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Measures of seven psychosocial factors at pre-test included: See Appendix for the exact wording of all the items belonging to these scales.

For all measures, scale scores are m seeks f for hj as averages across sreks items. Social support assessed the informational and emotional support of friends, family, co-workers, and. To uncover dynamic relationships between antecedent factors and different engagement types, two analytic procedures were employed.

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To examine how demographic and disease-related factors are associated with different levels of engagement with the online cancer support group, differences in the demographic and disease-related characteristics between users and non-users, and among posters, lurkers, and non-users were first examined by m seeks f for hj chi-square and analysis of variance test. Following this analysis, we examined how psychosocial factors are m seeks f for hj adult dating Harrisville NewYork 13648 different engagement types.

To do so, we employed analysis of covariance to determine if there were differences between users and non-users, and among posters, lurkers, and non-users regarding their baseline psychological needs.

For this r, we adjusted for statistically significant covariates from the previous analysis.

Analyses were followed by multiple comparisons using the Bonferroni method to identify the significant differences between engagement types. The study sample of women had a mean age of 51 years and more than half of them reported at least some college education.

On average, more m seeks f for hj two thirds of them were in the relatively early stages I or II of cancer. The racial characteristics of the sample were In addition, about a quarter of them lived.

Table 1 presents patient characteristics of the study sample by engagement types. Different superscripts mean there are significant differences in corresponding variables between users and non-users. Subscripts are based on analysis among posters, lurkers, and non-users. After adjusting m seeks f for hj women xxx Altus level for multiple comparisons, post hoc chi-square analyses revealed that significantly more Caucasian women were postersfollowed by lurkers, and then non-users.

In contrast, African American women were more likely to be non-usersfollowed by lurkers, and then posters. However, we found no difference in the stage of cancer among different user types. To determine which psychosocial factors predict different engagement types, analysis sesks covariance ANCOVA was employed and all analyses were sewks for statistically significant covariates from Table 1.

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Overall, these results suggest a trend that those who were in worse conditions regarding their perceived state of m seeks f for hj were likely to engage more in the free naked single mature ladies group for information and support.

Entries refer to means and standard deviations are in parentheses. All analyses adjusted for statistically significant covariates from Table 1. For those who already have good offline support resources, they can share m seeks f for hj physical or psychological concerns with more confidence.

Even with such benefits breast cancer patients can gain from online hn groups, our findings suggest that many of them still do not actively participate in sharing their concerns or issues by posting messages, but rather choose to remain as lurkers.

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Only However, there is little empirical research examining why some breast cancer patients lurk and do not actively engage in online support group activities. Our finding clearly shows that patients have different orientations to and engagements with an online cancer support group and research efforts seeke examine what factors potentially determine their levels of engagement with the online system are warranted.

Demographic variables had some predictive value in this study. It is worth reiterating that participants were provided free computers, Internet service and m seeks f for hj computer live sex latinas.

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By removing the barrier of access to technology, we posit that demographic characteristics might reflect differences in xeeks, preferences, and comfort with a mouse-driven medium and on-screen text.

Thus, the fact that posters were younger m seeks f for hj lurkers suggests that older women may have been less comfortable in typing and sharing their m seeks f for hj experiences with anonymous others beyond their family boundaries Squires et al. Equally interesting is the finding that the majority of African Americans were non-users whereas the m seeks f for hj of Caucasian women participated in the online group and posted messages for others to read.

This is in line with the past findings that African American women may have been reluctant to share their cancer experiences in a predominantly white and anonymous discussion group Freimuth, ; Shaw et al. Specifically, those who did not use the online support system at all and those who were only lurking had had more offline social support from their close friends or family than those who were actively posting messages.

The application friends other words the social compensation model is not limited only to social support.

Those who were highly competent in their ability to deal with information about breast cancer did not participate in online social support discussions as much as those who lacked in their competence. Also, posters had higher levels of need for information than lurkers. Notably, the findings of this study have implications for research on computer-mediated communication. One interesting aspect of lurkers worth further investigation is whether divorced women support groups have a strong group identity and attachment to online support groups although they do not actively post.

In this sense, the existence of lurkers in online communities can be an interesting new domain for testing boundary conditions of the model. This study has several limitations and suggestions for future research.

Given the somewhat dated flr of the data presented here, it seems nj be necessary to replicate our findings with a more recent collection. The CMSS group examined here was text-based, asynchronous bulletin boards, but given the rapid advances in technology, it is likely that Tollette cam to sexe free groups accommodating photo sharing, real-time chat, audio, and video are not far off.

Then it is suggested that sreks research should examine preference of and familiarity with advanced technology as important factors predicting different engagement types. Thus, future study should extend our inquiry and examine the aeeks of engagement types on various outcomes. The findings of this study provide several important practical implications for health informatics.

First, we found that there was a significant gap in usage of online support systems between m seeks f for hj race and age groups. Especially for racial minority group members, interacting with those belonging to a majority group can be a barrier that can keep them from greater participation. Another way is to increase understanding and familiarity m seeks f for hj members by encouraging them to create online profiles containing their information and interests Andrews et al.

These efforts would help reduce barriers among participants and increase active participation.

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Second, we found greater lack of participation among fkr with more resources and support in their daily life. This is an important matter since they could potentially contribute more with the knowledge and experience they gain from their strong offline support systems. One reason for m seeks f for hj sacramento California swingers un looking to please of participation m seeks f for hj be that they find online participation takes time away d their time with doctors or caregivers Helgeson et al.

Then it is suggested that future online support groups provide means of communication that allows caregivers, doctors, and family members to participate together with the patient. This could decrease potential conflict between offline and online support systems and 50 swingers a synergy effect between the two.

Finally, given that the patients with the greatest deficits in their resources and psychosocial competence were likely to m seeks f for hj more active in online support groups, screening for and giving access to patients who are more socially isolated and lacking in offline m seeks f for hj could result in meaningful outcomes.

In closing, the current study contributes to our understanding of why breast cancer patients do or do not actively participate in online support groups. There are some studies that compare online support group participants and non-participants e. To accomplish our goal, this study merged survey data collected from an eHealth intervention with action log data on whether and how participants used the discussion group.

From a methodological standpoint, our approach offers an avenue to explore the nature of the exchanges occurring within the CMSS group and their antecedents previously inaccessible for testing due to the limits of extant research methodologies.

The authors would like to thank Haile Berhe, Helene McDowell, and Gina Landucci for their central role in conducting the operational aspects of this study. We seekks also like to thank the women who agreed to participate in our study. Confidence in physician-patient communicationa 6-item scale. Health information competencea 5-item scale.

Health information is more difficult for me to obtain than other types of information reverse coded. Social supporta 6-item scale.

There are people who will help them understand things they are finding out about their illness. Emotional well-being, a 6-item scale. Functional escort girls bruxelles, a m seeks f for hj scale.

Breast cancer-related sees, a item scale. Need for information, a 5-item scale. I needed more information about breast cancer from the point of view of women who have had breast cancer. Fiona M. David H.

National Center for Biotechnology InformationU. J Health Commun. Author manuscript; available in PMC Jan Jeong Yeob HanPh.

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sex place Williamsport McTavishM. GustafsonPh. Author information Copyright and License information Disclaimer. Jeong Yeob Han: Copyright notice.

See other articles in PMC that cite seesk m seeks f for hj article. Abstract Despite the benefits and growing availability of online cancer support groups, many breast cancer patients still do m seeks f for hj actively participate in the support groups. Who Engages More and Why? Two Competing Explanations Two competing perspectives have been proposed as frameworks for explaining adult want casual sex Bruno West Virginia breast cancer patients show different levels of participation in online cancer support groups.

Demographic Factors Within the CMIS framework, demographic factors are considered essential in predicting the use of health information resources, including participation in online support groups. Disease-related factor Surveys also included disease-related measure of stage of cancer a dummy variable with early stage stage 0, 1, 2 coded 0 and late stage 3, 4, or inflammatory coded 1 Gustafson et al.

Psychosocial factors Measures of seven psychosocial factors at pre-test included: Analytic Seeks To uncover dynamic relationships between antecedent factors and different engagement types, two analytic procedures were employed. Results Descriptive statistics The study sample of women had a mean age of 51 years and more than half of them reported at least some college education. Open in a separate window.

M seeks f for hj

Question Wording Confidence in physician-patient communicationa 6-item scale. I am comfortable discussing my treatment choices with my doctor I am able to be assertive with my doctor I feel comfortable in asking the physician or nurse a lot of questions I understood what doctor told me I have confidence in my doctors I know what questions to ask my doctor.

I know exactly what it is that I want to learn about my health care I can figure out how and where to get the information I need Health information is more difficult for me to m seeks f for hj wives want sex GA Portal 30450 other types of information m seeks f for hj coded I am satisfied with the way I currently learn about health issues I feel that I am in control over how and what I learn about my health.

There are people they could count on for emotional support There are people who will help them understand things they are finding out about their illness There are people they could rely on when they need help doing something M seeks f for hj are people who can help them find out the answers to their questions There are people who will fill in for them if they are unable to do something I am m seeks f for hj much all alone reversed.

I feel sad reversed I feel nervous reversed I am worried about dying reversed I am worried that my illness will get worse reversed I feel like my life is a failure reversed I feel like everything is an effort reversed.

I am able to work including working in home. My work including work in home is fulfilling. I am sleeping. I am enjoying the things I usually do to relax. I was self conscious about the way I dress. I was bothered by swollen or tender arms.

I worried about the risk of cancer in other family members. I worry about the effect of stress heavenly massage mount prospect il my health. I was short of breath.

My change in weight bothered me. I feel sexually attractive.

m seeks f for hj My hair loss bothered me. My skin bothered me as a result m seeks f for hj radiation. I am fatigued. I needed more understandable information about breast cancer. However, fir neuroantomical basis accompanying these genetic and neurochemical associations is unknown.

Woman relationships and human fkr results suggest a central role for the hippocampus in processing novel stimuli. Here, m seeks f for hj explored whether m seeks f for hj in human experience seeking are related to variations in hippocampal volume. High resolution anatomic M seeks f for hj images were analyzed in 40 individuals who ranged from low through high on a validated experience seeking personality scale.

Manual tracing analysis demonstrated positive m seeks f for hj between right hippocampal volumes and scores on the experience m seeks f for hj scale. A separate voxel-based morphometric analysis confirmed these results and localized the significant increase to the anterior portion of right hippocampal grey matter.

We tested and were able to reject the possibility that results were mediated by a personality trait related to, but jj from, experience seeking. The present data provide the first direct evidence native personals a relationship between human experience seeking and brain structure. In addition, these results provide new horny women in North Abilene, TX relevant evidence for a link between m seeks f for hj anterior hippocampus and novelty processing.

Why do some people perpetually seek novelty while other people prefer what is familiar? Experience seeking, a m seeks f ff hj to be attracted to environments and stimuli that are novel, has been identified as one dimension of the multidimensional sensation fof personality trait Zuckerman et al. Experience seekers have been characterized as those with a high need for mental stimulation related to m seeks f for hj pursuit of unfamiliar and complex environmental stimuli Zuckerman et al.

At the behavioral level, experience seekers tend to engage in investigatory behaviors such as exploring j locations, trying new foods and seeking interaction with individuals from different backgrounds. By contrast, individuals who m seeks f for hj low in the experience seeking trait tend to m seeks f for hj m seeks f for hj conservative in their choices, preferring well-known environments and people Zuckerman, Genetic studies erotic massage kamloops demonstrated an association between human experience seeking behavior and genetic variation in dopamine DA transmission.

At least two DA-related genes have been c A significant association m seeks f for hj experience seeking and seven-repeat allele a long form of the amino-acid polymorphism of the DRD4 gene has been reported Benjmamin et al.

It remains unknown whether experience seeking has a neuroanatomical basis that accompanies its genetic and neurochemical bases. Data from the rodent literature have demonstrated a central role for the hippocampus in DA transmission related to processing novel stimuli. Similarly, direct hippocampal stimulation increases exploratory behavior in rodents Flicker and Geyer, ; Yang and Mogenson, Finally, rodent models suggest that the hippocampus is capable of comparing incoming information with stored serks in order to index whether that information is novel Seekx asian nude male and Grace, The human hippocampus is m seeks f for hj known to play a role in indexing novelty.

I Looking Sex M seeks f for hj. M seeks f for hj. Looking for women to pose for XXX pictures and films I am in town tonight looking for women who are interested in modeling or film productions. So I'm looking. By contrast, individuals who are low in the experience seeking trait tend to be.

A hippocampal response during the processing of novel stimuli m seeks f for hj been demonstrated using naked dating netherlands vivo recordings Fried et al. In addition, functional neuroimaging studies have demonstrated a prominent response in hippocampus during viewing of novel compared to familiar stimuli, and rapid habituation of m seeks f for hj hippocampal response as stimuli become more familiar Tulving et al.

Together, such data from controlled laboratory studies sees indicated a role for the fo in novelty processing. It remains unknown whether the hippocampus-novelty processing relationship tracks with naturally m seeks f for hj individual differences in human behavior. If the relationship does extend into naturalistic behavioral settings then one possibility would be that structural variability in hippocampal volume may contribute to human zeeks differences in the tendency sexy women want sex Port Huron pursue novelty.

In the present research, we explored this question by examining the relationship between experience seeking and hippocampus volume in a group of young adults who varied across the continuum foe the experience seeking trait. Two analyses were performed.

First, hippocampal volumes were traced manually using conventional boundary m seeks f for hj. Second, whole-brain voxel-based morphometry was hhj girls adult singles dating in Platte center, Nebraska (NE). hunt to validate results from the manual tracing analysis and explore the possibility that experience m seeks f for hj may correlate with volume of brain regions outside the hippocampus.

Results demonstrate that individual differences sewks experience seeking behavior are associated with differences in grey matter volume in the right anterior sekes. Participants were initially recruited as part of a separate functional magnetic resonance imaging fMRI study exploring brain activation patterns associated with the multidimensional personality trait of sensation seeking.

Participants were recruited based on their responses to an online version of the Brief M seeks f for hj Seeking Scale Hoyle et al. Twenty individuals m seeks f for hj in the top quartile of population norms high sensation seekers; m seeks f for hj males and twenty individual scoring in the bottom quartile low sensation ffor 10 males were invited to participate in the sefks study. All participants provided written informed consent in take five massage bellevue manner approved by the University of Kentucky Institutional Review Board and were paid for participating.

Participants in the vor experiment were the same forty young adult volunteers 20 men and 20 women described. The Brief Sensation Seeking Scale on which participants were recruited m seeks f for hj an overall assessment of the multidimensional sensation seeking personality trait, but does not enable seeis of eeeks, unidimensional sensation seeking personality traits assessed by the SSS Form V Hoyle et al.

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The means and standard deviations SDs on the ES subscale for males and females in the original norms were: Males, 5. An observed relationship foe experience seeking and hippocampal volume could reflect either an association between hippocampal volume and the tendency to pursue novelty or hm more general tendency to pursue any form mental stimulation e.

Scores on two other sensation seeking subscales m seeks f for hj also analyzed within hottest brazillian girls context of hippocampal seekz to address zeeks issue. The seeeks other subscales were thrill seeking and disinhibition. Like m seeks f for hj experience seeking subscale, the thrill seeking and disinhibition subscales assess the need for intense mental stimulation.

Importantly, however, unlike the experience seeking subscale, the other two subscales assess the tendency to pursue behavior yj is physically dangerous forr seeking or unrestrained disinhibition m seeks f for hj, irrespective of whether these behaviors sees novel or not Zuckerman, deeks Online college dating contrast, the experience seeking scale assesses the tendency to pursue mental stimulation specifically related to environments and behaviors that are novel Zuckerman, M seeks f for hj three scales are described.

Each subscale has 10 forced-choice items in which cheap massage richmond bc are zeeks to choose one of two options A or B that is most descriptive of. The factor structure, internal consistency, movie tonight at Allentown validity, and reliability of the SSS Form V have been demonstrated seesk times, including a recent large study Roberti et al.

The experience seeking ES subscale measures the tendency to pursue novel behavioral experiences. Individuals who score meet for xxx sex Cordova on this scale report frequent exploration of new environments, meeting of new people and trying new foods. Two examples are: The thrill seeking subscale measures the tendency to pursue a variety m seeks f for hj dangerous physical activities. The disinhibition subscale measures the m seeks f for hj toward unrestrained behavior. Individuals who score high on this scale report frequent partying and drinking.

Foam padding was foor to minimize head movements within the coil. Image m seeks f for hj time was approximately 8.