Avoidance as a predictor of the biological course of HIV infection over a 7-year period in gay men.

The present study prospectively investigated the relation between avoidance coping and active cognitive and behavioral coping and the progression of HIV infection over 7 years in 181 gay men. Findings revealed that for a number of medical and behavioral factors, (a) avoidance coping predicted a lower rate of decline in CD4 cells, (b) the proportional hazard (PH) attributable to avoidance of developing a syncytium-inducing HIV variant was 0.72 (95% confidence interval [CI]: 0.53 - 0.99, p < .05), and (c) the PH attributable to avoidance of dropping below 200 CD4 cells/microl was 0.66 (95% CI: 0.50 - 0.89, p < .01). Avoidance coping was not related to the development of AIDS-defining clinical symptoms. Active cognitive and behavioral coping was not related to the outcome measures.     

Sex differences in cognition are stable over a 10-year period in adulthood and old age

Sex differences in declarative memory and visuospatial ability are robust in cross-sectional studies. The present longitudinal study examined whether sex differences in cognition were present over a 10-year period, and whether age modified the magnitude of sex differences. Tests assessing episodic and semantic memory, and visuospatial ability were administered to 625 nondemented adults (initially aged 35-80 years), participating in the population-based Betula study at two follow-up occasions. There was stability of sex differences across five age groups and over a 10-year period. Women performed at a higher level than men on episodic recall, face and verbal recognition, and semantic fluency, whereas men performed better than women on a task-assessing, visuospatial ability. Sex differences in cognitive functions are stable over a 10-year period and from 35 to 90 years of age.     

Sexual identity, attractions, and behavior among young sexual-minority women over a 2-year period

Previous research suggests that the sexual identities, attractions, and behaviors of sexual-minority (i.e., nonheterosexual) women change over time, yet there have been few longitudinal studies addressing this question, and no longitudinal studies of sexual-minority youths. The results of 2-year follow-up interviews with 80 lesbian, bisexual, and "unlabeled" women who were first interviewed at 16-23 years of age are reported. Half of the participants changed sexual-minority identities more than once, and one third changed identities since the first interview. Changes in sexual attractions were generally small but were larger among bisexuals and unlabeled women. Most women pursued sexual behavior consistent with their attractions, but one fourth of lesbians had sexual contact with men between the two interviews. These findings suggest that there is more fluidity in women's sexual identities and behaviors than in their attractions. This fluidity may stem from the prevalence of nonexclusive attractions among sexual-minority women.     

Change in cognitive capabilities in the oldest old: the effects of proximity to death in genetically related individuals over a 6-year period

Change in cognitive abilities was assessed over a 6-year period in a sample of monozygotic and same-sex dizygotic twin pairs (N = 507 individuals), aged 80 and older (mean age = 83.3 years: SD = 3.1). who remained nondemented over the course of the study. Latent growth models (LGMs) show that chronological age and time to death are consistent predictors of decline in measures of memory, reasoning, speed, and verbal abilities. Multivariate LGM analysis resulted in weak and often negative correlations among rates of change between individuals within twin pairs, indicating greater differential change within twin pairs than occurs on average across twin pairs. These findings highlight several challenges for estimating genetic sources of variance in the context of compromised health and mortality-related change.     

U.S. mental health policy. Doomed to fail.

Changes in the de facto system of mental health care in the last decade reflect organizational and entrepreneurial responsiveness to changes in health policy, not mental health policy. Various other actions described here reduced statutory or institutional leadership roles in mental health and increased the pace at which mental health policy was becoming dependent on health policy. In turn, U.S. health policy in the 20th century has been inherently flawed. The short-term general hospital--the "doctors' workshop"--emphasizing acute care and surgery, has been the cornerstone of U.S. health policy throughout the 20th century. The mimicry of health services by mental health leads to demonstrably more expensive and less effective mental health care and dooms mental health policy to failure.     

Mental health consultation to law enforcement: Secret Service development of a Mental Health Liaison Program

The Mental Health Liaison Program developed and used by the Secret Service is presented as a model for comprehensive, multidimensional interactions between law enforcement and mental health systems, with particular focus on assessing and preventing violent behavior. The structure of the program pairs consultants—psychologists and psychiatrists—with Secret Service field offices to provide (a) consultation regarding risk assessment and case management of individuals who threaten or display inappropriate interest in the President or other protectees; (b) training for agents on risk assessment, mental illness, and mental health care issues; and (c) liaison activities between the Secret Service and the mental health community. Practical benefits to the Secret Service are discussed to encourage more systematic use of broad based psychological and psychiatric consultation to law enforcement, with a goal of enhanced intersystem communication and collaboration. The need for program evaluation and outcome research is discussed in the context of applying the model to improve other mental health and law enforcement systems interactions. © 1998 John Wiley & Sons, Ltd.     

An analysis of referrals to chaplains in a community hospital in New York over a seven year period

The study analyzed the pattern of referrals to chaplains in a suburban hospital over a 7-year period. Nurses made more than half of all the referrals to chaplains, with nursing accounting for 81.74% of referrals from staff members other than pastoral care workers and volunteers. Social workers and physicians made 11.74% and 4.08% of referrals, respectively. The number of referrals from social workers (r=.86, p<.05), nurses (r=.68, p<.10) and other staff (r=.69, p<.10) increased across years, with the exception of physicians. Three quarters of referrals were requests for chaplains to visit patients and one quarter were requests to visit with family or friends. A significant difference was found in the percentage of referrals made for patients and family/friends by staff members (p<.05), with social workers making a higher percentage of referrals for relatives and friends (34.1%), compared to nurses (26.74%) and physicians (27.27%). The most common presenting problems for which patients were referred to chaplains were anxiety, depression, and pregnancy loss. The rate of referrals for patients over the entire study period was 39.04 per 1000 patient stays.     

Spiritual Winds over a Cultural Sea: Grass-roots Patterns in Latin America

Recent years have witnessed a marked interest in Pentecostal and Charismatic developments in Latin America. Pentecostal growth itself is global, and the research so far done in Latin America is beginning to provide a much more specific picture of what has been hitherto a rather imprecise image of religious grass roots development. This article passes a wide brush over a large canvass in order to represent the major features of contemporary religious changes in Latin America. No pretense is made to provide a survey, even if data or space had been available. General trends are illustrated by a selected number of studies. The author deals with Roman Catholic experience since Medell?&;#x0301;n, the tensions involved in the progressive project and increasing Pentecostal penetration of the ‘poor’ and ‘popular’ sectors of Latin American society. The impact on the more historic Protestant churches is noted, and Pentecostalism is reviewed from the perspectives of a selected number of social scientists and Pentecostal scholars. Pointers to possible future developments are suggested as well as the challenges facing the Pentecostal movement.     

Mental health of medical students: a cross-sectional study in Tehran

Medical students are subject to stress from sources related to medical training in addition to personal problems, resulting in significant mental distress. This study evaluates the scope of the problem in Tehran medical schools and sheds light on some of its associations. Students (604) of medicine from four medical schools in the city of Tehran responded to the Persian version of 28-item General Health Questionnaire (GHQ-28) in conjunction with a data collection sheet asking about age, sex, marital status, current training level, living place, grade point average in previous semester, and perceptions of their financial status. Of 602 students, 40.7% had mental distress (45.7% of female and 36.7% of male students). Distress was associated with being a woman (female to male odds ratio: 1.55) and very poor financial status (OR: 18.0).     

Intention to attend a health screening appointment: Some implications for general practice

The general practice response to the problem of coronary heart disease has been the implementation of cohort screening programmes to record known risk factors. Recent research, which has been guided by the Health Belief Model, has attempted to identify the predictors of attendance in these programmes. The importance of intention to attend as a mediating variable between health beliefs and attendance behaviour and the need to identify its determinants have been emphasised.

In order to determine the predictors of intention, questionnaires were sent to patients of a single health centre. Correlational and regression analyses showed general health beliefs to be poor predictors of intention; instead predicting variables revolved around perceptions of the efficacy of screening, worries and concerns about the actual screening appointment, and perceived susceptibility to common illnesses. These findings point to the need for those who plan cohort screening programmes to emphasise the efficacy of screening and to seriously address the potential worries and concerns of patients.     

Gender and the natural history of self-rated health: a 59-year longitudinal study.

Self-ratings of health are uniquely predictive of morbidity and mortality, and they encompass people's evaluations of many medical, psychological, and social conditions in their lives. However, the longitudinal trajectory of self-rated health has not been evaluated to date. In the present study, 59-year longitudinal multilevel analyses (1940-1999) of data from 1,411 men and women revealed that self-rated health was relatively stable until age 50 and then began to decrease in an accelerating fashion through the rest of the life course. Men had higher self-rated health throughout most of adulthood than did women but had steeper linear rates of decline. As a result, the gender difference in self-rated health disappeared by late adulthood.     

Cohort differences in Big Five personality factors over a period of 25 years

The notion of personality traits implies a certain degree of stability in the life span of an individual. But what about generational effects? Are there generational changes in the distribution or structure of personality traits? This article examines cohort changes on the Big Five personality factors Extraversion, Agreeableness, Conscientiousness, Neuroticism, and Openness to Experience, among first-year psychology students in The Netherlands, ages 18 to 25 years, between 1982 and 2007. Because measurement invariance of a personality test is essential for a sound interpretation of cohort differences in personality, we first assessed measurement invariance with respect to cohort for males and females separately on the Big Five personality factors, as measured by the Dutch instrument Five Personality Factors Test. Results identified 11 (females) and 2 (males) biased items with respect to cohort, out of a total of 70 items. Analyzing the unbiased items, results indicated small linear increases over time in Extraversion, Agreeableness, and Conscientiousness and small linear decreases over time in Neuroticism. No clear patterns were found on the Openness to Experience factor. Secondary analyses on students from 1971 to 2007 of females and males of different ages together revealed linear trends comparable to those in the main analyses among young adults between 1982 onward. The results imply that the broad sociocultural context may affect personality factors.     

Responses to Music in a Dining Area1

Berlyne's theory of aesthetic response was tested in an ecologically valid setting by playing music in a university cafeteria. Four music conditions were employed representing low, high, and moderate complexity new age music, and moderate complexity mechanical organ music. Response measures were how readily diners cited the music as an aspect of the environment which they might like to change, and how much they liked the music. Liking for the new age extracts was consistent with Berlyne's theory, although liking for the moderate complexity mechanical organ music indicated that factors other than complexity may also determine musical preference. As dislike became more extreme, music became more salient as a feature of the environment that subjects might like to change.     

Race differences in the judgment of attitude statements over a thirty-five year period1

Race differences in the judgment of statements of attitude toward the Negro were examined to assess comparative reference scale shifts over a 35-year period Reference scale origin became more pro-Negro for both races over tune, with whites shifting more than Negroes In 1929 Negroes judged the items as being more anti-Negro than did whites, this race difference was reversed for the 1962 and 1964 samples Reference scale unit was smaller for Negroes than for whites at all time periods, and both races showed a reduction in unit between 1962 and 1964. A linear function was consistently obtained between reference scales measured at two points in time, as well as when comparing one race to the other The assimilation-contrast and variable perspective social judgment formulations were evaluated in terms of their ability to account for the observed reference scale differences.     

Change in maternal criticism and behavior problems in adolescents and adults with autism across a 7-year period

In a previous study, high levels of maternal criticism predicted increased behavior problems in adolescents and adults with autism spectrum disorders (ASD) over an 18-month period (Greenberg, Seltzer, Hong, & Orsmond, 2006). The current investigation followed these families over a period of 7 years to examine the longitudinal course of criticism and behavior problems, to assess the association between their trajectories, and to determine the degree to which change in each of these factors predicted levels of criticism and behavior problems at the end of the study period. A sample of 118 mothers coresiding with their adolescent and adult children with ASD provided open-ended narratives about their children and reported on the children's behavior problems at 4 waves. Maternal criticism was derived from expressed emotion ratings of the narratives. Criticism exhibited low but significant stability over the 7-year period, and behavior problems exhibited high stability. Through latent growth curve modeling, (a) criticism was found to have increased over time, but only for the group of families in which the sons or daughters transitioned from high school services during the study period; (b) individual changes in criticism and behavior problems were positively correlated over the 7-year period; and (c) changes in criticism predicted levels of behavior problems at the conclusion of the study. Changes in behavior problems were not predictive of end levels of criticism. Implications for intervention and prevention efforts are discussed.     

From avant-garde to specialism: psychoanalysis in America.

Psychoanalysis in America functioned first largely as an avant-garde phenomenon. Later psychoanalysis became a specialty within a bureaucratic society. Both roles help explain the importance and the limitations of freud's impact on American culture.     

Mental health locus of control in first-degree relatives of agoraphobic and depressed inpatients.

Mental health locus of control in 77 first-degree relatives of agoraphobic, agoraphobic and major depressed (comorbid), and depressed inpatients were studied. Relatives of comorbid patients externalized locus of control more to chance than did relatives of agoraphobic and of depressed patients. These results suggest that a tendency to externalize to chance is familially transmitted and may be a vulnerability factor for the development of the comorbid condition of agoraphobia and major depression.     

The dynamics of self-esteem in adults over a 6-month period: an exploratory study

In this exploratory study, the authors examined the dynamics of self-esteem in 8 adults over a 6-month period. Each participant (M age = 29.4 years, SD = 7.9, SEM = 2.8) completed a single item from the Physical Self Inventory (G. Ninot, M. Fortes, & D. Delignières, 2001) using a 10-cm visual analog scale (horizontal line), twice a day between 7:00 and 9:00 a.m. and between 7:00 and 9:00 p.m. Time series analyses, including autocorrelation and autoregressive integrated moving average (ARIMA) procedures, showed that global self-esteem dynamics were neither stable, stationary, nor random. The ARIMA procedures indicated that this perceived dimension functioned as a moving average (0, 1, 1) without a significant constant, thus suggesting a short-term dynamic adjustment. This pattern is a typical signature of a complex system submitted to several constraints and not an indication of personality trait or state.