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The online version of this article (doi:10.1007/s11136-015-1017-4) contains supplementary material, which is available to authorized users.
All our knowledge begins with the senses, proceeds then to the understanding, and ends with reason.
Utilizing proxy report is a common solution to gathering quality-of-life information from people who are not capable of reliably answering questionnaires, such as people with dementia. Proxy report could, however, also provide information about patients’ implicit processes of understanding, which we define as automatic, schema-driven cognitive processes that allow one to have a better understanding of oneself and of one’s body, make oneself known and knowable to members of the social network, and allow one to react proactively in response to cues. We investigated whether implicit processes of understanding explain some of the association between reserve and healthy lifestyle behaviors.
We operationalized three implicit processes of understanding: (a) psychosocial understanding; (b) insight into physical disability; and (c) somatic awareness. This secondary analysis involved a cohort of multiple sclerosis patients and their caregiver informants (n = 118 pairs). Measures included a neurologist-administered Expanded Disability Status Scale, patient- and informant-completed survey measures, and a heartbeat perception test (interoception). Patient–other congruence assessed implicit processes of understanding: psychosocial understanding (neurocognitive and personality); physical-disability insight; and somatic awareness (interoception).
Effect sizes (ES) for the inter-correlations between the three implicit processes were small. Psychosocial understanding was associated with higher past reserve-building activities (small ES). Psychosocial understanding explained variance in healthy lifestyle behaviors over and above the variance explained by current reserve-building activities (∆R 2 = 0.04; model R Adjusted 2 = 0.18).
Proxy versus patient report can provide information about underlying interpretational processes related to insight. These processes are distinct from reserve, predict health outcomes, and can inform lifestyle-changing interventions.
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Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007). Parent proxy-report of their children’s health-related quality of life: An analysis of 13,878 parents’ reliability and validity across age subgroups using the PedsQL™ 4.0 Generic Core Scales. Health and Quality of Life Outcomes 5(2).
Funder, D. C. (2003). Toward a social psychology of person judgments: Implications for person perception accuracy and self-knowledge. In K. D. Williams & W. Von Hippel (Eds.), Social judgments: Implicit and explicit processes (pp. 115–133). New York, NY: Cambridge University Press.
Brunswick, E. (1956). Perception and the representative design of experiments. Berkeley: University of California Press.
Lippa, R. (1998). The nonverbal display and judgment of extraversion, masculinity, femininity, and gender diagnosticity: A lens model approach. Journal of Research in Personality, 32, 80–107. CrossRef
Funder DC. (2012). Accurate personality judgment. Current Directions in Psychological Science, 21(3), 177–182. CrossRef
Messer, S. B., & McWilliams, N. (2007). Insight in psychodynamic therapy: Theory and assessment. In L. G. Castonguay & C. Hill (Eds.), Insight in psychotherapy (pp. 9–29). Washington, DC: American Psychological Association. CrossRef
Rollnick, S., & Miller, W. R. (1995). What is motivational interviewing? Behavioural and Cognitive Psychotherapy, 23(04), 325–334. CrossRef
Sheeren, P., Gollwitzer, P. M., & Bargh, J. A. (2013). Nonconscious processes and health. Health Psychology, 32(5), 460–473. CrossRef
Kahneman, D. (2011). Thinking, fast and slow. New York: Farrar, Straus, and Giroux.
Mead, G. H. (1934). Mind, self, and society: From the standpoint of a social behaviorist. London: University of Chicago Press, Ltd.
Vygotsky, L. S. (Ed.). (2004). Interaction between learning and development (4th ed.). New York: Macmillan.
Stern, Y. (2007). Cognitive reserve: Theory and applications. New York: Taylor & Francis.
Ahles, T. A., Saykin, A. J., McDonald, B. C., Li, Y., Furstenberg, C. T., Hanscom, B. S., et al. (2010). Longitudinal assessment of cognitive changes associated with adjuvant treatment for breast cancer: Impact of age and cognitive reserve. Journal of Clinical Oncology, 28(29), 4434–4440. PubMedCentralCrossRefPubMed
Schwartz, C. E., Snook, E. M., Quaranto, B. R., Benedict, R. H. B., & Vollmer, T. (2013). Cognitive reserve and patient-reported outcomes. MS Journal, 19(1), 87–105.
Schwartz, C. E., Ayandeh, A., Benedict, R. B. B., Weinstock-Guttman, B., Ramanathan, M., Dwyer, M. G., et al. (Eds.) (2014). How does neurological reserve compare between MS patients and healthy controls? In ECTRIMS, Boston, MA.
Booth, A. J., Rodgers, J. D., Schwartz, C. E., Quaranto, B. R., Weinstock-Guttman, B., Zivadinov, R., et al. (2013). Active cognitive reserve influences the regional atrophy to cognition link in multiple sclerosis. Journal of the International Neuropsychological Society, 19(10), 1128–1133. CrossRefPubMed
NMSS. (2005). Multiple sclerosis information sourcebook. New York, NY: Information Resource Center and Library of the National Multiple Sclerosis Society.
Costa, P. T., & McCrae, R. R. (1992). Professional manual for the revised NEO personality inventory and NEO five-factor inventory. Odessa, FL: Psychological Assessment Resources, Inc.
Arnold, C. (2012). Inside the wrong body. Scientific American Mind May/June, 37–41.
Peterson, N. G., Mumford, M. D., Borman, W. C., Richard, J. P., & Fleishman, E. A. (Eds.). (1999). An occupational information system for the 21st century: The development of O*NET. Washington, DC: American Psychological Association.
Terasawa, Y., Fukushima, H., & Umeda, S. (2013). How does interoceptive awareness interact with the subjective experience of emottion? An fMRI study. Human Brain Mapping, 34(3), 598–612. PubMed
Benedict, R. H. B., Wahlig, E., Bakshi, R., Fishman, I., Munschauer, F., Zivadinov, R., et al. (2005). Predicting quality of life in multiple sclerosis: Accounting for physical disability, fatigue, cognition, mood disorder, personality, and behavior change. Journal of the Neurological Sciences, 231(1–2), 29–34.
- A new perspective on proxy report: Investigating implicit processes of understanding through patient–proxy congruence
Carolyn E. Schwartz
Jonathan D. Rodgers
Ralph H. B. Benedict
- Springer International Publishing