The vocational well-being of workers with childhood onset of disability: Life satisfaction and perceived workplace discrimination

Workers with disabilities are understudied, and workers with childhood onset of disability have been excluded from many of the studies on disability and work that do exist. This research compares the effects of childhood and adult onset of disability in a nationally representative sample of workers with disabilities. Educational disruptions due to disability status in childhood are negatively associated with life satisfaction and positively associated with perceived discrimination. Although age is associated with increased life satisfaction and decreased perceptions of discrimination for workers with adult disability onset, age is unrelated to these outcomes for workers with childhood disability onset. Receiving workplace accommodations is positively associated with satisfaction and negatively associated with discrimination for both groups, however, these relationships are stronger in magnitude for the childhood disability onset group. Organizational environments, both in education and in the workplace, play a critical role in the vocational well-being of workers with childhood disability onset.     

Parenting stress in parents of children with attention-deficit hyperactivity disorder and parents of children with learning disabilities

Parenting a child with ADHD can challenge parenting resources and coping. Increasingly, researchers are examining the relationship between the behavior of the child with ADHD and family functioning. While studies have shown inceased parenting stress in parents of children with ADHD, these studies have compared children with ADHD to non-disabled children. This study compares reports of parenting stress among mothers of children with ADHD, mothers of children with learning disabilities and mothers of non-referred children. Results showed that parenting stress was highest for mothers of children with ADHD. Increased parenting stress was associated with child characteristics and, in particular, with externalizing behavior problems.     

An examination of the distinction between nouns and verbs: Associations with two different kinds of motion

Four experiments provide evidence that people are biased to associate particular types of motion with nouns and different types of motion with verbs. Novel nouns and verbs were related to two types of motion: (1) path, or the direction of motion of one character with respect to the other character, and (2) movement orientation, or the direction a character was facing as it moved. Subjects associated verbs more strongly with path than with movement orientation. In contrast, they associated nouns more strongly with movement orientation than with path. Movement orientation was associated with both object categories and verbs, inconsistent with a complete division of labor between these two types of categories. These results are consistent, however, with the notion that people are biased to associate verbs with relations between objects, whereas they are biased to associate object categories with motions defined with respect to the object carrying out those motions.     

中学生人际关系发展特点的研究

本研究选取北京、河南、重庆、杭州、新疆五地的11743名从初一到高三中学生作为被试,采用《人际关系量表》,从与异性关系、同性关系、父母关系、教师关系、陌生人关系五个方面对中学生人际关系状况和发展特点做了测查.研究结果表明:(1)中学生人际交往水平从初一到初二明显下降,初三时有大幅度的攀升,高中阶段保持在一个较高的水平上.女生的人际交往水平高于男生.(2)中学生与同伴交往水平较高,与异性同伴的关系要好于与同性同伴的关系;中学生与成人交往水平较低,与陌生成人的关系要好于与父母和教师的关系.(4)初二到初三女生与异性同伴交往水平迅速提高,初三后保持稳定;初二到高一男生与异性同伴交往水平迅速提高,高二后保持稳定;初三到高一,中学生与同性伙伴的交往水平明显提升.(5)初一到初二,中学生与父母和教师的交往水平显著下降,高中生与父母的关系有所改善,但与教师的关系一直处于较低的水平上.随年龄增长,男生与陌生人的交往水平逐渐提高,女生与陌生人的交往发展波动较大,初三和高三水平较高,初二和高一水平较低.     

48例颅内动脉瘤破裂出血急性期治疗效果分析

总结我科收治的48例颅内动脉瘤破裂出血急性期患者治疗体会。回顾性分析2011年8月～2013年10月我科收治的48例56个颅内动脉瘤破裂出血急性期临床资料,介入栓塞30例（36个动脉瘤）,手术夹闭18例（20个动脉瘤）。结果介入栓塞组恢复良好14例、轻度残疾6例、重度残疾8例,死亡2例,手术夹闭组恢复良好10例、轻度残疾6例、重度残疾2例。两组 Hunt-Hess 分级3级以下患者预后无显著性差异。血管内栓塞和手术夹闭均为颅内动脉瘤破裂出血急性期的有效治疗手段,Hunt-Hess 分级3级以下者两种治疗方式均可得到满意疗效,4级以上者血管内栓塞是挽救患者生命的重要措施,但预后较差。     

The role of gender in the clinical presentation of patients with borderline personality disorder

This study examined gender differences in the pattern of comorbid disorders and degree of impairment among outpatients with borderline personality disorder (BPD). A total of 130 outpatients with BPD were assessed for various lifetime impulse-related disorders and post-traumatic stress disorder and for indices of impairment. Compared with women with BPD, men with BPD reported significantly more lifetime substance abuse disorders, antisocial personality and met criteria of intermittent explosive disorder that did not overlap with a diagnosis of BPD. Women with BPD reported significantly more lifetime eating disorders than men with BPD. No gender differences were found in degree of overall impairment. These results suggest that male and female patients with BPD, although equally distressed, present with different lifetime patterns of impulse-related disorders.     

Co-occurring disorders: a possible key to visual perceptual deficits in children with developmental coordination disorder?

A study was conducted to examine how visual perceptual functioning in children with DCD may be influenced by co-occurring learning problems such as reading disabilities (RD) and/or attention deficit hyperactivity disorder (ADHD). Participants included seven groups of children: 27 children with DCD only, 11 with ADHD only, 14 with RD only, 63 with DCD and at least one other disorder (i.e., DCD + ADHD, DCD + RD, DCD + ADHD + RD), and 73 typically developing controls. Visual perceptual skills were assessed using the Test of Visual Perceptual Skills (TVPS) and the Rey Osterreith Complex Figure (ROCF; copy and delayed recall). Children with DCD and at least one other disorder were found to have impairments on the TVPS compared to children with DCD only, ADHD only, and typically developing controls, particularly on subtests assessing visual memory. On the ROCF, children with DCD and at least one other disorder scored significantly lower than children with ADHD only or RD only. Children with DCD plus one other disorder were then subdivided into three groups: DCD + ADHD, DCD + RD, and DCD + ADHD + RD and compared to children with DCD only, ADHD only, and RD only. Results indicated that children with DCD + ADHD + RD had significant impairments on the TVPS compared to children with DCD only and children with ADHD only. On the ROCF, children with DCD + ADHD + RD scored significantly lower than all of the groups, except the DCD+RD group. These findings suggest that DCD on its own is not associated with visual perceptual problems; rather, it is the presence of co-occurring disorders that is a possible key to visual perceptual deficits in children with DCD. The number of co-occurring disorders present with DCD is associated with the severity of the visual perceptual dysfunction. Deficits in visual memory skills appear to be a specific area of difficulty for children with DCD and co-occurring RD and/or ADHD.     

Change in the social context of physical activity across adolescence and its association with moderate-to-vigorous intensity physical activity

We examined whether changes in social context (i.e., frequency with which youth engage in physical activity [PA] alone, with teammates, with friends, with siblings, or with parents/grandparents) is associated with change in moderate-to-vigorous intensity PA (MVPA) across Grades 5–8 and Grades 8–11 (N = 938). Data were self-reported annually. Across Grades 5–8, the frequency of PA in all social contexts declined over time, and changes in the frequency of PA alone, with teammates, with siblings, and in diversity of PA companion types were positively associated with change in MVPA. Across Grades 8–11, the frequency of PA with siblings, friends, and parents/grandparents declined over time, and changes in the frequency of PA alone, with teammates, with friends, with parents/grandparents, and in diversity of PA companion types were positively associated with change in MVPA. PA social contexts vary in how they associate with change in MVPA in youth over time.     

Life Satisfaction in Persons with Late Effects of Polio

To assess satisfaction with life as a whole and with ten domains of life satisfaction in Swedish persons with late effects of polio, to describe the relationship with sex, age, marital status, use of mobility aids and self-perceived needs of instrumental support, and to compare the level of life satisfaction with a Swedish reference sample. A cross-sectional study of 160 persons with verified late effects of polio answered a postal questionnaire including the Life Satisfaction Questionnaire (LiSat-11). A majority were to some degree satisfied with life as a whole and with all the ten domains of life satisfaction. Satisfaction with life as whole was not related to any of the sociodemographic or disability related factors and these factors had few relations to the ten domains of life satisfaction. The respondents were significantly less satisfied with life as a whole and with vocation, leisure, sexual life, activities of daily living, and somatic and psychological health compared to the Swedish reference sample, but were significantly more satisfied with economy and contacts with friends. Men and women with late effects of polio, regardless of age, marital status or disability, can experience a reduced life satisfaction. This emphasises the need to identify potential gaps between these persons’ aspirations and achievements in life and carry out appropriate rehabilitation interventions to enhance their life satisfaction.     

Possibilities and limits of the diagnosis of specific learning disorders with neurophysiologic methods of study

EEG correlation analyses were conducted with children with and without specific learning weaknesses. Reduced left parietal correlation was found in children with dyslectic problems, and in children with adjustment and concentration problems, reduced bioelectric correlation. The frequent evidence of brain injury criteria suggests a link with general affectations of correlation but not specifically with cerebral correlation affections. It would appear to be appropriate to employ computer-assisted EEG correlation analysis, together with frequency analysis and the examination of evoked potentials in objective neurometric diagnosis where children with learning weaknesses are involved.     

Speed of processing and reading disability: a cross-linguistic investigation of dyslexia and borderline intellectual functioning

English and Italian children with dyslexia were compared with children with reading difficulties associated with low-IQ on tests of simple and choice RT, and in number and symbol scanning tasks. On all four speed-of-processing tasks, children with low-IQ responded more slowly than children with dyslexia and age-controls. In the choice RT task, the performance of children with low-IQ was also less accurate than that of children of normal IQ, consistent with theories linking processing speed limitations with low-IQ. These findings support the hypothesis that dyslexia is a specific cognitive deficit that can arise in the context of normal IQ and normal speed of processing. The same cognitive phenotype was observed in readers of a deep (English) and a shallow (Italian) orthography.     

Keeping a Sound Marriage: How Couples with Children with Autism Spectrum Disorders Maintain Their Marriages

This study focused on strengths and variables that contribute to marital successes for couples with children with autism spectrum disorders (in this article, referred to as “autism”). Particularly, the purpose of this study was to examine what husbands and wives with children with autism in contrast to couples with children who are typically developing identify as helpful to maintaining their marriages. Concept mapping methodology was used for this research study. Couples with children with autism and couples with children who are typically developing participated in telephone interviews and then grouped and rated the statements generated from their interviews. Groupings were translated into pictorial maps showing relationships and patterns. Couples with children with autism shared common perceptions about factors that help to keep their marriages strong: communication and shared foundational ideas about marriage. Communication was a cluster for all groups of husbands and wives. Only mothers of children with autism identified time for self-care as a distinct cluster.     

Filtering and condensation tasks with integral and separable dimensions

Speed of classification was measured with a filtering task (only one dimension relevant) and a condensation task (two dimensions relevant) with integral dimensions of Munsell value and chroma and separable dimensions of value and size. The filtering task was easier with separable than with integral dimensions, but the condensation task was easier with integral than with separable dimensions. The results emphasize the importance of dimensional structure with separable dimensions and similarity or distance structure with integral dimensions.     

HIV/AIDS and health care workers: contact with patients and attitudes towards them

Data on a range of variables associated with contact with patients with HIV/AIDS and attitudes towards them were collected from 174 Scottish health care workers. Measures of attitudes and contact (overall, social and physical) were derived from the scales devised by Pleck et al. (1988). The measure of overall contact was not significantly related to attitudes, but those with predominantly social contact with patients with HIV/AIDS had more positive attitudes towards them. This relationship was moderated by occupational characteristics, concern about working with people of unknown HIV status and neuroticism. With all these variables controlled, including social contact, those who had not received in-service training relating to HIV/AIDS had more negative attitudes. The results are discussed with regard to the measurement of social contact with patients, salient beliefs, the occupational characteristics associated with attitudes, and in-service education.     

Risk factors for infant attrition and low engagement in experiments and free-play

Forty-three 2-month-old infants participated with their mothers in a laboratory study of factors associated with variations in infants' attrition and levels of attention/engagement in a cognitive-perceptual experiment, and in free-play with their mothers. Increased risk of attrition from the experiment was strongly associated with analgesic medication having been administered during labor and with more restricted maternal perceptions of infants' capacities. Attrition rates and levels of engagement varied independently, showing different patterns of association with explanatory variables. Infants' levels of engagement in the experiment and in free-play were correlated across settings and low levels were associated with a lack of maternal identification with the foetus during early pregnancy and more limited maternal perceptions of their infants' capacities, but were not associated with analgesic medication during labor.     

Primary Care Provider Familiarity with Binge Eating Disorder and Implications for Obesity Management: A Preliminary Survey

Current guidelines for the evaluation and treatment of obesity recommend referring individuals with binge eating disorder (BED) to a mental health professional. However, it is unclear how familiar primary care providers are with BED. The purpose of this study was to assess providers' familiarity with BED diagnosis and treatment. Providers in two primary care clinics completed a questionnaire, which assessed perceived familiarity with BED and demonstrated familiarity with BED diagnosis and treatment. Results indicated that 61% of respondents demonstrated familiarity with the essential symptoms of BED, and 80% reported familiarity with the diagnosis of BED. However, 35% of respondents who perceived themselves as familiar with BED did not demonstrate familiarity with the most basic symptoms. These results demonstrate that while many providers in primary care are familiar with BED, steps to improve provider familiarity with the disorder and provide appropriate mechanisms to address BED are warranted.     

A multisource exploration of the friendship patterns of children with and without learning disabilities

Friendship patterns of 117 children with learning disabilities (LD) and 115 children without LD in Grades 4–8 were examined. In comparison with children without LD, boys with LD had fewer mutual friends, children with LD had more friends with learning problems and more younger friends, and children with LD in Grades 4–6 had less stable relationships. With regard to friendship quality, children with LD reported higher levels of conflict, lower levels of validation, and more problems with relationship repair than did children without LD. The findings were discussed in terms of factors that have been found to enhance friendship such as proximity and similarity, and the social skills difficulties that have been associated with learning disabilities.     

Illness coping behaviour of outpatients with depression or diabetes mellitus in two tertiary hospitals in Enugu state,southeast Nigeria

The study aims to compare the coping styles of patients with diabetes with those with depression. A total of 224 patients, 112 with depression and an equal number with diabetes were recruited. Sociodemographic variables were determined with the sociodemographic questionnaire, and coping styles with the Mental Adjustment to Cancer (MAC) adapted and Brief Religious Coping (Brief RCOPE) Scales. Fighting Spirit and MAC Summary Positive Adjustment were used more by participants with depression. Both groups of participants used the Brief RCOPE positive method to the same extent. Brief RCOPE negative was used more by participants with depression. Positive coping skills were used more by participants with depression than those with diabetes. This underscores the need for clinicians to explore the coping resources available to their patients, both religious and non-religious, and projecting them to their patients for enhancement and application as an adjunct for the purpose of a better clinical outcome.     

Attention problems and executive functions in children with spina bifida and hydrocephalus.

This study addressed the incidence of Attention-Deficit/Hyperactivity Disorder (ADHD) subtypes in children with spina bifida meningomyelocele and shunted hydrocephalus (SBH) as well as differences in executive functions among these subtypes. Parent rating scales revealed that 31% of the group with SBH could be identified with AD/HD, mostly the Inattentive type (23%). The group with SBH differed from normal controls on cognitive measures of executive functions, but subtype differences were not significant. Multivariate tests showed that children with SBH were rated with greater difficulties on the Behavior Rating Inventory of Executive Function (BRIEF) compared to controls; those with SBH and any subtype of ADHD differed from those with SBH and no ADHD; and those with ADHD (Combined Type) differed significantly from those with ADHD (Predominantly Inattentive Type). Subtype differences on univariate tests in the latter comparison were significant on the BRIEF Inhibit scale, showing more disinhibition in those with SBH and ADHD (Combined Type), but no significant differences were apparent on the BRIEF Sustain, Shift, and Initiate scales. The results show that the incidence of ADHD in children with SBH exceeds the population rate, is represented by problems with inattention rather than with impulsivity and hyperactivity; and that as with non-brain injured individuals, subtype differences in cognitive function remain to more clearly delineated.     

Parenting Practices and Adolescent Internalizing and Externalizing Problems: Moderating Effects of Socially Demanding Kin Relations

Association of socially demanding kin relations, mother’s emotional support, behavioral control/monitoring, family organization and psychological control with adolescent’s internalizing and externalizing problems were assessed in 200 economically disadvantaged, African American mothers and adolescents. Demanding kin relations and mother’s psychological control were positively associated with adolescent’s internalizing problems. Demanding kin relations also moderated the association of control/monitoring, family organization, and psychological control, with internalizing. For mothers with more demanding kin relations, increased control/monitoring was associated with increased adolescent internalizing. In comparison, increased control/monitoring was associated with decreased adolescent internalizing for mothers with less demanding kin relations. Negative association of family organization with internalizing was more apparent for mothers with more compared to less demanding kin relations. Positive association of mother’s psychological control with internalizing was more apparent for mothers with more compared to less socially demanding kin relations. Demanding kin relations and mother’s psychological control were positively associated with adolescent’s externalizing problems. Mother’s emotional support and family organization were negatively associated with externalizing. Also, negative association of family organization with externalizing was more apparent for families with more compared to less demanding kin relations. The need for research on the factors associated with negative relation with kin was discussed.