Psychosocial risk and resistance factors among children with chronic illness,healthy siblings,and healthy controls

Psychosocial risk and resistance factors within the domains of parental functioning, family Stressors, and family resources were examined as predictors of psychological adjustment and physical problems in juvenile rheumatic disease patients (N=93), their healthy siblings (N=72), and demographically matched healthy controls (N=93). Family socioeconomic status and background variables showed few consistent relationships with child functioning. However, a constellation of risk and resistance factors tended to show comparable associations with functioning for patients, siblings, and controls. Higher parental depression and medical symptoms and more family Stressors, sibling problems, and burden of illness on the family predicted more problems among the patients. These relationships held when disease duration and severity were controlled. For the siblings, increased parental and patient dysfunction, more family Stressors, and less family cohesion and expressiveness were associated with more problems. Although the associations were not as strong, mothers' depression and lack of family cohesion and expressiveness also were related to more adjustment problems among the control children. These findings imply that there may be a general association between certain risk and resistance factors and childhood adaptation.This research was supported in part by NIH Multipurpose Arthritis Center Grant AM20610, NIMH Grant MH16744, and Veterans Administration Medical and Health Services Research and Development Service Research funds. Jan Gottlieb provided valuable help in all phases of the research. We appreciate the help of the staff of the Pediatric Rheumatology Clinic at Children's Hospital at Stanford and the families who participated in this study.     

Stress, reactivity, and immune function in healthy men.

We examined the effects of acute psychological stress on lymphocyte proliferation and circulating levels of interleukin-1 and -2. Healthy men were exposed to two viewings of a gruesome surgery film and were asked to recall details of the film twice during a 30-min period. These subjects were compared to a nonstress control group. Lymphocyte proliferation to the mitogen concanavalin A (Con A; 5 micrograms/ml) was decreased during and after exposure to the stressor when compared to the control group. This decrease was more pronounced in subjects exhibiting greater blood pressure reactivity while viewing the film than in subjects showing smaller blood pressure responses. None of the other immunological measures was significantly affected by the stressor. Cortisol was not correlated with lymphocyte responsiveness. Possible explanations for these results and implications for further research are discussed.     

Trauma,resilience and healthy and unhealthy forms of dissociation

This paper outlines the difference between healthy and unhealthy forms of dissociation following, and in response to, traumatic experience, in particular the experience of refugees, calling on 30 years’ experience in working with refugees in voluntary and public sectors, including 20 years at the Refugee Therapy Centre, London. It differentiates dissociation from repression, and looks at some of the specific traumatic experiences associated with refugees’ displacement and situation, particularly relating to loss. Four key characteristics of resilience are described: ‘psychic space’, ‘sense of self’, and the use of a ‘listening other’ and ‘healthy dissociation/resiliency’. Two vignettes are given to illustrate the difference between healthy and unhealthy dissociation.     

Visual-perceptual abilities in healthy controls, depressed patients, and schizophrenia patients

Previous studies have suggested a right hemineglect in schizophrenia, however few assessed possible visual-perceptual implication in this lateralized anomaly. A manual line bisection without (i.e., lines presented on their own) or with a local cueing paradigm (i.e., a number placed at one or both ends of the line) and the Motor-free Visual Perceptual Test-Vertical format (MVPT-V) were used to assess the visual-perceptual abilities of healthy controls, schizophrenia and depressed patients. Whereas healthy controls and depressed patients showed a non-significant leftward bias in manual line bisection, schizophrenia patients bisected significantly to the left of the true centre of the line. Interestingly, the pattern of performances in response to the local cueing paradigm was similar in depressed and schizophrenia patients such that both groups demonstrated a significant change in their bisection performance only in response to a cue placed at the right extremity of the line (control performance was modified by cues at either end of the line). Finally, in the MVPT-V, schizophrenia patients were impaired relative to the other two groups, especially in the spatial working memory and visual closure categories. These results suggest that: 1/a deficit towards the right hemifield, consistent with a mild form of right hemineglect, can be observed in schizophrenia; 2/lateralized anomalies could also be observed in depression using an appropriate tool such as manual line bisection; 3/performances in the MVPT-V suggested that a simple visual-perceptual deficit could not explain the lateralized anomaly observed in the manual line bisection, as it is the case in the hemineglect syndrome.     

Clinical tests of memory in dementia, depression, and healthy aging

In Study 1, carefully screened elderly adults with primary degenerative dementia or major depression were compared to healthy aged control subjects on three tests of learning and memory: the Benton Visual Retention Test, Inglis Paired-Associate Learning Test, and the Fuld Object-Memory Evaluation (OME). The sharpest distinction in performance among the groups was observed on the OME, and discriminant equations based on this test correctly classified a high percentage (greater than or equal to 90%) of participants. Study 2 applied the classification rules derived in the first investigation to an unselected series of geropsychiatry inpatients referred for neuropsychological evaluation. There was agreement between memory test classification and general categories of clinical discharge diagnosis (organic vs. functional) for 21 of 25 patients, and with status at follow-up approximately 18 months later. Predictive value computations suggested that the OME is more accurate in confirming true dementia than in detecting dementia syndromes associated with functional disorders.     

Interoceptive sensitivity,body image dissatisfaction,and body awareness in healthy individuals

Relationships among interoceptive sensitivity (IS), body image dissatisfaction, body mass index (BMI), and self‐reported body awareness were investigated in a cross‐sectional study. Eighty‐two Norwegian high school students and 70 Hungarian undergraduate university students participated in the study. Subjects completed two questionnaires (Body Image Ideals Questionnaire – BIQ; Body Awareness Questionnaire – BAQ) followed by the assessment of interoceptive sensitivity using the Mental Tracking Method (MTM). An inverse, medium‐level relationship between body image dissatisfaction and IS was found in both the Norwegian and the Hungarian samples. The relationships between IS and self‐reported body awareness, and between body image dissatisfaction and BMI were uniformly non‐significant in both samples. Predictors of body image dissatisfaction were resting heart rate, gender, and IS in the regression analysis after controlling for BMI, age, and nationality. The negative relationship between IS and body image dissatisfaction described in patients with anorexia nervosa also exists in healthy individuals. There is no direct connection between IS and self‐reported body awareness.     

Co-occurrent use of cigarettes, alcohol, and coffee in healthy, community-living men and women

Previous studies have examined intra-individual aggregation in the use of cigarettes, alcohol, and coffee by examining the co-occurrent use of any pair of these three substances. A recent literature review failed to find a single investigation that studied use of all three in the same sample. In the present study, co-occurrent use of all three of these substances was examined in crossvalidated subsamples of 226 male and 245 female healthy, community-living, middle-class Americans. A log-linear analysis was used to compare the proportion of smokers, ex-smokers, and nonsmokers categorized as users of more or less amounts of coffee and alcohol. Although most of the intercorrelations were not strong, the results indicate that for both sexes, smokers and ex-smokers were more likely than nonsmokers to drink greater amounts of alcohol and coffee. Furthermore, for smokers, ex-smokers, and nonsmokers, a majority of individuals who reported drinking more alcohol also reported drinking more coffee. Interestingly, the coffee and alcohol consumption levels of ex-smokers resembled those of smokers more than those of nonsmokers. Also, ex-smokers reported drinking more wine and decaffeinated coffee than either smokers or nonsmokers. Finally, the number of cigarettes smoked per day (daily quantity) was positively related to total alcohol and coffee consumption in men, but not in women. Further studies are recommended to examine the role of individual differences in the development, maintenance, and modification of these three appetitive habits and their co-occurrence.     

Approximate quantification in young,healthy older adults’, and Alzheimer patients

Forty young adults, 40 healthy older adults, and 39 probable AD patients were asked to estimate small (e.g., 25) and large (e.g., 60) collections of dots in a choice condition and in two no-choice conditions. Participants could choose between benchmark and anchoring strategies on each collection of dots in the choice condition and were required to use either benchmark or anchoring on all configurations in the no-choice conditions (one per strategy). The benchmark strategy involves visual estimation processes whereas the anchoring strategy involves both enumeration and estimation processes. Results showed that strategy use was influenced by collection, participant, and strategy characteristics. Age-related and dementia-related differences were found in both strategy use and strategy execution. The findings have implications for our understanding of aging effects in approximate quantification, strategic variations in Alzheimer’s patients, and sources of cognitive decline during early stages of Alzheimer’s disease.     

Sensitivity to pain, self-regulation, coping and personality in healthy adult women

The goals of this study were to investigate the relation between sensitivity to pain and subjectively perceived intensity of pain, and to establish which psychological variables affect lesser or greater objective sensitivity to experimental pain. The study sample consisted of 74 adult women without regular pain symptoms. Experimental pain was induced by means of the Portable Electronic Dolorimeter (DEP). Intensity of induced pain was evaluated using a Visual Analogic Scale (VAS). Psychological characteristics studied were self-government, stress-coping strategies, sensitivity to anxiety and the five personality dimensions evaluated by the BFQ of Caprara, Barbaranelli and Borgogni (1995). Results revealed a positive relation between sensitivity to pain and subjective intensity of pain. An analysis of variance also revealed statistically significant differences between groups with low and high sensitivity to pain in the following variables: self-motivation, focalization in problem-solving, positive reappraisal of stressful events, energy and mental openness. The importance of the study lies in the identification of specific psychological factors for intervention in the psychological treatment of pain.     

H-reflex latency, index and conduction velocity in healthy probands

The HL, HI and HV were measured of 76 healthy persons at the age of 20 to 70 years. The length-dependent variation of the HL can be eliminated most favourable by calculating the HI. Because of the proved linear correlation between age and HI the use of age-specific HI-normal ranges is recommendable.     

Physical fitness,cognitive functioning and academic achievement in healthy adolescents

PurposeExamine the association between health-related physical fitness (cardiorespiratory fitness and muscular fitness) and skill-related physical fitness (speed-agility) and both cognitive functions and academic achievement in adolescents (12–15 years).MethodsData of 423 Dutch adolescents were analyzed (46.8% boys, age = 13.45 ± 0.43 years). Physical fitness was assessed using five subtests of the Eurofit test battery measuring cardiorespiratory fitness (20 m Shuttle Run Test), muscular fitness (Broad Jump and Sit-Ups) and speed-agility (10 × 5 m Shuttle Run Test and Plate Tapping Test). Cognitive functions were assessed by the Digit Span Task, the Grid Task and an adapted version of the Attention Network Test. Finally, academic achievement was assessed by two standardized tests assessing mathematic skills and language skills. Multilevel regression analyses were performed in MlWin to examine the relations of interest adjusting for sex and age.ResultsMultilevel regression analysis showed that speed-agility was significantly related to visuospatial working memory (β = 0.159; p = 0.014), information processing and control (β = 0.238; p < 0.001) and interference control (β = 0.156; p = 0.039), but not to the other cognitive or academic achievement outcomes. Cardiorespiratory fitness and muscular fitness were not related to any of the cognitive or academic achievement outcomes.ConclusionThe results suggest that skill-related physical fitness is related to cognitive functions and health-related physical fitness is not. Therefore it can be argued that improved levels of skill-related physical fitness may lead to improved cognitive functioning.     

The F-wave in healthy subjects - origin, derivation, standardization

The determination of the maximum F-wave conduction speed by means of the photographic superposition technique is a method that can be carried out in a technically simple manner and can give an insight into the peripheral motor neuron up to the anterior horn cell. The values can be determined in a more exact manner than the respective motor conduction speeds. Similar to the motor conduction speed, influencing factors are to be taken into consideration such as the temperature and the age of patients under ten years. The normal values for the N. ulnaris, radialis, fibularis and tibialis are submitted.     

Relations among age, visual memory, and resting cerebral metabolism in 40 healthy men

Visual memory, as measured by the Benton Visual Retention Test (BVRT), and resting regional cerebral metabolic rates for glucose (rCMRglc), as measured by positron emission tomography (PET) and [18-F]fluorodeoxyglucose, were examined in 40 very healthy men, aged 21 to 83 years. Age-related differences in visual memory were found but were significantly smaller than differences reported in the general population. This discrepancy is attributable to our rigorous health screening. The age-related differences found in this sample are estimates of the lower limit of population differences unconfounded by disease. Age-related differences on undistracted delayed visual memory were greater than differences on immediate visual memory, suggesting age-related differences in spontaneous elaborative visual information processing. No relation between visual memory and resting rCMRglc was found, supporting the hypothesis that mental abilities are unrelated to resting brain metabolism unless both functions are influenced by disease.     

Rorschach responses in healthy, community dwelling older adults

Five predicted relationships between age and intellectual level and 16 Rorschach variables were examined through a cross-sectional analysis of 47 healthy, community-dwelling elderly men and women. Subjects were compared by age and intellectual level using gender, level of medication, and scores on the Geriatric Depression Scale (GDS) and the Geriatric Social Readjustment Questionnaire (GSRQ) as covariates. Screening tests for psychiatric and physical illness, recent life events, and hearing and vision loss were administered. In contrast to prior research suggesting changes in Rorschach scores with differences in age and intellectual level, only one significant difference was found for these variables. The data suggest that age and intellectual level may contribute less to Rorschach responses than was previously thought.     

Romantic competence,healthy relationship functioning,and well‐being in emerging adults

A skills‐based model of healthy relationship functioning—romantic competence (RC)—is described. Its association with relationship and individual well‐being was examined in three studies of emerging adults using the Romantic Competence Interview for Emerging Adults (RCI–EA), which measures competence as the interplay of three skill domains. Across studies (women [n = 102], women and men [n = 187], romantic couples [n = 89]), RC was associated with greater security, healthier decision making, greater satisfaction, and fewer internalizing symptoms. The RCI–EA skill domains formed a latent factor and were associated with self‐reports reflective of RC, supporting the construct's validity. The RC construct may thus provide a theory‐driven, overarching way to characterize healthy romantic functioning that can reduce negative outcomes.     

Physical self-concept, anxiety, depression, and self-esteem in children with cancer and healthy children without cancer history

The main purpose of this study is to test if children with cancer receiving chemotherapy show a poorer physical self-concept, less self-esteem and more anxiety and depression than healthy children (with no cancer history) within the same age range (9-16 years old) and social condition. Furthermore, the capacity of self-concept and self-esteem to predict emotional distress is analyzed. The Spanish versions of PSDQ, CDI and STAIC were administered to 30 children with cancer and 90 healthy children. Except for the health and flexibility dimensions in the PSDQ, no significant differences between groups were found. Self-esteem was the best predictor of depression, whereas health and self-concept predicted anxiety.     

Gait,balance, mobility and muscle strength in people with anxiety compared to healthy individuals

BackgroundAnxiety disorders are the most common mental disorders. Changes in psychomotor behavior can be observed in gross motor skills, with gait disturbances thought to reflect defective brain functions in psychiatric conditions. While balance deficits are well documented in anxiety, only little is known about gait characteristics of people with anxiety.ObjectiveThis study wishes to examine the existence of differences in gait, balance, mobility and muscle strength between people with anxiety and healthy individuals, and to investigate the relationship between level of anxiety and motor characteristics.MethodsAn observational study was conducted in a psychiatric out-patient unit at a large Israeli general hospital. The sample consisted of 93 participants, ages 18–65: 48 of them (27 female, 21 male) categorized as having anxiety, and 45 (25 female, 20 male) without anxiety. Participants were divided into two groups of various ages and both genders, and completed two questionnaires and four physical tests: objective anxiety assessment (Hamilton Anxiety Rating Scale); spatiotemporal gait parameters (10-meter walking test); balance function (Unipedal Stance Test); muscle strength evaluation, and mobility (Time Up and Go Test). No attempt was made to correlate between the anxiety and control groups based on age and/or gender.ResultsParticipants with anxiety (both genders) were characterized by slower walking speed, shorter step length, and fewer steps per minute (p < 0.001), as well as balance deficiency and mobility dysfunction (p < 0.001), compared to the control group. Muscle strength in women with anxiety was found to be significantly lower than in healthy women.ConclusionsTo the best of our knowledge, this study is the first of its kind to examine spatiotemporal gait components in patients with anxiety. Based on the findings, there is room to consider implementing gait analysis into the physical examination of patients with anxiety, as well as muscle strength, balance, and mobility function. Correct assessment and proper treatment of these aspects might contribute to the well-being of patients with anxiety.     

Yes,we can: physical activity and group identification among healthy adults

Drawing on social identity theory and social cognitive theory, this research was designed to investigate the role played by group identification, self‐efficacy and outcome expectations in physical activity behavior. Healthy adult participants (N = 130) who identified strongly with an exercise referent group reported higher levels of physical activity, and this relationship was mediated by self‐efficacy and outcome expectations. This study adds to the existing literature on the effects of social groups on health and is one of the first to examine the interplay of personal factors and group membership on physical activity.     

Results of the healthy body healthy spirit trial.

Healthy Body Healthy Spirit was a multicomponent intervention to increase fruit and vegetable (F & V) consumption and physical activity (PA) delivered through Black churches. Sixteen churches were randomly assigned to 3 intervention conditions. At baseline, 1,056 individuals were recruited across the 16 churches, of which 906 (86%) were assessed at 1-year follow-up. Group 1 received standard educational materials, Group 2 received culturally targeted self-help nutrition and PA materials, and Group 3 received the same intervention as did Group 2 as well as 4 telephone counseling calls based on motivational interviewing (MI) delivered over the course of 1 year. At 1-year follow-up, Groups 2 and 3 showed significant changes in both F & V intake and PA. Changes were somewhat larger for F & V. For F & V, but not PA, there was a clear additive effect for the MI intervention.     

Characterizing the subjective experience of episodic past,future, and counterfactual thinking in healthy younger and older adults

Recent evidence demonstrates remarkable overlap in the neural and cognitive mechanisms underlying episodic memory, episodic future thinking, and episodic counterfactual thinking. However, the extent to which the phenomenological characteristics associated with these mental simulations change as a result of ageing remains largely unexplored. The current study employs adapted versions of the Memory Characteristics Questionnaire and the Autobiographical Interview to compare the phenomenological characteristics associated with both positive and negative episodic past, future, and counterfactual simulations in younger and older adults. Additionally, it explores the influence of perceived likelihood in the experience of such simulations. The results indicate that, across all simulations, older adults generate more external details and report higher ratings of vividness, composition, and intensity than young adults. Conversely, younger adults generate more internal details across all conditions and rated positive and negative likely future events as more likely than did older adults. Additionally, both younger and older adults reported higher ratings for sensory, composition, and intensity factors during episodic memories relative to future and counterfactual thoughts. Finally, for both groups, ratings of spatial coherence and composition were higher for likely counterfactuals than for both unlikely counterfactuals and future simulations. Implications for the psychology of mental simulation and ageing are discussed.