Determinants and Barriers to Participation in an Internet Based Recovery Program for Cardiac Patients

Patients hospitalized for coronary heart disease were offered a home recovery program utilizing the Internet. About one-half of the patients interviewed chose to enlist in this program. Participants and non-participants did not differ significantly according to medical risk and diagnostic factors, lifestyle and some demographic variables (principally marital status, sex, and race). However, those who owned personal computers and/or were familiar with the Internet, who were in higher socioeconomic strata, and were younger than age 65 were strongly more likely to participate. Internet instruction and computers (for those who had none) were provided to participants. Those who were lent computers—29% of the program participants—were more often female, without any college training, and less confident about using the Internet. As the public becomes increasingly more familiar with personal computer technology these potential barriers to its use may eventually disappear. The present study evaluated a fairly resolute method to introduce an Internet program to many recovering patients who were unfamiliar with this technology. However, other innovative and perhaps more aggressive ways of making those most in need of such valuable health-related information and resources can be tested in the near future.     

Do research assessments make college students more reactive to alcohol events?

This study examines possible synergistic effects of alcohol-related events and postevent assessments on changes in college student readiness to change alcohol use, frequency of alcohol use, and negative consequences. Students were participants in a longitudinal study of drinking behavior. A portion of those reporting negative alcohol events/consequences (e.g., injury, vomiting, memory loss) during the parent study were randomly selected to participate in the present study (n = 492) and randomized to a postevent assessment (n = 296) or a no-assessment control (n = 196). Participants in the postevent assessment group were interviewed soon after their event, and participants in both conditions were interviewed three months after their event. Linear regression models showed higher 3-month readiness to change alcohol use in participants who received a postevent assessment than those who did not. There were reductions in drinking days, heavy drinking days, and further consequences postevent, but no differences by assessment group. However, female participants showed greater reductions in drinking days and heavy drinking days if they were assigned to assessment compared to control. There also was greater postevent reduction in drinking days among assessment group participants with high precollege alcohol severity compared to low precollege alcohol severity. Conversely, participants who reported high aversiveness of their event and were in the control group showed greater reduction in heavy drinking days than those assigned to the assessment group. Findings suggest that college student heavy drinking is reactive to alcohol events, whereas reactivity to postevent assessments may depend on gender, alcohol severity, and event aversiveness. This work highlights the importance of considering possible interactions among extratherapeutic factors in clinical outcome research.     

Covering up what can't be seen: concealable stigma and mental control.

In these studies the authors examined the effects of concealing a stigma in a social interaction relevant to the stigma. An interview paradigm called for undergraduate female participants who either did or did not have eating disordered characteristics to play the role of someone who did or did not have an eating disorder (ED) while answering stigma-relevant questions. The data suggest that the participants who concealed their stigmas become preoccupied with the control of stigma-relevant thoughts. In Study 1, participants with an ED who role-played not having an ED exhibited more secrecy, suppression, and intrusive thoughts of their ED and more projection of ED-related thoughts onto the interviewer than did those with an ED who role-played someone with an ED or those without an ED who role-played someone without an ED. This finding was replicated in Study 2, and the authors found both increasing accessibility of ED-related words among those participants with concealed stigmas during the interview and high levels of accessibility following the interview.     

How to resist temptation: the effects of external control versus autonomy support on self-regulatory dynamics

Abstract The purpose of the present study (N=80 undergraduate students) was to examine two issues: First, does external control lead to an increase in resistance to temptation more than the use of autonomy support? Second, what are the long‐term effects of these types of educational style? Based on the Personality Systems Interaction (PSI) theory, external control was expected to increase resistance to temptation for those participants who lack initiative and self‐motivation (i.e., state‐oriented participants). Consistent with expectations, resistance to temptation was greater for state‐oriented participants with externally controlled instructions than for individuals who received autonomy‐supportive instructions. This was reflected by their performance on a visual discrimination task during distracter, compared to baseline, episodes. However, external control had negative long‐term effects on state‐oriented participants as indexed by alienation from their own preferences in free‐choice behavior. Action‐oriented participants were less influenced by experimental conditions.     

Effects of External and Internal Motivation to Control Prejudice on Implicit Prejudice: The Mediating Role of Efforts to Control Prejudiced Responses

We examined the effects of internal and external motivation to control prejudice on implicit prejudice, focusing on identifying a mediator of the relation between external motivation and implicit prejudice. White participants completed internal and external motivation to control prejudice measures several weeks before completing the Implicit Association Test (IAT). Participants who were more internally motivated showed less implicit prejudice, whereas those who were more externally motivated displayed more implicit prejudice. Consistent with an ironic processes explanation, the effect of external motivation on increased implicit prejudice was mediated by efforts to control prejudiced responses.     

Conserving self-control strength

Individuals may be motivated to limit their use of self-control resources, especially when they have depleted some of that resource. Expecting to need self-control strength in the future should heighten the motivation to conserve strength. In 4 experiments, it was found that depleted participants who anticipated exerting self-control in the future performed more poorly in an intervening test of self-control than participants who were not depleted, and more poorly than those who did not expect to exert self-control in the future. Conversely, those who conserved strength performed better on tasks that they conserved the strength for as compared with those who did not conserve. The underlying economic or conservation of resource model sheds some light on the operation of self-control strength.     

The Effect of Smiling and of Head Tilting on Person Perception

A survey on alcohol and drug use was completed by 1,291 college students. As predicted from research on self-schemas, greater self-efficacy was associated with lower substance use among respondents who indicated having been treated for substance abuse but not among those who had not received treatment. Also, those who reported receiving treatment were more likely than the others to report having attended campus programs on substance abuse. These findings suggest that substance use and its control are important aspects of the self-definition of those who receive treatment for substance abuse.     

In-person contact begets calling and texting: interpersonal motives for cell phone use, face-to-face interaction, and loneliness

This study examined how cell-phone use is related to interpersonal motives for using cell phones, face-to-face communication, and loneliness. A survey of 232 college students who owned a cell phone revealed that affection and inclusion were relatively strong motivations for using voice calls and text messaging, and that interpersonal motives were positively related to the amount of cell-phone use, including calling and texting. The amount of face-to-face interaction was positively associated with the participants' cell-phone use and their interpersonal motives for using cell phones: the more the participants engaged in face-to-face interaction with other people, the higher their motives were and the more frequent cell-phone use was. Loneliness did not have a direct relation to cell-phone use. Instead, the participants with higher levels of loneliness were less likely to engage in face-to-face social interaction, which led them to use cell phones less and to be less motivated to use cell phones for interpersonal purposes.     

Acceptance of External Versus Internal Excuses by an Externally or Internally Oriented Audience

Men and women evaluated a male student who was caught by his professor cheating on a make-up test. The student either gave an external excuse, gave an internal excuse, or accepted responsibility for his action. The prediction that an internal excuse would be favored by participants with an internal locus of control and that an external excuse would be favored by participants with an external locus of control was not supported. It appeared that, because the student was caught in the act of cheating, the use of an excuse as an accounting strategy was not appropriate. The student was evaluated more favorably when he accepted responsibility than when he offered an excuse for his cheating. Harsher punishment was recommended by participants with an internal locus of control. Results were integrated with research studies testing the effectiveness of excuses in moderating the punishment recommended for people who are guilty of an antisocial or illegal act.     

North is up(hill): Route planning heuristics in real-world environments

Navigators use both external cues and internal heuristics to help them plan efficient routes through environments. In six experiments, we discover and seek the origin of a novel heuristic that causes participants to preferentially choose southern rather than northern routes during map-based route planning. Experiment 1 demonstrates that participants who are tasked to choose between two equal-length routes, one going generally north and one south, show reliable decision preferences toward the southern option. Experiment 2 demonstrates that participants produce a southern preference only when instructed to adopt egocentric rather than allocentric perspectives during route planning. In Experiments 3-5, we examined participants’ judgments of route characteristics and found that judgments of route length and preferences for upper relative to lower path options do not contribute to the southern route preference. Rather, the southern route preference appears to be a result of misperceptions of increased elevation to the north (i.e., north is up). Experiment 6 further supports this finding by demonstrating that participants provide greater time estimates for north- than for equivalent south-going routes when planning travel between U.S. cities. Results are discussed with regard to predicting wayfinding behavior, the mental simulation of action, and theories of spatial cognition and navigation.     

Purchase task sensitivity to drug and nondrug reinforcers in opioid-agonist treatment patients

The behavioral economics of substance abuse has been increasingly recognized as a method of determining the value of abused substances for individuals who use those substances. It has been hypothesized that such analyses could serve as a clinical tool and that demand functions can be targeted predictors for the level of intervention necessary. This study evaluated the sensitivity of a demand task in 2 patient groups in a medication assisted treatment program (methadone maintenance), those who had used opioids in the last 2 months and those who had not used opioids in at least 18 months. Demand for 7 drugs and a control was assessed using hypothetical purchase tasks. Participants maintaining long-term abstinence had significantly higher α (sensitivity to price) and lower Q₀ (intensity of demand) for heroin than participants who had recently used opioids. Further research is necessary to illustrate if treatment is responsible for this reduction in demand. If so, demand analyses may provide clinical utility as an aid for treatment planning or as a target for treatment.     

Self-defeating personality and strategies for coping with stress.

People who scored higher on a measure of self-defeating personality also scored low on ego-strength, showed an external locus of control, and used less adaptive coping strategies than those who scored lower. These strategies (denial, mental disengagement, alcohol and drug use) were viewed as helping to perpetuate their positions as victims.     

How can you resist? Executive control helps romantically involved individuals to stay faithful

In the present research, we examined why some people have more difficulty than others in staying faithful to their romantic partners. Three studies supported our main prediction that executive control is associated with romantically involved individuals' ability to stay faithful. Study 1 showed that participants with a higher level of executive control reported less difficulty in staying faithful to their partners than did those with lower levels of executive control. In Study 2, romantically involved male participants were placed in a waiting room together with an attractive female confederate. Results showed that participants with a higher level of executive control showed less flirting behavior with the confederate than did those with lower levels of executive control. Study 3 demonstrated that a higher level of executive control was related to a lower expressed desire to meet an attractive other, but only for romantically involved participants. Together, these studies showed that executive control helps romantically involved individuals to deal with the lure of attractive alternatives.     

Cursing as a Form of Risk-Taking

The research investigated the relationships among cursing, risk-taking (i.e., drinking, smoking, using illegal drugs, and engaging in risky sexual behavior), and personality variables that have been shown to be related to risk-taking (i.e., sensation-seeking and Big-Five personality factors). In a study with 360 participants, the results showed that for both men and women, those who took more risks in daily life also reported cursing more than others. Men and women who scored higher on disinhibition and experience-seeking reported taking more risks and cursing more than others. Men and women who scored higher in conscientiousness reported taking fewer risks and reported cursing less than others. The results of a multiple regression analyses showed that frequency of curse word usage was predicted by disinhibition and risk-taking, and cursing behavior was predicted by disinhibition, risk-taking, and emotional stability. Overall men reported taking more risks and cursing more often than women; however, in the multiple regression analyses, participant sex was not among the significant predictors. Theoretical implications and directions for future research are discussed.     

Representational Translation With Concrete Models in Organic Chemistry

In representation-rich domains such as organic chemistry, students must be facile and accurate when translating between different 2D representations, such as diagrams. We hypothesized that translating between organic chemistry diagrams would be more accurate when concrete models were used because difficult mental processes could be augmented by external actions on the models. In three studies, the task was to translate between different diagrams of molecules with or without a model. The model groups outperformed control groups, and students who received and used models outperformed those who received but did not use models. Uses of the model suggested that participants were performing external actions to support or replace difficult mental spatial processes. Spatial ability was a much weaker predictor of performance than model use. Results suggest that concrete molecular models can be an effective learning tool but some students need direct instruction to be able to take advantage of models.     

Positive Self-Statements: Power for Some, Peril for Others

ABSTRACT— Positive self-statements are widely believed to boost mood and self-esteem, yet their effectiveness has not been demonstrated. We examined the contrary prediction that positive self-statements can be ineffective or even harmful. A survey study confirmed that people often use positive self-statements and believe them to be effective. Two experiments showed that among participants with low self-esteem, those who repeated a positive self-statement ("I'm a lovable person") or who focused on how that statement was true felt worse than those who did not repeat the statement or who focused on how it was both true and not true. Among participants with high self-esteem, those who repeated the statement or focused on how it was true felt better than those who did not, but to a limited degree. Repeating positive self-statements may benefit certain people, but backfire for the very people who "need" them the most.     

Beliefs about birth control: a consistency theory analysis

201 lower income women aged 20-40 were interviewed in a large midwestern city in December 1967 and January 1968 to determine attitudes towards, beliefs about, and use of birth control. Those who approved of birth control had more positive beliefs about the consequences of birth control than those with less favorable attitudes. Users of reliable methods also held more positive attitudes about birth control consequences than nonusers or users of nonreliable methods although this relationship was weak. Strategies for improving family planning behavioral predictions are suggested as well as implications of this for family planning communication programs.     

Influence of Gun Ownership on Social Inferences About Women and Men1

In the past gun ownership was primarily a male-only phenomenon. There has been, however, an increase among American women in gun purchasing largely for purposes of self-defense. In the first study we examined the consequences of women and men owning handguns, versus not doing so, for social perception. Given that gun ownership is stereotype inconsistent for women but not for men, such a violation of expectancies was expected to have a greater impact on inferences about women than men. Subjects believed that women who owned handguns would possess masculine physical characteristics, although they were not perceived as losing feminine body attributes per se. Women who owned guns tended to be perceived as less likely to occupy female stereotypic social roles, while men who owned a weapon were perceived as more likely to do so. Men who owned a handgun were perceived as less likely to possess socially desirable male stereotypic traits, although women with a handgun gained in this respect. In the second study where a community sample was employed, the main pattern of outcomes was replicated. Affective reactions toward male and female gun owners were similar, and less positive than for persons who do not own guns. Individuals with both positive and negative attitudes toward guns displayed the same pattern of inferences based on gun ownership and target gender. These results are discussed in terms of their implications for social judgment and stereotype use.     

You Wear Me Out: The Vicarious Depletion of Self-Control

ABSTRACT— Acts of self-control may deplete an individual's self-regulatory resources. But what are the consequences of perceiving other people's use of self-control? Mentally simulating the actions of others has been found to elicit psychological effects consistent with the actual performance of those actions. Here, we consider how simulating versus merely perceiving the use of willpower can affect self-control abilities. In Study 1 , participants who simulated the perspective of a person exercising self-control exhibited less restraint over spending on consumer products than did other participants. In Study 2 , participants who took the perspective of a person using self-control exerted less willpower on an unrelated lexical generation task than did participants who took the perspective of a person who did not use self-control. Conversely, participants who merely read about another person's self-control exerted more willpower than did those who read about actions not requiring self-control. These findings suggest that the actions of other people may either deplete or boost one's own self-control, depending on whether one mentally simulates those actions or merely perceives them.     

Suicide planning among high school students who report attempting suicide

Using a nationally representative sample of 16,296 high school students, we examined those who reported attempting suicide but did not report a suicide plan in the past 12 months. Results from logistic regression analyses showed that the 15% of attempters who did not report planning were as likely to receive medical treatment after their attempt as the attempters who did report planning. They also were more likely than nonideators and less likely than attempters who reported planning to report substance use and weapon carrying. All attempters, regardless of planning, were at high risk for fighting. Additional effort is needed to understand and prevent unplanned suicide attempts.