Factors associated with perceived exertion and estimated time limit at lactate threshold

The purpose was to identify the most predictive parameters for perceived exertion and estimated time limit responses at the velocity corresponding to the lactate concentration threshold. The former scale concerns the subject's current status (how hard he feels the exercise currently is) whereas the latter scale deals with a subjective prediction of how long the current exercise level can be maintained. Multiple regression equations were developed among physiological, psychological, nutritional, and individual parameters (subjects' characteristics and performances) as independent variables, and perceived exertion or estimated time limit as dependent variables. Independent variables were collected before or during an incremental running field test. 94 regional to national level athletes (47 endurance-trained runners, 11 sprinters, and 36 handball players) participated. Multiple stepwise regression showed that Rating of Perceived Exertion and Estimated Time Limit at the lactate threshold were mainly mediated by factors relative to the performance expressed in percentage of the maximal aerobic velocity. Secondary factors which contribute significantly as perceptual predictors were related to various classes of factors except for psychological factors.     

Validity and reliability of a Cantonese-translated rating of perceived exertion scale among Hong Kong adults

This study assessed the validity and reliability of the Cantonese-translated version of the Borg 6-20 Rating of Perceived Exertion (RPE) scale during continuous incremental cycle ergometry by Hong Kong adults. A total of 54 participants (25 males and 29 females), ages 22.2 +/- 4.7 yr., volunteered to participate. They performed two trials of identical continuous incremental cycling exercise 1 wk. apart for the reliability test. The objective measures of exercise intensity (heart rate, power output, and oxygen consumption) and the subjective measure of effort (RPE) were obtained during the incremental exercise. Significant (p < .01) Pearson correlations were found when RPE values were correlated with heart rate (rs > or = .73), power output (rs > or = .69), and oxygen consumption (rs > or = .68). The overall test-retest intraclass correlation (R = .92) indicated that the scale was reliable. In conclusion, this Cantonese scale for rating of perceived exertion appears to be a valid and reliable psychophysiological tool to measure perceptions of exertion during controlled cycle ergometer exercise by Hong Kong adults.     

Retest Reliability of Scores on Objective and Projective Measures of Dependency: Relationship to Life Events and Interest Interval

The retest reliabilities of widely used objective and projective measures of dependency were assessed in a mixed-sex sample of undergraduates (54 women and 34 men). Subjects completed Hirschfeld and colleagues' (1977) Interpersonal Dependency Inventory (IDI) and Masling, Rabie, and Blondheim's (1967) Rorschach Oral Dependency (ROD) scale on two occasions separated by 16, 28, or 60 weeks. The IDI and ROD scale showed good retest reliability over 16 weeks in both men and women. However, the ROD scale did not show adequate retest reliability over longer periods in subjects of either sex. IDI scores showed excellent long-term retest reliability in women, but poor longterm retest reliability in men. Subjects' self-reports and impact ratings of life events experienced during the intertest period were unrelated To changes in subjects' IDI and ROD scale scores from Time 1 to Time 2, regardless of the intertest interval used.     

Hysteresis behaviour of psychobiological variables during exercise

ObjectivesThe rating of perceived exertion (RPE) and the heart rate (HR) have been widely studied and monitored during exercise, but their hysteresis behaviour is still unexplored. Our aim was to study the hysteresis behaviour of RPE and HR in triathletes and non-athletes.DesignCross-sectional study.MethodEighteen triathletes at different competitive levels (elite n = 9, non-elite n = 9) and ten students were tested while cycling and running, using a pyramidal protocol (incremental/decremental workloads). The hysteresis area, considered positive when values of the dependent variables (RPE and HR) at the same workload were higher in the decremental phase than in the incremental phase, and vice versa for the negative areas, was calculated in all tests. The Wilcoxon matched-pairs test and Kruskal Wallis ANOVA were applied to detect intra- and inter-group differences, respectively, of RPE and HR values during the incremental and decremental phases, as well as between cycling and running.ResultsThe following results were observed: a) an incoherent relationship of RPE with HR and workload, b) positive hysteresis areas of RPE and HR in all groups during cycling and running, c) a partial negative hysteresis area of RPE, but not of HR, in the triathlete groups, d) larger hysteresis areas of RPE and HR in students than in triathletes, and e) larger hysteresis areas in cycling than in running.Conclusionsthe study of the hysteresis behaviour of RPE and HR reveals the history dependency of both variables, highlights their incoherent or non-unique relationship during a pyramidal exercise, and questions their widely assumed linear association to workload intensity. The hysteresis area is proposed as a new non-invasive marker of exercise stress and tolerance that should be further investigated.     

Assessing the Reliability of Situational Judgment Tests Used in High‐Stakes Situations

Assessing reliability of situational judgment tests (SJTs) in high‐stakes situations is problematic with reliability inappropriately measured by Cronbach's alpha when test items are heterogeneous. We computed the corrected, weighted mean alpha from 56 alpha coefficients, which produced a value of α = .46 and reviewed appropriate types of reliability to use with SJTs. In the current longitudinal study, SJT test–retest reliability was r = .82, compared with internal consistency, α = .46, and stratified alpha, α = .45 at Time 1 and α = .52 and stratified α = .51 at Time 2. We used a student sample (Time 1: n = 185; Time 2: n = 132) with items from a credentialing exam with ‘should do’ instructions. The SJT correlated significantly with cognitive ability, r = .30, and agreeableness, r = .24. In Study 2, we assessed test–retest reliability with Human Resource professionals (Time 1: n = 94; Time 2: n = 32) who had been recently credentialed and who participated in a pilot test of new SJT items with ‘most likely/least likely do’ response options. The SJT test–retest reliability was r = .66 compared with internal consistency, α = .43 and stratified α = .47 at Time 1 and α = .61 and stratified α = .67 at Time 2. We discuss the theoretical implications of the Study 1 results as well as the practical implications for use of SJTs in credentialing examinations.     

Relations between perceptual and physiological response during incremental exercise followed by an extended bout of submaximal exercise on a cycle ergometer

The purpose of this study was to examine the relations of ratings of perceived exertion (RPE) of the legs, chest, and overall body with physiological responses (heart rate and oxygen uptake) both during incremental cycling exercise and the recovery stage (submaximal light exercise after total exhaustion). Subjects were 10 healthy university males ages 18 to 23 years (M age=20.5 yr., SD=1.4 yr.) who performed incremental cycling exercise until exhaustion after 1-min. rest and unloaded cycling for 2 min. They then continued to exercise at a constant load of 30 Watts (used for cooling down; recovery stage) for a total of 25 min. Oxygen uptake and heart rate were measured, and three types of RPE were done; Respiratory (chest; RPE-R), Peripheral (legs; RPE-P), and Overall (overall body; RPE-O) during the exercise and recovery stage. All variables during exercise and RPE-R and RPE-P during recovery stage showed significant linear changes. RPE-O and physiological exercise intensity (oxygen uptake and heart rate) in the recovery stage showed significant curvilinear changes (quadratic). RPE-P were significantly higher than RPE-R both during exercise and the recovery stage and the variables highly correlated (r > or = .88, p < .05). At the point of exhaustion, RPE-P and RPE-O almost reached a peak, but RPE-R did not. In the exercise period until exhaustion, the regression coefficient of RPE-R (.38) was significantly lower than that of RPE-P (.56) and RPE-O (.50), and RPE-R increased according to an increase of the incremental load, but the amount was significantly lower than those of RPE-P and RPE-O. In the recovery stage after exhaustion, the regression coefficient of RPE-O (-1.35) was significantly greater than that of RPE-P (-1.07). A decrease in RPE-O corresponded to a decrease in heart rate and oxygen uptake, but RPE-P did not, and the recovery of RPE-P tended to be late. The results suggest that relations for the physiological responses of heart rate, oxygen uptake, and RPE, and between each RPE in the recovery stage differed from those during exercise until exhaustion.     

Development of the Crying Proneness Scale: Associations Among Crying Proneness,Empathy, Attachment,and Age

Crying is a unique form of human emotional expression that is associated with both positive and negative evocative antecedents. This article investigates the psychometric properties of a newly developed Crying Proneness Scale by examining the factor structure, test–retest reliability, and theoretically hypothesized relationships with empathy, attachment, age, and gender. Based on an analysis of data provided by a Dutch panel (Time 1: N = 4,916, Time 2: N = 4,874), exploratory and confirmatory factor analyses suggest that crying proneness is a multidimensional construct best characterized by four factors called attachment tears, societal tears, sentimental/moral tears, and compassionate tears. Test–retest reliability of the scale was adequate and associations with age, gender, empathy, and attachment demonstrated expected relations. Results suggest that this scale can be used to measure crying proneness, and that it will be useful in future studies that aim to gain a better understanding of normal and pathological socioemotional development.     

Does perceived exertion depend on glycemic index of foods ingested throughout three hours before a one-hour high-intensity exercise?

The purpose of this study was to assess the relationships between perceived exertion (RPE) and plasma glucose concentrations or hunger feelings during a 1-hr. bicycle submaximal exercise after ingestion of pre-exercise test foods with a different glycemic index. Each of endurance-trained male triathletes ingested three different glycemic index (GI) foods (HighGI: glucose, LowGI: whole-wheat biscuit or water) throughout the 3 hr. before exercise at 80% maximal oxygen uptake (VO2 max). RPE values increased as a logarithmic function of time. This result is opposite to results obtained with longer exercise bouts up to 3 hr. duration. RPE and hunger ratings were not significantly different for the three test foods whatever the time. Moreover, RPE did not correlate with plasma glucose concentrations during exercise. Consequently, RPE did not depend on the GI of the pre-exercise test foods during a 1-hr. exercise at 80% VO2 max. Physiological and psychological factors other than glycemic index may have mediated the perceptual responses during a 1-hr. high-intensity exercise. It is possible that during endurance exercise of longer duration, the level of blood glucose mediates the intensity of peripheral exertional perceptions arising from active skeletal muscle during prolonged exercise.     

Lactate threshold prediction by blood glucose and rating of perceived exertion in people with type 2 diabetes

The validity of rating of perceived exertion (RPE) in predicting lactate threshold during an incremental test was analyzed in 15 men with type 2 diabetes (M age = 53.4 yr., SD = 12.9). Blood glucose, lactate, and minute ventilation (VE)/VO2 responses identified the lactate, ventilatory, and glucose thresholds. Workloads (W) corresponding to RPEs 12, 13, 14, and 15 were determined. Second-order polynomials fit to VE/W and [lac]/W ratios corresponding to RPEs of 9-10, 12-13, and 16-17 also identified workloads above which there was an overproportional increase in VE and [lac]. These workload breakpoints did not differ, although at RPE 12 underestimated and at RPE 15 overestimated lactate threshold. RPE 13 and 14 and the responses of VE/W and [lac]/W to submaximal exercise accurately predicted lactate threshold.     

Hip muscle response to a fatiguing run in females with iliotibial band syndrome

Impaired hip muscle function has often been cited as a contributing factor to the development of iliotibial band syndrome (ITBS), yet our full understanding of this relationship is not well established. The objective of this study was to examine the effect of fatigue on hip abductor muscle function in females with ITBS. Female runners, 20 healthy and 12 with a current diagnosis of ITBS, performed a treadmill run to fatigue. Prior-to and following the run to fatigue, gluteus medius strength and median frequency values (an indicator of fatigue resistance) were measured. Additionally, onset activation timing of the gluteus medius and tensor fascia latae was measured during overground running. Both healthy and injured runners demonstrated decreased gluteus medius strength following the run to fatigue (p = 0.01), but there was no interaction between groups (p = 0.78). EMG onset activation timing did not differ between groups for the gluteus medius (P = 0.19) and tensor fascia latae muscles (P = 0.52). Injured runners demonstrated decreased gluteus medius initial median frequency values suggestive of fatigue (P = 0.01). These findings suggest that the gluteus medius muscle of female runners with ITBS does not demonstrate gross strength impairments but does demonstrate less resistance to fatigue. Clinicians should consider implementation of a gluteus medius endurance training regimen into a runner’s rehabilitation program.     

Case Studies of Two Schizophrenic Patients

A recent meta-analysis found that the Rorschach Prognostic Rating Scale (RPRS) had a strong ability to predict subsequent outcome (r = .44, N = 783; Meyer &; Handler, 1997, this issue). However, that review did not directly address questions of incremental validity. This article focuses on the ability of the RPRS to predict outcome after taking into account other sources of data. Across studies that examined both the RPRS and the MMPI Ego Strength scale, the RPRS had a strong ability to predict outcome (r = .40, N = 187), whereas the MMPI scale did not (r = .02, N = 280). Nine studies examined the RPRS along with an intelligence test and allowed direct numerical estimates of incremental validity to be calculated. Across studies, the RPRS demonstrated strong incremental validity after controlling for intelligence (incremental r = .36, N = 358). It is clear that the Rorschach can make unique contributions to understanding clinically relevant processes in ways that self-reports or measured intelligence cannot. Contemporary Rorschach scales should continue to be evaluated for their distinctive and incremental contribution to clinical practice.     

Incremental validity of the Rorschach Prognostic Rating Scale over the MMPI Ego Strength Scale and IQ

A recent meta-analysis found that the Rorschach Prognostic Rating Scale (RPRS) had a strong ability to predict subsequent outcome (r = .44, N = 783; Meyer & Handler, 1997, this issue). However, that review did not directly address questions of incremental validity. This article focuses on the ability of the RPRS to predict outcome after taking into account other sources of data. Across studies that examined both the RPRS and the MMPI Ego Strength scale, the RPRS had a strong ability to predict outcome (r = .40, N = 187), whereas the MMPI scale did not (r = .02, N = 280). Nine studies examined the RPRS along with an intelligence test and allowed direct numerical estimates of incremental validity to be calculated. Across studies, the RPRS demonstrated strong incremental validity after controlling for intelligence (incremental r = .36, N = 358). It is clear that the Rorschach can make unique contributions to understanding clinically relevant processes in ways that self-reports or measured intelligence cannot. Contemporary Rorschach scales should continue to be evaluated for their distinctive and incremental contribution to clinical practice.     

Deceptiveness on the PAI: a study of naïve faking with psychiatric inpatients

In this study, we sought to explore the diagnostic accuracy of the Personality Assessment Inventory (PAI; Morey, 1991) Validity scales (Negative Impression Management [NIM] and Positive Impression Management [PIM]) and indexes (Malingering index, Defensiveness index [DEF]; Morey, 1993, 1996; Cashel Discriminant Function; Cashel, Rogers, Sewell, & Martin-Cannici, 1995; and Rogers Discriminant Function [RDF]; Rogers, Sewell, Morey, & Ustad, 1996) to identify differences in profiles completed by psychiatric inpatients under standardized instructions (Time 1) and after random assignment (Time 2) to a fake good (n=21), fake bad (n=20), or retest (n=21) scenario. Repeated measures analysis of variance revealed a significant interaction effect. Whereas the retest group did not show any significant changes on the PAI variables from Time 1 to Time 2, both faking groups showed changes in expected directions. Discriminant function analyses revealed that NIM, RDF, and lower scores on DEF best differentiated between the faking bad and retest groups. PIM was the only nonredundant significant score discriminating the faking good and retest groups. Cutoffs for these scales and indexes established in prior research were supported using diagnostic efficiency statistics. Results suggest that NIM and RDF in faking bad scenarios and PIM in faking good scenarios are most sensitive to unsophisticated attempts to dissimulate by inpatient psychiatric patients.     

Relationships among Eysenck's extraversion, Rorschach's Erlebnistypus, and tolerance of experimental tonic pain (Cold Water Pressor Test)

In a group of 42 healthy volunteers the correlations between the concept of Extraversion-Introversion as defined by Eysenck and Erlebnistypus as defined by Rorschach were analysed to relate these with the tolerance of an experimentally induced tonic pain. We conducted an experimental procedure comprising a test and retest. At test the subjects were administered the Rorschach, the Eysenck Personality Inventory, the Cold Water Pressor Test, a nongraduated Visual Analogue Scale, and the Italian version of the McGill Pain Questionnaire. At retest the experimental induction of pain was measured again. At test subjects who scored higher on the EPI Extraversion scale tolerated pain longer and did not modify their performance at retest. Also, the concepts of Extroversion defined by the Rorschach test and by the Extraversion scale of the Eysenck Personality Inventory shared some psychophysiological features of higher tolerance to pain. These personality features did not influence how subjects qualitatively describe the immediate painful experience.     

The validity of using prior ratings of perceive exertion to regulate resistance exercise intensity

This investigation examined the validity of using ratings of perceived exertion (RPE) to regulate intensity during resistance exercise. 19 male (M age = 22.2 yr., SD = 2.7) and 19 female (M age = 21.4 yr., SD = 2.3) participants estimated exertion when performing the knee extension at 40% to 90% of one-repetition maximum. One week later, participants were asked to produce weights for the knee extension that elicited the feelings of exertion associated with 9, 13, and 17 on the Borg RPE scale. The weight produced at 9, 13, and 17 during the production session was compared to the weight lifted at each RPE during the estimation session. The effect sizes associated with the differences in weight lifted across sessions at each RPE were generally small in magnitude, especially at the higher intensities (ES = .40, -.09, .15, respectively). The results of this investigation support the use of RPE as a method of prescribing the intensity of resistance exercise.     

A normative zone of RPE ratings for use during graded exercise testing

The purposes of this investigation were to identify a zone of normality for ratings of perceived exertion (RPE) and to compare the RPE responses in patients with coronary artery disease to this zone. The zone was generated from RPE estimated during the last minute of each stage of a Bruce treadmill test in 44 normal adult men. RPE were regressed against the corresponding MET level for each exercise stage. The zone was established as the 95% confidence interval (CI) spanning the average RPE vs MET regression line. RPE estimated during the last 1.0 min. of a Bruce or Modified Balke treadmill test administered to adult men (n=37) with coronary artery disease were compared to the 95% CI zone. A total of 19 (51%) of the coronary artery disease patients estimated RPE during a progressively incremented treadmill test that were above the zone, indicating a comparatively greater than normal perception of strain for a given metabolic stress. The presently generated zone provides a practical use of RPE in the interpretation of clinical exercise tests.     

RPE responses during arm and leg exercises: effect of variations in spontaneously chosen crank rate

The aim of this study was two-fold. First, the rating of perceived exertion (RPE) was compared between two different upper and lower body exercises. Subjects (n = 12) performed with spontaneously chosen crank or pedal rates: (i) incremental maximum power tests (Test 1), with an initial work rate of 50% of maximal power followed by increases of 10% at each 120-sec. work stage and (ii) tests (Test 2) with exercise bouts set at 20, 40, 60, and 80% of maximal power separated by passive recovery periods. Second, the effects of variations in spontaneously chosen crank rate on RPE was analysed using the second test performed only with upper body. Subjects performed Test 2 three times with crank rates spontaneously chosen by the subjects, set at plus or minus 20% of spontaneously chosen crank rate. During both Tests 1 and 2 for upper or lower body, RPE increased linearly (p<.01) with power output. No significant difference was noticed between upper and lower body tests; however, RPE was significantly different (p<.05) between Test 1 results for upper and lower body at 70, 80, 90, and 100% of maximal power. The greater RPE at high power output could be linked to the important effect of fatigue during upper body exercise. Among the three crank-rate conditions, no significant difference in RPE was noticed. The choice of crank rate does not seem to influence the perception of exertion in upper body cycling exercise.     

Interviewing as Communication: An Alternative Way of Administering the Diagnostic Interview Schedule for Children

Parents of 24 children referred to an outpatient psychology clinic (mean child age 10.8, range 6–15) were administered the Diagnostic Interview Schedule for Children Version 2.3 (DSIC-2.3) twice in a 1-week test–retest reliability design (mean retesting interval = 7.5 days, range = 6–11 days). An alternative mode of administration of the DISC, based on communication principles, was used, involving (a) a schematic representation of the areas to be covered; (b) definition of a common language for the categories, diagnoses, and criteria; and (c) the respondent being allowed to select the order in which the diagnostic areas were covered. The DISC items and modules were unchanged. Symptom scores derived from the DISC were highly reliable over 1 week (average ICC = .85, range = .67–.95) and showed no attenuation from Time 1 to Time 2. Reliability of DSM diagnoses averaged kappa = .80 (range = .63–1.0). There was no significant attenuation in diagnoses from Time 1 to Time 2. Overall, this alternative way of administering the DISC appears to have promise for reducing attenuation and boosting the reliability—and ultimately the validity—of child psychiatric diagnoses. Further investigations of the mechanisms underlying these effects, and further studies with child and adolescent respondents and nonreferred community samples are recommended.