Prevention of nonadherence to nonsteroidal anti-inflammatory medications for newly diagnosed patients with juvenile rheumatoid arthritis.

Adherence to medications for chronic pediatric diseases decreases overtime. This randomized controlled trial evaluated a clinic-based, nurse-administered educational and behavioral intervention to prevent the anticipated drop in adherence to nonsteroidal medications among newly diagnosed patients with juvenile rheumatoid arthritis. Thirty-four participants completed the study (mean age = 8.44 years, SD = 3.96), including 19 in the experimental group and 15 in the standard-treatment (education) control group. There were significant group and Group x Time effects for adherence (assessed with an electronic monitor over a 13-month period) favoring the experimental group. In contrast, the groups did not differ significantly in disease activity or functional limitations. Factors that may have prevented detection of differences in these health parameters are dicussed.     

Electroencephalogram asymmetry during emotionally evocative films and its relation to positive and negative affectivity

The purpose of the present study was to determine if there were differences in hemispheric lateralization during the experience of emotions and if those differences were related to personality style. College-age adult subjects selected for high positive and negative affectivity on Tellegen's Multidimensional Personality Questionnaire (MPQ; Tellegen, 1982) viewed video stimuli selected for their emotionally evocative nature and rated the intensity of the emotions they experienced. The ongoing electroencephalogram (EEG) was recorded while they watched the video clips. Analyses of the EEG data revealed that there were differences in regional activation during the emotional video clips, especially for those stimuli selected to elicit either happy or disgust emotions. These results support the hypothesis that the right hemisphere is specialized for the experience of certain negative affects, whereas the left hemisphere is specialized for the experience of certain positive affects. The findings also indicated some support for the theory that individual differences in personality style are related to differing levels of hemispheric arousal.     

Supportive and problematic social interactions: A social network analysis

Assessed the number of sources of supportive and problematic social interactions in the total social network as well as the number who were the sources of consistently supportive or problematic interactions in a sample of 2nd year medical students. Number of problematic interaction sources was hypothesized to be more predictive of psychological and physical well-being than number of supportive interaction sources. Results showed that total supportive and total problematic interaction sources were equally predictive of life satisfaction. The presence of at least one individual who is a consistent source of problematic interactions was most predictive of lower life satisfaction. Results indicate the importance of studying both supportive and problematic social interactions. They also suggest that interactions with individuals that are consistently problematic may negatively impact upon well-being.     

The Role of Sympathy and Altruistic Personality Traits in Helping: A Reexamination

The purposes of this study were (a) to examine the role of social evaluative concerns in the self-report of sympathy and in the relation of sympathy to helping; and (b) to determine the role of "altruistic personality" traits and situationally induced vicarious emotional responses in the intention to help. Dispositional and situational self-reports of sympathy and other vicarious emotional reactions were obtained for persons who also were given the opportunity to assist a needy other. Moreover, dispositional measures of concern with social evaluation and an altruistic orientation were obtained, and a bogus pipeline manipulation was instituted for half the study participants. Both dispositional and situational self-reported sympathy were positively related to helping, as were other personality indices viewed as reflecting altruistic characteristics. The relations for the dispositional indices of sympathy were not due solely to social evaluative concerns or to other egoistic concerns. The effects on intended helping of dispositional sympathy, perspective taking, and the tendency to ascribe responsibility for others to the self appeared to be both direct and mediated by situational sympathetic responding. Finally, situational sadness did not mediate the effects of sympathetic responsiveness.     

The Attitudes Toward Women Scale for Adolescents (AWSA): A study of reliability and validity

This study describes the development of the Attitudes Toward Women Scale for Adolescents (AWSA), an instrument based on the short form of the Spence-Helmreich Attitudes Toward Women Scale (AWS). The AWSA has been tested in four samples of adolescents. Internal consistency estimates and test-retest stability indicated high reliability. Hypotheses formulated to test the construct validity of the scale were largely supported. AWSA permits the examination of how boys' and girls' attitudes toward women influence the life paths that adolescent girls begin to pursue.This research was supported by grants to A. Petersen from the Spencer Foundation, the National Institute of Mental health (MH 30252/38142), and the Judith Baskin Offer Fund.     

Primary-school stutterers: Have attitudes changed?

How concerned are primary-school-aged stuttering children about their communication problem? What are the clinical implications of this concern?Fifteen years ago, Silverman (1970) suggested that primary-school-aged children who stuttered were not concerned about their disfluencies. A clinical implication of that report was that the interpreted lack of concern might negatively affect the children's motivation and desire for change in therapy. Scant research exists to support or refute this implication. While research is available on reactions to stuttering, pretherapeutic attitudes—especially those of children—have not been systematically reported. Guitar (1976) measured the pre-treatment attitudes of 38 adult stutterers and reported that, “those stutterers with more negative attitudes measured just prior to treatment, were most likely to have high levels of stuttering a year later, even though all subjects left therapy entirely fluent.” In related areas, research by Kolb, Winter, and Berlen (1968), McFall (1970), and McFall and Hammen (1971) has indicated that clients who are more motivated do better in behavior modification programs.Whether or not these findings may be generalized to children, in the midst of a developmental process, is purely speculative.