Epidemics in perspective

Irrational responses to patient with AIDS, particularly in regards to the transmissibility of HIV (human immunodeficiency virus) are examined from an historical and psychosocial perspective. Although these responses are similar to those reported from past epidemics such as plague and leprosy, they are in direct conflict with our current level of understanding regarding the transmission of this virus. Their genesis may relate to the human penchant to react to illness metaphorically. In order to allay effectively public concern about the transmissibility of AIDS, it is essential to recognize the metaphor associated with venereal disease in general and AIDS in particular.     

Emotional Impulsivity in Children with ADHD Associated with Comorbid—Not ADHD—Symptomatology

Children with ADHD often demonstrate sudden and intense shifts in both positive and negative affect. This study examined the role of diagnostic status on emotional impulsivity in children utilizing ecological momentary assessment (EMA). Parents of 64 8–12 year old children (15 ADHD-only; 27 ADHD-comorbid; 22 control) completed a diagnostic structured interview and then an EMA protocol, rating the child’s affect thrice daily for 28 days. Analysis of covariance (ANCOVA) suggested that children with ADHD and a comorbid disorder demonstrated significantly more EMA-derived emotional impulsivity than children with ADHD only and control children. No difference was found between children with ADHD only and control children. This study suggested that children with ADHD demonstrate significantly higher levels of emotional impulsivity than control children only in the presence of a comorbid disorder.     

Understanding Middle School Students’ Physical Activity and Health-Related Quality of Life: An Expectancy-Value Perspective

Assessing and promoting physical activity and health-related quality of life (HRQOL) have become major public health issues, but little is known regarding HRQOL and its relation with physical activity in adolescents. This study attempted to examine relationships among middle school students’ motivation, physical activity, and HRQOL by using the expectancy-value model as a theoretical framework. Participants were 282 middle school students who responded to a previously validated inventory assessing their motivation, physical activity, and HRQOL. Correlation analyses revealed that expectancy-related beliefs and task values were positively related to physical activity and HRQOL. Physical activity was positively associated with physical, emotional, and social functioning of HRQOL. Regression analyses showed a significant relationship between increasing expectancy-related beliefs and increasing degrees of HRQOL. This research line is promising in that it can provide useful information regarding the translation of theory to practice in influencing adolescents’ physical activity and HRQOL.     

An evaluation of Unix in the psychology computer laboratory

Psychology users of the Unix operating system responded to questionnaire items concerning the use of Unix, the ease of learning and using Unix, and the value and quality of the system for their research needs. The data suggest that Unix is poor according to human-factors criteria, but good according to programming and systems criteria.     

Against Hypothetical Syllogism

The debate over Hypothetical Syllogism is locked in stalemate. Although putative natural language counterexamples to Hypothetical Syllogism abound, many philosophers defend Hypothetical Syllogism, arguing that the alleged counterexamples involve an illicit shift in context. The proper lesson to draw from the putative counterexamples, they argue, is that natural language conditionals are context-sensitive conditionals which obey Hypothetical Syllogism. In order to make progress on the issue, I consider and improve upon Morreau’s proof of the invalidity of Hypothetical Syllogism. The improved proof relies upon the semantic claim that conditionals with antecedents irrelevant to the obtaining of an already true consequent are themselves true. Moreover, this semantic insight allows us to provide compelling counterexamples to Hypothetical Syllogism that are resistant to the usual contextualist response.     

Improving Outcomes for Youth with ADHD: A Conceptual Framework for Combined Neurocognitive and Skill-Based Treatment Approaches

Attention-deficit/hyperactivity disorder (ADHD) is a prevalent and chronic mental health condition that often results in substantial impairments throughout life. Although evidence-based pharmacological and psychosocial treatments exist for ADHD, effects of these treatments are acute, do not typically generalize into non-treated settings, rarely sustain over time, and insufficiently affect key areas of functional impairment (i.e., family, social, and academic functioning) and executive functioning. The limitations of current evidence-based treatments may be due to the inability of these treatments to address underlying neurocognitive deficits that are related to the symptoms of ADHD and associated areas of functional impairment. Although efforts have been made to directly target the underlying neurocognitive deficits of ADHD, extant neurocognitive interventions have shown limited efficacy, possibly due to misspecification of training targets and inadequate potency. We argue herein that despite these limitations, next-generation neurocognitive training programs that more precisely and potently target neurocognitive deficits may lead to optimal outcomes when used in combination with specific skill-based psychosocial treatments for ADHD. We discuss the rationale for such a combined treatment approach, prominent examples of this combined treatment approach for other mental health disorders, and potential combined treatment approaches for pediatric ADHD. Finally, we conclude with directions for future research necessary to develop a combined neurocognitive + skill-based treatment for youth with ADHD.     

The relationship between state anxiety and depressed mood: A validity study

The validity of the A-State Scale of the State-Trait Anxiety Inventory and the Zung Self-Rating Depression Scale was assessed using data from a general health survey. Depression and anxiety states were found to coexist, however, evidence from a factor analysis, showing items from the two tests loaded on separate factors, demonstrated that these states can be measured independently. Both the A-State and the Zung Scales were found to comprise two factors, and for each scale, one factor consisted of positively phrased items, and the other of negative items. The implications of these findings for the construct validity of the two scales are discussed.     

Causal Decision Theory and EPR correlations

The paper argues that on three out of eight possible hypotheses about the EPR experiment we can construct novel and realistic decision problems on which (a) Causal Decision Theory and Evidential Decision Theory conflict (b) Causal Decision Theory and the EPR statistics conflict. We infer that anyone who fully accepts any of these three hypotheses has strong reasons to reject Causal Decision Theory. Finally, we extend the original construction to show that anyone who gives any of the three hypotheses any non-zero credence has strong reasons to reject Causal Decision Theory. However, we concede that no version of the Many Worlds Interpretation (Vaidman, in Zalta, E.N. (ed.), Stanford Encyclopaedia of Philosophy 2014) gives rise to the conflicts that we point out.     

LQTS Parents’ Reflections About Genetic Risk Knowledge and their Need to Know or Not to Know their Children’s Carrier Status

Long QT syndrome (LQTS) is a contributor to unexplained deaths in infants (SIDS), children, teenagers and young adults. A gene test result may allow for individual tailored treatment, but also pose a burden of knowing one’s carrier status, with no treatment recommendation. Genetic risk knowledge in the case of LQTS can promote adjustment and coping, but also fear anxiety, ambivalence and moral dilemmas. This makes it challenging to respect both the right to know and the right not to know. The purpose of this study was to explore LQTS parents’ perception of genetic knowledge, and their need to know or not to know about their children’s carrier status. Qualitative, semi structured interviews were conducted with thirteen parents of LQTS-children. Results show that parents found it important to know the result of a gene test for LQTS including their children’s carrier status. The risk was framed and incorporated into their everyday life and their life perspectives. Pertinent moral dilemmas concerned information disclosure to children and relatives. Parents thought that early and gradual disclosure to children would promote coping. Parents’ moral dilemmas were rarely addressed during encounters with healthcare providers. The participants had several suggestions for improvement in that regard.     

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.     

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.     

Philosophical aspects of Maoist thought

Mao has responded to the challenge of adapting Marxism to traditional Chinese thought through his two ‘creative developments’ of Marxism: the ideological definition of class and the concept of permanent revolution, based on intra-personal class-struggle.     

Impact of Sluggish Cognitive Tempo and Attention-Deficit/Hyperactivity Disorder Symptoms on Adults’ Quality of Life

The symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) have been linked to dysfunction in numerous life domains for both children and adults. As such, it is likely that individuals with these and other related symptoms (e.g., sluggish cognitive tempo, SCT) may also experience impaired quality of life. The current study examines the association between ADHD and SCT symptoms and quality of life (QOL) in a community sample of adults. Quality of life data collected from 983 participants (M age = 45.6 years) were analyzed primarily through a series of hierarchical multiple regressions employing SCT and ADHD symptom clusters, demographic, and anxiety and depression scale variables as predictors. Results generally supported the hypothesis that ADHD and SCT symptoms would negatively associate with QOL. Amongst the indicators, inattention and SCT emerged as the strongest predictors of low QOL. These findings underscore the negative impact of ADHD symptoms in adulthood, the independent contribution of SCT, and the importance of considering QOL in prospective research and intervention.     

A brief scoring method for voice stress analysis

The Psychological Stress Evaluator (PSE) detects inaudible frequency changes in the human voice, and it is claimed that the pattern of these changes can provide a measure of psychophysiological arousal. A few studies have given some support to this hypothesis, but further clarifica tion is needed. One major technical problem in this research is that the traditional scoring esyStem is unreliable unless considerable numbers of scores are taken and averaged , The paper presents a conveniently brief scoring system which has fair reliahility, and which correlates significantly with a measure of Critical Flicker Fusion Threshold.     

Trauma exposure is associated with increased context-dependent adjustments of cognitive control in patients with posttraumatic stress disorder and healthy controls

Recent evidence has suggested that posttraumatic stress disorder (PTSD) is associated with alterations in prefrontal-cortex-dependent cognitive processes (e.g., working memory, cognitive control). However, it remains unclear whether these cognitive dysfunctions are related to PTSD symptomatology or trauma exposure. Furthermore, regarding cognitive control, research has only focused on the integrity of selected control functions, but not their dynamic regulation in response to changing environmental demands. Therefore, the present study investigated dynamic variations in interference control, in addition to overall interference susceptibility and working memory (WM) performance in matched groups of 24 PTSD patients and 26 traumatized and 30 nontraumatized healthy controls. The Simon task was used to measure overall interference susceptibility and the flexible adjustment of cognitive control, on the basis of the occurrence of response conflicts (conflict adaptation effect). WM performance was assessed with the forward and backward digit span tasks. Since we have previously shown that trauma exposure per se is associated with reduced hair cortisol concentrations (HCC), we further explored whether PTSD/trauma-related cognitive alterations are related to HCC in proximal 3-cm hair segments. The results revealed that PTSD patients and traumatized controls showed significantly more pronounced conflict adaptation effects than nontraumatized controls. Moreover, the conflict adaptation effect was positively related to the number of lifetime traumatic events and the frequency of traumatization. The groups did not differ in overall interference susceptibility or WM performance. Exploratory analyses revealed no association between HCC and the observed cognitive differences. These results suggest that context-driven control adjustments constitute a sensitive correlate of trauma exposure, irrespective of PTSD.     

The role of masculinity and femininity in depression and social satisfaction in elderly females

Several recent meta-analyses indicate a relation between masculinity and psychological adjustment, but there is little correlation between femininity and adjustment. The present study examined the generalizability of this finding in a sample of elderly women. Thirty women ranging in age from 68 to 97 years were administered a battery of questionnaires including the Personal Attributes Questionaire, the Geriatric Depression Scale, the Hopelessness Scale, and three subscales from the Self-Evaluation of Life Function Scale. Consistent with previous meta-analytic results, correlational analyses revealed significant negative relations between masculinity and the cognitive measures of depression (i.e., hopelessness and self-esteem), and no correlation between femininity and these same cognitive measures. Femininity, however, was correlated with social satisfaction and symptoms of aging. Masculinity was unrelated to these social and physical indices of depression. The implications of these findings for the androgyny and masculinity models of mental health are discussed with particular reference to the role that femininity may play in potentiating or exacerbating depression.     

Rethinking Medical Humanities

This paper questions different conceptions of Medical Humanities in order to provide a clearer understanding of what they are and why they matter. Building upon former attempts, we defend a conception of Medical Humanities as a humanistic problem-based approach to medicine aiming at influencing its nature and practice. In particular, we discuss three main conceptual issues regarding the overall nature of this discipline: (i) a problem-driven approach to Medical Humanities; (ii) the need for an integration of Medical Humanities into medicine; (iii) the methodological requirements that could render Medical Humanities an effective framework for medical decision-making.     

Behavioral assessment of eating patterns and blood glucose in diabetes using the Self-Monitoring Analysis System

The Self-Monitoring Analysis System is a set of microcomputer programs that were developed to remove clinical judgment from the task of behavioral assessment using self-monitoring diaries. The program is written in Turbo Pascal and runs on MS-DOS (16-bit) or CP/M (8-bit) microcomputer systems. The program allows the user to custom design data bases with hundreds of binary, categorical, integral, and real variables. Full-screen data-entry forms can be custom designed, and random access files allow for flexible data entry and editing. The program makes extensive utilization of Pascal’s very flexible data structure capabilities. Dynamic allocation of memory allows the program to maximize its use of available RAM. Data from a patient with diabetes is presented as a case study illustrating the system’s utility.     

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.