The viability of an abbreviated version of the Holtzman Inkblot Technique with older adults.

Multiple regression analyses of Holtzman Inkblot Technique (HIT; Holtzman, Thorpe, Swartz, & Herron, 1961) factor scores were conducted to empirically determine the viability of a short form of the HIT with older adults. Although R2 values were acceptable, the contribution of individual cards to total factor scores was dubious at best. These data suggest that the development of a short form of the HIT for use with older adults is premature and requires more systematic research to justify its viability.     

Toward the equivalence of the HIT and HIT 25 in community-residing older adults

In a study by the first author wherein 102 community-residing older adults were administered the Holtzman Inkblot Technique (HIT), data collected were analyzed regarding the equivalence of the HIT and the HIT 25. Although alpha coefficients and split-half correlations were low when single-response-per-card data were analyzed, corrected Spearman-Brown coefficients were more supportive of the use of the HIT 25 with older adults. These data suggest that although a shortened form of the HIT may be useful with aged persons, research exploring the substantive bases for creating a shortened version of the HIT is nevertheless necessary.     

Body Image in Adulthood: A Projective Approach

A sample of 210 persons varying by age (young adults, middle-aged, older adults), gender, and relationship status (single or involved) were administered the Holtzman Inkblot Technique (HIT) and Geriatric Draw-A-Person (G–DAP) to ascertain projectively assessed aspects of body image in adulthood. Results suggested that both the HIT and G–DAP were sensitive to the effects of age and gender, wherein young adults scored higher on both HIT Barrier and Penetration than both middle-aged or older adults. In addition, G–DAP scorns favored young adults. Hilt Penetration scores varied by both age and relationship status.     

Threat of Shock,State Anxiety,and the Holtzman Inkblot Technique

To study the relationship of selected Holtzman Inkblot Technique (HIT) scores and anxiety, Ss were matched on the basis of A-Trait scores on the State-Trait Anxiety Inventory (STAI). The HIT was administered to Ss under neutral and threat of shock conditions. State anxiety was monitored by means of the A-State scale of the STAI. None of the HIT variables reflected changes in A-State due to the experimental conditions. HIT anxiety correlated significantly with STAI A-Trait. Results are discussed in terms of Trait-State Anxiety theory and previous research.     

Holtzman Inkblot Anxiety and Shading Scores Related to State and Trait Anxiety

The State-Trait Anxiety Inventory (STAI) and the group Holtzman Inkblot Technique (HIT) were administered to 52 college Ss in order to determine the relationship between HIT Anxiety (Ax) and Shading (Sh) scores and A-Trait and A-State scores. Neither Ax or Sh correlated with A-Trait. Ax correlated with A-State, both before and during the administration of the inkblots. To determine the influence of productivity or inhibition, inkblot protocol word counts were obtained. Word count failed to correlate with the sc ores on the STAI, but did correlate significantly with the HIT scores.     

Changes in Inkblot Perception with Presentation of the Holtzman Inkblot Technique as an “Intelligence Test”

The Holtzman Inkblot Technique (HIT) was administered by the Group Method to 180 college students. Half the Ss received the standardized HIT instructional set; the other 90 Ss had the HIT represented as a test of intellectual ability. The difference in instructional set caused a significant decrease in HIT variables, Penetration, Hostility, Animal, and Pathognomic Verbalization. The results are interpreted as representing a “tightening up” of the cognitive-perceptual process, but without any accompanying increase in constriction or stereotopy of responses.     

Validation of the Holtzman anxiety scale by vasomotor biofeedback

The Holtzman Inkblot Technique (HIT) and the State-Trait Anxiety Inventory were administered to 81 undergraduates who later received biofeedback training for increases in index finger skin temperature. The Holtzman anxiety measure correlated significantly with voluntary temperature increase and the High Anxiety Group, identified by the HIT, was able to achieve significant increases in digital temperature. No significant relationships were found between State-Trait Anxiety measures and either Holtzman anxiety scores or vasomotor control, nor were there significant increases in temperature among State-Trait anxiety groups. The results supported the validity of the HIT as a measure of anxiety, but failed to characterize this anxiety as either state or trait in nature.     

The Holtzman Inkblot Technique is not the Rorschach: a reply to Lockwood, Roll, and Mathews

A previous article by Lockwood, Roll, and Matthews (1981) reported dramatic differences between the Movement scores obtained by 6-year-old children on the Holtzman Inkblot Technique (HIT) and previously reported normative data for this variable. The Lockwood et al. data were rescored by experienced HIT scorers; their findings-and other possible reasons for the high HIT Movement scores reported by Lockwood et al.-are described and discussed. Finally, the practice of using the HIT in the manner of the Rorschach is criticized.     

Measuring self-serving cognitive distortions: A meta-analysis of the psychometric properties of the How I Think Questionnaire (HIT)

The How I Think Questionnaire (HIT; Barriga et al., 2001) is a self-report measure of self-serving cognitive distortions. This study used meta-analytic methods to analyse: (i) the reliability of the HIT scores across samples; (ii) the variability in reliability estimates; and (iii) the convergent and criterion-group validity of the HIT scores. Results showed an excellent reliability of the total HIT scores: mean alpha = .93, 95% CI [.92, .94]; k = 29, N = 8,186. Heterogeneity of total HIT was mainly explained by type of population. The reliabilities of the four subscale scores were also adequate. Moreover, the HIT has strong convergent validity and is able to discriminate between offenders and control participants. Limitations of the current literature are discussed.     

Internal Consistency and Test-Retest Stability of the Geriatric Depression Scale-Short Form in African American Older Adults

The Geriatric Depression Scale (GDS) is one of the most widely used self-rated mood questionnaires for older adults. It is highly correlated with clinical diagnoses of depression and has demonstrated validity across different patient populations. However, the reliability of the GDS among African American older adults remains to be firmly established. In a baseline sample of 401 African American adults age 51 and over, the GDS-15 item short form demonstrates good internal consistency (KR20 = .71). Stability over a 15-month interval in a retest sample of 51 adults is deemed adequate (r = .68). These findings support the use of the GDS-15 item short form as a reliable mood questionnaire among African American older adults.     

Construct validity of the Holtzman Inkblot Anxiety and Hostility scores

The group version of the Holtzman Inkblot Technique (HIT), the IPAT Anxiety Scale Questionnaire (ASQ), the Manifest Hostility Scale (MHS), and the Hand Test (HT) were administered to 72 college subjects in an attempt to clarify the nature of the HIT Anxiety (Ax) and Hostility (Hs) scores. The Ax score was found to correlate significantly with the ASQ total score which represents both overt and covert anxiety. The Hs score was found to correlate significantly with the MHS, which is sensitive to moderate levels of verbal hostility, but not with the HT Acting Out Ratio (AOR), which is strictly a measure of overt aggressiveness. The HIT Ax and Hs scores were concluded to relate most closely with measures that encompass a wide spectrum of the variable in question.     

The Holtzman Inkblot Technique as a Measure of Perceptual Development in Mental Retardation

To investigate the relationships between mental age and scores from the Holtzman Inkblot Technique (HIT), 96 mentally retarded and normal Ss comprising four criterion IQ-groups ranging in IQ from 34 to 106 were tested. Each group was matched for sex and chronological age. Results revealed consistent monotonic changes with IQ level for six HIT variables, including four that previously had proved to be reliable and meaningful indices of perceptual development. These results provide strong support for these HIT variables as indices of perceptual development and confirm the nature and direction of this development.     

Early indicators of personality traits viewed retrospectively

A review of early test data and school, environmental, and sociometric information on 46 Ss from the Austin Longitudinal Research Project suggests that certain indicators are useful as precursors of personal adjustment nine years later. The following seven proved to be significant: (1) Number of Koppitz's Emotional Indicators in the Human Figure Drawing, (2) Sociometric rejection by peers in first grade, (3) Father's occupational, (4) Holtzman Inkblot Technique (HIT) Pathognomic Verbalization, (5) HIT Anxiety, (6) HIT Hostility, and (7) HIT Form Appropriateness. Strong trends in the expected directions were noted on the Goodenough-Harris HFD score, WISC Full Scale IQ, and positive sociometric rating by first-grade peers.     

Spatial and Temporal Processing in Healthy Aging: Implications for Perceptions of Driving Skills

ABSTRACT

Sensitivity to the attributes of a stimulus (form or motion) and accuracy when detecting rapidly presented stimulus information were measured in older (N?=?36) and younger (N?=?37) groups. Before and after practice, the older group was significantly less sensitive to global motion (but not to form) and less accurate on a rapid sequencing task when detecting the individual elements presented in long but not short sequences. These effect sizes produced power for the different analyses that ranged between 0.5 and 1.00. The reduced sensitivity found among older individuals to temporal but not spatial stimuli, adds support to previous findings of a selective age-related deficit in temporal processing. Older women were significantly less sensitive than older men, younger men and younger women on the global motion task. Gender effects were evident when, in response to global motion stimuli, complex extraction and integration processes needed to be undertaken rapidly. Significant moderate correlations were found between age, global motion sensitivity and reports of perceptions of other vehicles and road signs when driving. These associations suggest that reduced motion sensitivity may produce functional difficulties for the older adults when judging speeds or estimating gaps in traffic while driving.     

Scale properties of the Holtzman inkblots

Scaling techniques were presently applied to perceptions of inkblots, to empirically delineate the relationship between their stimulus properties and the nature of verbal associations elicited in projective testing. The Holtzman Inkblot Technique (HIT) was administered in group form to a relatively diverse group of college students. Subjects also individually rated the similarity of pairs of the HIT inkblots. Similarity judgments were analyzed via a multidimensional scaling (MDS) approach which recovered dimensions of variations among blots. The MDS procedures also captured variation across subjects in their utilization of blot stimulus properties. MDS solutions generally reflected differences among the blots along dimensions of physical characteristics of the blots. Differences in responsiveness of subjects to these characteristics appeared to reliably reflect meaningful substantive distinctions among subjects, many of which were not captured by traditional HIT variables. Implications were discussed in terms of further MDS applications and possible re-evaluation of HIT variables or procedures.     

Generalized Anxiety Disorder in Older Medical Patients: Diagnostic Recognition, Mental Health Management and Service Utilization

Background Primary care physicians often treat older adults with Generalized Anxiety Disorder. Objective To estimate physician diagnosis and recognition of anxiety and compare health service use among older adults with GAD with two comparison samples with and without other DSM diagnoses. Methods Participants were 60+ patients of a multi-specialty medical organization. Administrative database and medical records were reviewed for a year. Differences in frequency of health service use were analyzed with logistic regression and between-subjects analysis of covariance. Results Physician diagnosis of GAD was 1.5% and any anxiety was 9%, and recognition of anxiety symptoms was 34% in older adults with GAD. After controlling for medical comorbidity, radiology appointments were increased in the GAD group relative to those with and without other psychiatric diagnoses, χ² (2, N = 225) = 4.75, p < .05. Conclusions Most patients with anxiety do not have anxiety or symptoms documented in their medical records.     

Age Differences in Day-To-Day Speed-Accuracy Tradeoffs: Results from the COGITO Study

We examined adult age differences in day-to-day adjustments in speed-accuracy tradeoffs (SAT) on a figural comparison task. Data came from the COGITO study, with over 100 younger and 100 older adults, assessed for over 100 days. Participants were given explicit feedback about their completion time and accuracy each day after task completion. We applied a multivariate vector auto-regressive model of order 1 to the daily mean reaction time (RT) and daily accuracy scores together, within each age group. We expected that participants adjusted their SAT if the two cross-regressive parameters from RT (or accuracy) on day t-1 of accuracy (or RT) on day t were sizable and negative. We found that: (a) the temporal dependencies of both accuracy and RT were quite strong in both age groups; (b) younger adults showed an effect of their accuracy on day t-1 on their RT on day t, a pattern that was in accordance with adjustments of their SAT; (c) older adults did not appear to adjust their SAT; (d) these effects were partly associated with reliable individual differences within each age group. We discuss possible explanations for older adults’ reluctance to recalibrate speed and accuracy on a day-to-day basis.     

How impaired is too impaired? Exploring futile neuropsychological test patterns as a function of dementia severity and cognitive screening scores

Some older adults cannot meaningfully participate in the testing portion of a neuropsychological evaluation due to significant cognitive impairments. There are limited empirical data on this topic. Thus, the current study sought to provide an operational definition for a futile testing profile and examine cognitive severity status and cognitive screening scores as predictors of testing futility at both baseline and first follow-up evaluations. We analysed data from 9,263 older adults from the National Alzheimer’s Coordinating Center Uniform Data Set. Futile testing profiles occurred rarely at baseline (7.40%). There was a strong relationship between cognitive severity status and the prevalence of futile testing profiles, χ²(4) = 3559.77, p < .001. Over 90% of individuals with severe dementia were unable to participate meaningfully in testing. Severity range on the Montreal Cognitive Assessment (MoCA) also demonstrated a strong relationship with testing futility, χ²(3) = 3962.35, p < .001. The rate of futile testing profiles was similar at follow-up (7.90%). There was a strong association between baseline dementia severity and likelihood of demonstrating a futile testing profile at follow-up, χ²(4) = 1513.40, p < .001. Over 90% of individuals with severe dementia, who were initially able to participate meaningfully testing, no longer could at follow-up. Similarly, there was a strong relationship between baseline MoCA score band and likelihood of demonstrating a futile testing profile at follow-up, χ²(3) = 1627.37, p < .001. Results can help to guide decisions about optimizing use of limited neuropsychological assessment resources.     

What do targeting positive views on ageing add to a physical activity intervention in older adults? Results from a randomised controlled trial

Objective: Physical activity is a key factor for healthy ageing, yet many older people lead a sedentary lifestyle. Traditional physical activity interventions do not consider the specific needs and views of older adults. As views on ageing are known to be related to health behaviours, the current study evaluates the effectiveness of prompting positive views on ageing within a physical activity intervention.

Design: Randomised controlled trial with three groups aged 65+: Intervention for physical activity with ‘views-on-ageing’-component (n?=?101; IGVoA), and without ‘views-on-ageing’-component (n?=?30; IG), and active control intervention for volunteering (n?=?103; CG).

Main outcome measures: Attitudes towards older adults and physical activity were assessed five weeks before intervention, two weeks, six weeks and 8.5?months after the intervention.

Results: Compared to the IG and CG, positive attitudes towards older adults increased in the IGVoA after the intervention. For IGVoA, the indirect intervention effect on change in activity via change in attitudes towards older adults was reliable.

Conclusion: A ‘views-on-ageing’-component within a physical activity intervention affects change in physical activity via change in views on ageing. Views on ageing are a promising intervention technique to be incorporated into future physical activity interventions for older adults.     

Differences in Rapid Initiation and Termination of Voluntary Postural Sway Associated with Ageing and Falls-Risk

The authors examined differences between young adults (n = 25) and healthy older adults (n = 48) in reaction time and the relations between center of pressure (COP) and center of mass (COM) motions during rapid initiation and termination of voluntary postural sway. Older adults were divided into low and high falls-risk groups based on Physiological Profile Assessment scores of sensorimotor function. Low falls-risk older adults had slower reaction times during anteroposterior sway initiation and decreased COP–COM separation during anteroposterior and medialateral sway initiation and anteroposterior continuous voluntary sway compared with young adults. High falls-risk older adults had slower initiation and termination reaction times in all response directions and decreased COP–COM separation during sway initiation and continuous voluntary sway in the anteroposterior and medialateral directions compared with young adults. Compared with low falls-risk older adults, high falls-risk older adults had slower initiation and termination reaction times in all response directions and decreased COP–COM separation during medialateral continuous voluntary sway. Reaction time and COP–COM measures significantly predicted group status in discriminant models with sensitivities and specificities of 72–100%. Overall, these findings highlight important associations of age-related declines in sensorimotor function related to an increased risk of falling with slower postural reaction time and reduced postural stability.