ON TURKISH PRESCHOOLERS EMOTION DYSREGULATION I. Metin¹, Prof. N. Aksan² and S. Cebioglu¹ ¹ Psychologists, Academic Assistants, M.A. Students, Developmental Psychology Dept., Koc University, Istanbul, TURKEY ² Prof. Psychology Dept., Koc University, Istanbul For many years, children s emotion regulation has been focus of researchers. The previous studies have shown that deficiency in emotion regulation is linked to important developmental outcomes such as behavioral problems and social incompetence. Therefore, the current study aimed to investigate the mechanisms influencing children s emotion regulation functioning. Specifically, the role of maternal responsiveness (sensitivity, acceptance and cooperation) was examined with respect to Turkish children s emotion regulation functioning. The sample consisted of 118 preschoolers, recruited from different preschools in Istanbul, their mothers and preschool teachers. Maternal responsiveness was observed through mother-child contexts that contain typical naturalistic interactions such as snack time and play time during a laboratory session. Emotion regulation was assessed through Emotion Regulation Checklist. Regression analysis showed that maternal responsiveness significantly accounted for the prediction of emotion dysregulation that is, children with responsive mothers displayed lower levels of emotion dysregulation. This finding has important implications for interventions that target reducing or preventing emotion regulatory problems. In conclusion, this study provides important insights in an attempt of linking maternal responsiveness in combination to emotion regulation for the purpose of identifying origins of dysregulated emotions, which put children at risk for psychopathological disorders. OCCUPATIONAL STRESS & PSYCHOPHYSIOLOGIC DISORDER IN NIGERIA SOUTHWEST ORGANISATIONS Dr. A. Ebiai Ph.D., Senior Lecturer, Psychology Dept., Covenant University, Ota, NIGERIA
5 Stress is the non-specific response of the body to any demand made upon it. Stress reveals major physiological changes which can affect human performance. Occupational stress has been seen to have some major influences in daily living and all stresses whether psychological or physiological frequently implicates in ill health. The current paper aimed at finding out if certain occupations are more stressful than others, if there is any difference between organisations in terms of workers Psychophysiologic disorder and if there is a relationship between stress, health and job satisfaction. The participants in the study are 100 randomly selected organizational workers in South Western Nigeria, ranging between the ages of 25 and 55 years. All participants have been working in their various organisations for more than 12 months. The Life Experience Survey (LES) test, the General Health Questionnaire (GHQ) and the Job Satisfaction Questionnaire (JSQ) were administered to the participants. The result from the ANOVA test to find out the difference between Bank workers, Police Officers, Health Personnel, Academic Persons and Civil Servants showed there is no difference in their stress levels at F(4,95)=1.15 at P=0.05 level of significance. ANOVA test performed in finding out if there is a significant difference between the above five organisation in terms of Psychophysiologic symptoms, results a significant difference in the mean which gave F(4,95) = 2.71 which is significant at P=0.01 and P=0.05 level. The Pearson computation to find out the relationship between the five organisations on Life Event Experience stress, general health and job satisfaction found that there is significant relationship between the five organisations at 0.05 levels. The paper recommends that Government and Private Organisations should endeavour to make the physical environment in organizations better for workers productivity. THE ROLE OF GROUP-BASED SOCIAL SUPPORT IN MODERATING THE RELATIONSHIP BETWEEN EXPERIENCING STIGMA AND ILL-HEALTH Dr. M. Tarrant¹ and Dr. C. Farrow² ¹ PhD., School of Psychology, Keele University, UK ² PhD., Exercise and Health Sciences, School of Sport, Loughborough University, UK Introduction and Aim: Discrimination can have a negative impact on psychological well-being, attitudes and behavior. This research evaluates the impact of experiences of weight-based discrimination upon emotional eating and body dissatisfaction, and also explores whether people s beliefs about an ingroup s provision of social support can moderate the relationship between experiences of discrimination and negative eating and weightrelated cognitions and behaviors. Methods: 197 undergraduate students completed measures about their experiences of weight-based discrimination, emotional eating and body dissatisfaction. Participants also reported their beliefs concerning an ingroup s attitude towards overweight people (social support). Results: Recollections of weight-based discrimination significantly contributed to emotional eating and body dissatisfaction. However, the relationships between experiencing discrimination and body dissatisfaction and emotional eating were weakest amongst participants who believed the ingroup held a positive attitude towards overweight people. Conclusion: Beliefs about ingroup social support can influence the relationships between weight-based discrimination and emotional eating and body dissatisfaction. Changing group perceptions to perceive it to be unacceptable to discriminate against overweight people may help to protect victims of discrimination against the negative consequences of weightbased stigma. PSYCHOLOGICAL ADJUSTMENT IN WOMEN WITH BREAST CANCER: AN INTERVENTION STUDY Prof. R. Curtis¹, Dr. A.M. Groarke² and Prof. M. Kerin³ ¹ PhD. Professor, Psychology Dept., National University of Ireland, Galway, IRELAND ² PhD. Psychologist, Galway ³ MD Professor of Surgery, National University of Ireland, Galway Introduction: The number of women who survive breast cancer due to advances in detection and treatment has increased dramatically in recent years with a 5 year survival rate reaching 86%.Many survive for many more years after that so quality of life issues and adjustment have become increasingly important with current emphasis on identifying those patients who would most benefit from psychological intervention. Aim: This study identifies predictors of adjustment and tests the efficacy of a psychological intervention with women diagnosed with breast cancer on their adjustment over time. Method: All women aged years attending the Breast Symptomatic Unit, University Hospital Galway, Ireland since February 2005 newly diagnosed with breast cancer who met the inclusion criteria and were awaiting surgery were assessed. The study assesses global and cancer specific stress, global and cancer specific coping and social support on depression, anxiety, positive and negative affect, body image and benefit finding in women with first diagnosis of breast cancer. Results: First wave of results report on the predictors of psychological adjustment pre and post surgery of 200 women recently diagnosed and on the efficacy of a cognitive behavioural intervention on 70 women who have been randomized to the intervention. Conclusion: Results to date indicate that perceived stress is the strongest predictor of emotional adjustment at diagnosis and post - surgery. ANOVA results demonstrate the effectiveness of the intervention in reducing levels of cancer specific stress, distress and on increasing adaptive coping and benefit finding. TYPE D PERSONALITY, PSYCHOLOGICAL DISTRESS AND QUALITY OF LIFE IN PATIENTS WITH MYOCARDIAL INFARCTION I. Gul¹ and Prof. R.A. Bhatti² ¹ MSc., PhD Scholar, School of Health Studies, University of Bradford,UK Lecturer, Fatima Jinnah Women University, Rawalpindi, PAKISTAN ² PhD Professor, Clinical Psychologist, School of Health Studies, University of Bradford Introduction & Aim: Studies have shown that distressed personality (Type-D) is associated with Myocardial Infarction (MI) and have etiological and prognostic implications. The present study was designed to assess Psychological distress and Quality of life (QOL) in MI patients. Methods: In this cross-sectional study, 100(54 males, 46females) first time diagnosed (3-12 weeks) MI patients (WHO criteria) were selected. Type D personality was assessed with Distress Scale (DS-14). Psychological Distress (Anxiety, Depression) was measured with Hospital Anxiety and Depression Scale (HADS) while QOL was assessed with WHO Quality of Life scale (WHOQOL-BREF). Results: 59% of MI patients were identified with Type D personality traits (27Males, 32 Females). Type D personality was identified as significant predictor of impaired QOL [OR: 1.06; 95% CI ( ), p <.01], Depression [OR: 1.11; 95% CI ( ), p <.01] and Anxiety [OR: 1.09; 95% CI ( ), p <.01].The results also revealed that Type D MI patients have impaired QOL (mean= 73.3 [SD= 15.6] versus 85.9 [SD=17.3], respectively; t = 3.8, p <.01), elevated levels of Anxiety and Depression as compared to Non-type D patients. Conclusion: This study highlighted the importance of Type D personality in research on MI as a