Congestive Heart Failure and Quality of Life

Our study aimed to assess the quality of life (QoL) of patients with congestive heart failure (CHF) and to correlate the different aspects of QoL with relevant socio-demographic variables, CHF severity, somatic comorbidities, other clinical variables and depressive symptomatology. In a cross-sectional study design, a community sample of 103 adult patients with CHF (mean age 68 years, 73 % male) was recruited from an outpatient cardiology practice. CHF severity was assessed with physician ratings of the New York Heart Association (NYHA) functional class and measurement of brain natriuretic peptide (BNP) levels. The psychometric evaluation of quality of life was made using the Medical Outcomes Study Short Form-36 (SF-36) and the Kansas City Cardiomyopathy Questionnaire (KCCQ). The Beck Depression Inventory Second Edition (BDI-II) assessed depressive symptoms. Using multiple linear regression, predictors of poorer QoL included being a female, being older, living alone, NYHA functional class ≥ II, higher levels of BNP comorbidity (such as renal insufficiency and cerebrovascular disease), fluid retention, depressive symptomatology (assessed by BDI-II) and treatment with anti-dyslipidemics, diuretics and β-blockers. Among these correlates, psychological distress was the most strongly related to QoL. Also, functional status measured by NYHA demonstrated a high impact on QoL. Our findings suggest the need to address such factors in developing effective care to improve psychological and functional status in order to enhance QoL in these patients.     

The Microsoft mouse as a multipurpose response device for the IBM PC/XT/AT

In this paper, the Microsoft mouse is described as a general-purpose response device for psychological experiments. Source code is provided for two Turbo Pascal 5.0 units and a program that shows how the mouse can be programmed to record buttonpress, movement, and location responses. There is also a discussion of how the mouse can be used in reaction time studies.     

Androgyny,depression, and self-esteem in irish homosexual and heterosexual males and females

An examination was made of the following research questions: (a) Do Irish homosexuals and heterosexuals differ in the frequency of their classification in sex-role categories? (b) Is sexual orientation related to psychological adjustment? (c) Is androgyny related to psychological adjustment? Subjects were 112 Irish men and women who were administered Bem's Sex-Role Inventory, Rosenberg's Self-Esteem Scale, Zung's Self-Rating Depression Scale, and a questionnaire. Results indicated that Irish homosexuals were classified more frequently than Irish heterosexuals as androgynous. Homosexuals did not differ from heterosexuals in self-esteem or depression scores. Among these Irish subjects, psychological sex-role category is a more powerful influence on psychological health than actual sexual orientation. It is not whether you are homosexual or heterosexual that affects your psychological health, but how you perceive your own psychological masculinity and femininity.     

Cognitive-Behavioural Therapy Targeting Fear of Progression in an Interdisciplinary Care Program: A Case Study in Systemic Sclerosis

People living with chronic illness often report uncertainty about the future, fear of disease progression, fear of becoming physically disabled, and a reduced life expectancy as important sources of stress. However, little is known about psychological interventions targeting these concerns. The aim of this study is to illustrate an intervention to reduce emotional distress and concerns about the future in a patient with systemic sclerosis (SSc), a rare chronic rheumatic disease with serious consequences for most patients, and to present a preliminary report on its effectiveness using a single-case study design. Because of the complexity of symptoms and complaints due to SSc, the psychological intervention was embedded in an interdisciplinary care program also consisting of physical therapy, occupational therapy, and specialized nurse care.     

A console for the interactive on-line administration of psychological tests

A computer controlled console for on-line psychological testing of psychiatric patients is described. The Peabody Picture Vocabulary Test and the Kelly Role Construct Repertory Test are computer administered using three visual, one auditory, and two response modes. Test data are analyzed, interpreted, and incorporated into a program-written psychological report. Benefits and other applications from such a system are noted.     

Teasing Experiences,Interpersonal Sensitivity,Self-Schema and Psychological Distress in Youth: an Exploratory Study

The present study as aimed at exploring peer victimization (teasing) experiences, interpersonal sensitivity, self-schemas and psychological distress in youth. The sample consisted of 231 male and female participants who met specified criteria. Participants completed The Teasing Questionnaire-Revised, Teasing Checklist, Interpersonal Sensitivity Measure, General Health Questionnaire- 28 and Self- Schema Questionnaire. In addition, an open ended question was included to obtain data on teasing experiences. The results showed that the appearance related teasing was reported to be the highest, with more females than males reporting teasing experiences on this domain. Teasing experiences in the domains of performance, social behavior, family and appearance were positively related to psychological distress. Interpersonal sensitivity and self-schema were positively correlated with distress and there was a significant difference between distressed and non-distressed participants on these measures. On IPSM, the need for approval was higher in females whereas fragile inner self was higher in males. Self-efficacy on Self Schema Questionnaire (SSQ), Separation Anxiety (IPSM), Social behavior (TQ) and Teasing Checklist were found to be significant predictors of psychological distress, accounting for 29 % of the variation in psychological distress. Teasing experiences is a significant predisposing factor for psychological distress. Our findings have important clinical implications in understanding early teasing experiences in the development of psychological and emotional disorders.     

The action of antidepressants and convulsive treatment upon the higher nervous activity in depressive states

In a sample of 81 depressive patients the state of the higher nervous activity (HNA) has been evaluated by means of a test battery before starting and once weekly during the treatment course by ECT, amitryptiline, nialamide and Levomepromazine. A good remission in 41 patients, and in 40 patients a moderate remission was achieved. Every treatment method exercises quite a different action upon the HNA of depressive patients. The excitatory process is most enhanced by amitryptiline, least by nialamid. The internal inhibition is markedly amended under Levomepromazine and nialamide, least by ECT. The equilibrium of cortical nervous processes improves most under amitryptiline. The specific pattern of action of different therapeutic methods obviously can be used as supplementary criteria for choosing the most effective method for each patient.     

Perceived Cognitive Efficiency and Subjective Well-Being in Late Adulthood: The Impact of Developmental Factors

The current literature shows cross-cultural differences related to implicit theories of ageing. Specifically, in the Western individualistic cultural context, elderly people are perceived as obsolete, weak and unable to contribute usefully to society, whereas in collectivistic cultures, older people are venerated as a source of knowledge and cultural traditions (e.g. Yoon et al. in Psychol Aging 15:694–704, 2000). The focus of the current study was to investigate the effect of age-related factors affecting self-referent well-being in the Italian population. One hundred and thirty-nine healthy adults (20–99 years) were recruited in Northern Italian (i.e. individualistic context) and Sardinian (i.e. collectivist context) contexts and were, respectively, assigned to the following groups: Young (20–30 years old), Old (65–74 years old) and Very Old (>75 years old). Participants were administered a battery of tests, including self-referent cognitive efficiency scales, subjective psychological well-being, depression and psychological distress scales. Participants from Sardinia showed greater levels of well-being and lower levels of psychological distress than adults from Northern Italy. Moreover, participants from the Old group reported more coping strategies, emotional competencies and personal satisfaction, as well as fewer depressive symptoms, than the Very Old group. One possible explanation is that sociocultural contexts emphasising the positive social role of the elderly like that prevailing in Sardinia promote psychological well-being in late adulthood.     

A report on the development and prospects of Medical Psychology in the Federal Republic of Germany

For eight years Medical Psychology has been an integral part of medical pre-examination as well as of research and teaching in the Federal Republic of Germany, and a great deal of psychological knowledge is taught to the medical student under this heading. Besides mere theory the medical student is supposed to acquire behavior based on psychological findings which will be important to him in medical practice. Nevertheless, students often complain that teaching is too far from reality, due to the fact that Medical Psychology is part of the first, more theoretical, period of medical eduction, even though one of the main objects of this new field is the analysis of the interaction between patient and physician.     

The NASA/LRC computerized test system

A new testing package, including apparatus and tasks, is described for the study of behavior of a variety of species in a variety of experiments. The package is described with respect to the kinds of comparative psychological investigations for which it is well suited. The preliminary data generated within this new testing paradigm demonstrate that the NASA/LRC Computerized Test System provides a flexible yet powerful environment for the investigation of behavioral and psychological processes.     

Reduction in clinical assessment time using computer algorithms

A new mathematical procedure (BIDALGO) is suggested for application to the psychological testing field. BIDALGO, similar to past adaptive testing methods, is compared both with MMPI short-form efforts and applications in the educational testing literature. A comparison is also made between linear regression models used in past efforts and the Bayesian decision models used in BIDALGO. The requirements for an MMPI application are delineated, emphasizing branching procedures for specific scales and difficulties expected in achieving code-type congruence. Work in progress of applying BIDALGO to the depression scale and the full MMPI is also described.     

Understanding senile “confusion”: Sources and stages

A psychological phenomenon frequently encountered in pastoral care is senile “confusion.” Disorientation can result from sensory deprivation, sociocultural stress, or organic processes. The major cause of confusion among the elderly is dementia resulting from primary neuronal degeneration. Social, psychological, and pastoral support may reduce the degree of confusion or retard its progress toward advanced stages.     

On Getting Best of Both the Worlds

As continuing globalization brings psychological insights from varied backgrounds closer, the prospect for developing a richer psychology based on complementary insights and techniques opens up. Against this background, Prof. Rao’s paper correctly points out that time is now right for the convergence of traditional Indian Psychology (IP) and Positive Psychology (PP). What brings them together is their common aim to pursue the highest possible level of happiness. As pointed out by the author, the deeper philosophical foundations of Indian psychology (IP), and the expanding empirical studies of Positive Psychology (PP), are the strongest instances of their complementarity. Mutually enriching exchange between these fields can take place only on grounds of compatible principles. If this is correct, then a close examination of the basic ontological premises, epistemic principles, and convergent values is needed to ensure success in collaboration. At the same time it is important to recognize the points of conflict and possible fault lines so we could steer clear of them.     

The display and animation of full-color images in real time on the Macintosh computer

Techniques for displaying and animating full-color and gray-scale images in real time are illustrated with Pascal examples. The Palette Manager procedures included in the Macintosh Toolbox are used to circumvent the speed limitations inherent in drawing and redrawing images on the Macintosh’s video display. With the technique of palette animation, images of arbitrary size and complexity can be displayed easily and animated at the scan rate of the video monitor. The routines described here are based on Toolbox procedures available on any Macintosh with color video capabilities.     

Brain Fag: A Case Study Showing the Diagnosis and Therapy in Nigeria

The co-occurrence of somatic complaints along with other forms of mental illness such as depression, anxiety and brain fag is well documented in mental health literature. In Africa, the notion that somatic complaints are a variant of depression is popular. However objective empirical efforts to prove this notion are inconclusive. The common co-occurrence of somatic complaints along with depression, anxiety and brain fag complaints in Nigeria may put clinicians in a dilemma in making diagnostic and therapeutic decisions for their clients. In this paper the authors applied the Harmony Restoration Therapy (HRT) in the management of somatic, depressive, anxiety and brain fag symptoms of a client. The HRT is a psychotherapeutic framework based on the Africa world view of health and illness where health is harmony and illness is disharmony in one’s world of relationships. The case was used to illustrate the co-morbidity of depression, anxiety, somatization and Brain Fag and tries to contribute to how Brain Fag can be treated.     

Neuronal correlates of three attentional strategies during affective picture processing: an fMRI study

This functional magnetic resonance imaging (fMRI) study directly compared the neurocircuitry involved in three different attentional strategies during affective picture processing. We exposed 40 participants (20 men, 20 women) to images depicting dental treatment, as well as neutral scenes. They were asked to do one of three tasks while watching the same pictures: directing their attention toward a foreground object within the picture (distraction), classifying whether the image showed dental treatment, or deciding whether the scene elicited fear of pain (introspection). The participants performed the distraction and classification task with high accuracy and rated only 11 % of the dental treatment pictures as pain relevant. Introspection was associated with increased activation of the dorsomedial prefrontal cortex (DMPFC), relative to the two other conditions. Since the dental, relative to the neutral, pictures elicited enhanced DMPFC activation across all conditions, this underlines the role of this brain region for the assignment, as well as self-reference, of affective meaning. Moreover, self-reported dental anxiety was positively correlated with activation of a pain modulatory network (DMPFC, basal ganglia) when the participants focused on the pain relevance of the dental treatment cues. For future studies, it seems promising to study a high-anxious group or even patients afflicted with dental phobia.     

PSN: A prolog declarative model of conceptual knowledge

This paper introduces a declarative model of semantic memory, called PSN, written in Prolog. It is shown to be a descendant of Quillian’s (1969) Teachable Language Comprehender (TLC) in its structuring of knowledge as a conceptual reticulum and in its use of spreading activation as a retrieval mechanism. PSN goes beyond TLC, however, in its ability to instantiate the essential benchmark properties of human semantic retrieval. As such, it can provide cognitive science with a normative model on which to assess further research and it demonstrates the value of the Prolog language for modeling psychological processes.     

HyperCard administration of a block-design task

HyperCard (Atkinson, 1987) is a new development environment for the Macintosh that shows promise for use in psychological research and testing. In this paper, we discuss the development of HyperCard stackware with which a block-design task similar to that of the Wechsler Adult Intelligence Scale-Revised (WAIS-R) can be administered. The reliability and validity of the computerized block-design task was evaluated by administering both the computerized task and the WAIS-R subtest to college undergraduates. Results indicated that the computerized task’s reliability compared favorably with that of the WAIS-R subtest. Validity coefficients were equivocal; although an elapsed-time measure showed moderate correlation between the tasks, the numbers of designs correctly completed in each condition were not significantly correlated.     

The Role of Trustworthiness in Teaching: An Examination of The Prime of Miss Jean Brodie

The purpose of this paper is to examine the role that trustworthiness plays in the ability of teachers to function as moral role models. Through exploration of Muriel Spark’s novel, The Prime of Miss Jean Brodie, I explain some of the central features of trustworthiness as a moral virtue and suggest how these features are critical to developing moral relationships between teachers and students. I show how and why the character of Miss Jean Brodie fails to embody trustworthiness, and how moral philosophy and psychological insight are bound up with teachers’ efforts to treat students well and to behave in ways that morally warrant the trust most of us typically grant them. Finally, I propose some of the important implications this analysis has for teacher education.