The structure and correlates of anxiety sensitivity in older adults

Anxiety sensitivity (AS) has been defined as the fear of symptoms of anxiety and panic, and is most frequently assessed with the Anxiety Sensitivity Index (Peterson & Reiss, 1987). To investigate the nature and structure of AS in an older sample, data were collected from a sample of 322 adults aged 65 to 97, with mean age 75. Confirmatory factor analysis indicated a hierarchical structure with three group factors (physical concerns, mental incapacitation concerns, and social concerns), as well as a general factor, consistent with previous investigations. Results suggest that the nature and structure of the AS trait in older adults are highly similar to those of younger adults.     

Health anxiety,anxiety sensitivity,and attentional biases for pictorial and linguistic health‐threat cues

The study investigated attentional biases for pictorial and linguistic health‐threat stimuli in high and low health anxious individuals, who were selected from the upper and lower quartile ranges of a normal sample using a screening measure of health anxiety. Attentional bias was assessed using a visual probe task which presented health‐threat and neutral pictures and words at two exposure durations, 500 ms and 1250 ms. The prediction that the high health anxious group would show a greater attentional bias for health‐threat cues than the low health anxious group was not supported despite the groups being well‐differentiated on a general measure of health anxiety, the Illness Attitudes Scale (IAS). Instead, the results indicated that individuals with high levels of anxiety sensitivity showed a significantly greater initial attentional bias for threat pictures compared with those with low anxiety sensitivity, as assessed by the Anxiety Sensitivity Index (ASI).     

Health anxiety, anxiety sensitivity, and attentional biases for pictorial and linguistic health-threat cues

The study investigated attentional biases for pictorial and linguistic health-threat stimuli in high and low health anxious individuals, who were selected from the upper and lower quartile ranges of a normal sample using a screening measure of health anxiety. Attentional bias was assessed using a visual probe task which presented health-threat and neutral pictures and words at two exposure durations, 500 ms and 1250 ms. The prediction that the high health anxious group would show a greater attentional bias for health-threat cues than the low health anxious group was not supported despite the groups being well-differentiated on a general measure of health anxiety, the Illness Attitudes Scale (IAS). Instead, the results indicated that individuals with high levels of anxiety sensitivity showed a significantly greater initial attentional bias for threat pictures compared with those with low anxiety sensitivity, as assessed by the Anxiety Sensitivity Index (ASI).     

Relations Between Parenting Behavior and SES in a Clinical Sample: Validity of SES Measures

Two common methods of measuring socioeconomic status (SES) were examined in relation to observed parenting behaviors in a clinical sample of 89 mothers of 3- to 6-year-olds referred for treatment of oppositional defiant disorder. Families were 74% Caucasian, 9% African American, 5% Hispanic, 1% Asian, and 11% Biracial. Most children were male (75%). Parenting behaviors were measured with the Dyadic Parent–Child Interaction Coding System (DPICS) categories of prosocial talk and negative talk. Analyses were conducted with SES measured in two ways: (a) the Hollingshead Four-Factor Index of Social Status (HI) was correlated with parenting behaviors; and (b) family income, parent education (5 categories), and parent occupation (5 categories) were used to predict parent behavior. SES was significantly positively related to maternal prosocial talk. When SES was operationalized as income, occupation, and education, the model predicted three times more variance in maternal prosocial talk than the HI alone. SES was not related to maternal negative talk by either measure of SES.     

Parenting in moderation: family routine moderates the relation between school disengagement and delinquent behaviors among African American adolescents

To address gaps in the literature regarding the role of family routine on school disengagement and delinquent behaviors, we tested whether family routine moderated relations between school disengagement and delinquent behaviors in an urban, low socioeconomic status (SES), African American sample of adolescents (N = 204, 48% male). Adolescents reported on school disengagement and delinquent behaviors. Family routine was assessed with mother report. Hierarchical regression analyses examined the independent and interactive effects of school disengagement and family routine on delinquent behaviors. After controlling for adolescent and mother age, marital status, and employment, school disengagement was independently associated with delinquent behaviors. Family routine was found to moderate school disengagement. Specifically, among adolescents exhibiting higher levels of school disengagement, lower levels of family routine were associated with higher levels of delinquent behaviors; however, higher levels of family routine were not associated with lower levels of delinquent behaviors. Findings suggest that lower levels of routine may be a particularly salient risk factor of delinquent behaviors among African American adolescents experiencing higher levels of school disengagement in low SES, urban communities.     

Measures of self-efficacy and optimism in older adults with generalized anxiety

This study provides initial psychometric data for the Self-Efficacy Scale (SES) and the Life Orientation Test (LOT) in a sample of older adults with generalized anxiety disorder (GAD). Participants included 76 adults, ages 60 to 80, who met Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria for GAD. Self-efficacy and outcome expectancies were lower in older adults with GAD relative to published data from younger and older community samples. Both the SES and LOT demonstrated adequate internal consistency. Confirmatory factor analysis provided evidence for optimism and pessimism factors within the LOT and exploratory factor analysis of the SES suggested threefactors that overlap with previous findings. Overall, the data support the potential utility of these instruments in late-life GAD and set the stage forfuture investigations of generalized self-efficacy expectancies and outcome expectancies (or optimism) as they relate to the prediction of affect and behavior in this group.     

The psychological nature of subjective memory complaint in non-demented older adults: The respective predictive values of psycho-affective,lifestyle, and cognitive inhibition variables

Introduction/ObjectiveThe aim of this study was to investigate, using path analysis (Lisrel 8.52), the relationships between subjective memory complaint and cognitive inhibition, lifestyle, and psycho-affective variables on a sample of non-demented older adults.MethodOur sample was composed of 109 older adults, who were required to undertake two cognitive inhibition tasks (stroop and verbal fluency) and to respond to scales designed to measure individuals’ psycho-affective status (depression/subjective health) and subjective memory complaint level (Mac Nair). Lifestyle predictors (education and activity levels) were also assessed.Results/ConclusionThis study highlights the importance of adopting a multifactorial approach to the study of subjective memory complaint. In addition to executive variables (verbal fluency task), predictors such as subjective health and activity levels seem to be crucial in our understanding of the psychological nature of subjective memory complaint.     

A Society in Transition: Structure and Determinants of Attitudes Toward the Role and Status of Women in Ireland

This study examines the structure of attitudes toward the role and status of women in Ireland and their demographic determinants. Following a pilot test and an instrument pre-test, the main study was based on a stratified quota sample of 420 male and female Dublin adults, aged 18 to 65. Using factor analysis, eight measures were developed tapping attitudes toward the role and status of women. There was a consistent pattern of significant main effects for sex, age, and SES, which indicated that males, older people and those of lower SES background held more traditional attitudes and were less likely to favor social policies associated with greater equality. Among married women, employment status was a significant determinant of more egalitarian sex-role attitudes along a number of dimensions. The implications of the results for social change in Ireland are discussed.     

Correlates of household smoking bans in low-income families of children with and without asthma

Exposure to secondhand smoke (SHS) harms all children's health, especially children with asthma. Yet, children with asthma are as likely to live with smokers as healthy children. Household smoking bans are being advocated to reduce children's harm from SHS. To measure the effect of household smoking bans on child SHS exposure and to examine correlates of strict smoking bans in a low-income, diverse sample, 91 children with asthma were matched to 91 healthy children. All had at least one smoker living in their homes. Nicotine dosimeters, child cotinine assays, and maternal reports quantified child SHS exposures. Maternal reports of household smoking rules, behaviors, and beliefs, and other family characteristics were also gathered. The presence of a strict household smoking ban vastly reduced children's SHS exposures and was associated with fewer cigarettes smoked by the mother and by other family members, the belief that SHS was a personal health risk, having children with asthma, and living in a single-family home. Many children are exposed to high levels of SHS at home. Strict household smoking bans greatly decrease, but do not eliminate children's SHS exposure. Even in disadvantaged families, mutable factors were associated with strict smoking bans. Increased dissemination and use of established public health strategies are needed to reduce children's SHS exposures.     

Meaning in Life and Volunteerism in Older Adults

Researchers explored predictors of meaning in life such as physical and mental health and volunteerism in a representative sample of older adults. Measures included the Geriatric Depression Scale and the Life Regard Index. Implications for counseling older adults are discussed.     

Who Shake Their Legs and Bite Their Nails? Self-Reported Repetitive Behaviors and Big Five Personality Traits

Nail-biting and leg-shaking are two common repetitive behaviors with significant consequences for health and social standing. Despite their prevalence, significance, and known links to various psychological disorders such as Tourette spectrum, no previous research has examined their connection to personality traits. We examined the links between the Big Five personality traits and self-reported tendencies of leg-shaking and nail-biting in a sample of 5328 Japanese adults (2127 females), ranging in age from 18–71 years (mean 49.9). Individuals were assessed with the Ten-Item Personality Inventory and reported on their nail-biting and leg-shaking tendencies using a five-point Likert scale. Correlation and regression analyses revealed significant negative associations between both the tendencies and Agreeableness and Conscientiousness. Males reported engaging in the behaviors more than females and younger individuals more than older. Neuroticism was positively correlated with leg-shaking only in males. Introversion and low Agreeableness correlated with nail-biting in males, while Openness correlated with nail-biting in females. Discussion focuses on social norms that dictate inhibiting both behaviors.     

Physical health problems, depressive mood, and cortisol secretion in old age: buffer effects of health engagement control strategies.

OBJECTIVE: This study examined the protective role played by control behaviors aimed at overcoming physical health problems (health engagement control strategies; HECS) in the associations between older adults' physical health problems, depressive mood, and diurnal cortisol secretion. It was expected that adaptive levels of HECS would buffer the adverse effects of physical health problems on depressive mood and diurnal cortisol secretion. DESIGN AND MEASURES: Physical health problems and HECS were measured in a cross-sectional sample of 215 community-dwelling older adults. In addition, participants' depressive mood and patterns of diurnal cortisol secretion were assessed across 3 days. RESULTS: The findings demonstrate that physical health problems predicted high levels of depressive mood and diurnal cortisol secretion, but only among older adults who reported low levels of HECS (and not among older adults who reported high levels of HECS). Moreover, depressive mood completely mediated the buffering effect of HECS on the association between physical health problems and cortisol secretion. CONCLUSION: The results suggest that adaptive levels of HECS represent a psychological mechanism that can protect older adults from experiencing the adverse emotional and biological consequences of physical health problems.     

Disconnections of African American Public Housing Residents: Connections to Physical Activity, Dietary Habits and Obesity

African American (AA) and low SES populations report poor health behaviors and outcomes. This study aimed to increase understanding of barriers to participating in healthful behaviors and programs in AA residents of public housing. Twenty two apparently healthy, AA residents (50% female, M = 43.9 years) completed in depth interviews, which were taped, transcribed and analyzed using a constant comparison approach. Residents demonstrated some awareness of health recommendations, but described limited adherence. Physical activity for recreation was reported as primarily for youth, with adults engaging in limited physical activity (primarily incidental to other activities). Barriers reported by residents were both personal and environmental. Few residents were aware of local neighborhood opportunities for physical activity or healthful eating. Future efforts should focus on increasing understanding of health promoting behaviors and awareness and efficacy of residents to connect with the resources of their surrounding communities.     

Sociodemographic Variations in Self-Reported Racism in a Community Sample of Blacks and Latino(a)s

This study investigated dimensions of socioeconomic status (SES) and self-reported racism among a convenience sample of 418 U.S.-born, Black and Latino(a) urban-dwelling adults. Predictors included indexes of individual and neighborhood SES. Self-reported racism was assessed with the Perceived Ethnic Discrimination Questionnaire–Community Version. Individuals at all levels of SES report racism, but the type of exposure varies by SES. Lower levels of SES predict higher levels of lifetime exposure to race-related stigmatization and threat/harassment, and more past-week discrimination. In contrast, higher levels of SES predict greater workplace discrimination. The findings highlight the importance of considering the complex ways in which SES and racism, 2 contributors to racial disparities in health, overlap and diverge.     

Day-to-day variability in nap duration predicts medical morbidity in older adults

Objective: The objectives for the present study were to (a) examine within-person variability of nap duration and (b) assess how variability in nap duration is related to the number of health conditions in a sample of older adults. For highly variable behaviors such as sleep, it is important to consider fluctuations within the person instead of solely comparing averages of behaviors across persons. Method: Data were drawn from a previous study examining sleep in 103 community-dwelling older adults. Subjective estimates of napping behavior were obtained from sleep diaries and objective estimates of napping behavior were obtained using actigraphy. Both measures were collected for 14 consecutive days. The sampled data were aggregated in terms of (a) average daily time spent napping and (b) average within-person fluctuations in daily nap duration. The health measure consisted of the number of self-reported health conditions. Results: Both the objective and subjective measures revealed that there was considerable day-to-day fluctuation in nap duration and that variability in nap duration, not mean duration, uniquely predicted the number of health conditions, b = .03, b* = .26, t(100) = 2.71, p = .01. Conclusions: Duration of napping in older adults is a highly variable behavior, fluctuating as much within- as between-persons. Furthermore, variability in nap duration from day to day is predictive of greater medical morbidity, suggesting that clinicians should assess for inconsistencies in nap behavior in addition to duration, frequency, and timing. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Subjective well-being evaluations among older black Americans

The causal relations among social status and resource, health, and stress factors, and a single-item measure of subjective well-being (i.e., happiness) were examined among a national sample of 581 Black adults aged 55 years and over. Results indicated that although social status and resource factors had a limited impact on happiness ratings, these measures were important in predicting intermediate factors related to health status and satisfaction and stress. Happiness was directly influenced by stress and reported satisfaction with health, whereas the effect of health disability was mediated by stress and health satisfaction. The findings suggest that certain groups of older Blacks (i.e., relatively younger, widowed, and separated) may be at specific risk for diminished well-being. However, adverse health and life conditions, which are determined by status and resources, represent circumstances that further jeopardize the well-being of older Black adults.     

The Behavioral Dyscontrol Scale and Functional Status Among Elderly Medical and Surgical Rehabilitation Patients

This research was conducted in a sample of 150 older adults (mean age = 78.0) who were inpatients receiving rehabilitation services for a variety of medical and postsurgical conditions. The purpose of the study was to test the hypothesis that the Behavioral Dyscontrol Scale (BDS), a measure of the ability to use intentions to guide purposeful activity, would be strongly associated with concurrent functional status after controlling for age, sex, education, severity of pain, medical comorbidity, depression (Geriatric Depression Scale), and general mental status (Mini Mental State Exam [MMSE]). Functional status was assessed by rehabilitaion nurses' ratings of patients on 11 individual Activities of Daily Living (ADL) items and the Barthel Index. The hypothesis, tested by means of multiple regression analysis, was supported by the results. The BDS was the independent variable most strongly associated with all 11 ADL items and the Barthel Index. The MMSE contributed significantly to none of the models. Other covariates made minimal contributions to the variance shared with functional ability. Consistent with prior results in other samples, the ability to use intentions to guide purposeful behavior appears to be an important contributor to everyday functioning among older adults.     

Intersections Between Nativity, Ethnic Density, and Neighborhood SES: Using an Ethnic Enclave Framework to Explore Variation in Puerto Ricans’ Physical Health

Although past research has demonstrated a “health disadvantage” for Puerto Rican adults, very little is known about correlates of health among this group. Given Puerto Ricans’ unique experiences of migration and settlement, an ethnic enclave framework that integrates nativity, ethnic density, and neighborhood SES may offer insight into factors influencing Puerto Ricans’ health. This study uses a sample of 449 adult mainland- and island-born Puerto Ricans living in New York City and Chicago. The data, collected as a part of the MIDUS Survey of Minority Groups, are stratified by neighborhood ethnic density and neighborhood SES, allowing for the examination of the individual and joint influences of neighborhood characteristics on physical health. Results revealed that ethnic density and neighborhood SES were not independently or interactively related to physical health for mainland-born Puerto Ricans. However, the interaction between ethnic density and neighborhood SES was related to self-reported health, functional limitations, and health symptoms for island-born Puerto Ricans. Island-born Puerto Ricans living in ethnically dense, low SES neighborhoods reported worse health than island-born Puerto Ricans living in other types of neighborhoods. This may be a result of isolation from resources both within and outside the neighborhood.     

Factors Impacting the Mental Health of the Caregivers of Children with Asthma in China: Effects of Family Socioeconomic Status,Symptoms Control,Proneness to Shame,and Family Functioning

Caregiver mental health is widely considered to be an important factor influencing children's asthma symptoms. The present study aimed to examine key factors that contribute to caregiver mental health in pediatric asthma with a Chinese sample. Two hundred participants reported their family socioeconomic status (SES), proneness to shame, asthma symptoms control of their child, family functioning, and their depression and anxiety symptoms. Results suggested that low family SES, low family functioning, and a high level of shame proneness were associated with high levels of anxiety and depression for caregivers. Family functioning mediated the effects of SES and shame on caregiver mental health and also moderated the effects of SES and shame on caregiver depression. This study highlights the importance of reducing experience of shame and enhancing family functioning in families affected by pediatric asthma.     

Racial identification, racial discrimination, and substance use vulnerability among African American young adults

Two studies examined racial identity (RI) as a protective factor against substance use cognitions among African American young adults who either envisioned or experienced racial discrimination. In Study 1, participants envisioned a discrimination or nondiscrimination scenario, and then their willingness to use drugs and an indirect measure of substance use were assessed. Discrimination was associated with higher levels of use cognitions among participants with low levels of RI. In Study 2, participants were excluded or included in an online game (Cyberball) by White peers and then engaged in an RI-affirmation or control writing task. Participants attributed this exclusion to racial discrimination. Excluded participants who did not affirm their RI reported the highest levels of substance use cognitions, especially if they had engaged in higher levels of previous substance use. These findings highlight the importance of RI among Black young adults and the impact of discrimination on health behaviors.