Effects of Social Demand on Reports of Self-Monitored Blood Glucose in Adolescents with Type 1 Diabetes Mellitus

The purpose of this study was to test the hypothesis that social demand could substantially affect reports of self-monitored blood glucose (BG) in adolescents with insulin-dependent diabetes mellitus. Of 34 patients initially enrolled in the study, 10 were excluded because they did not bring any BG records with them to an outpatient clinic appointment. The remaining 24 patients were randomly assigned to either a low or high social demand condition that provided instructions for monitoring of BG for the week following the appointment. The subjects' BG records were quantified to provide frequency of measurement and mean reported BG for the week prior to and after the clinic visit. Five subjects did not return their BG records for the week following the intervention. The analyses were therefore based on the 19 subjects from whom complete records were obtained. The 12 subjects in the low social demand group and 7 subjects in the high social demand group were equivalent with regard to age, duration of diabetes, socioeconomic status, and glycosylated hemoglobin. Frequency of BG measurement was similar in both groups during both weeks. The mean BG value reported in the week prior to intervention was similar for the groups. However, analyses of the post-intervention BGs revealed that subjects in the low-demand group reported significantly higher BGs compared to pre-intervention and to subjects in the high-demand group. These findings suggest that self-monitoring and reporting of BG is a social behavior that is affected by the demand characteristics of the interpersonal patient-health provider relationship. Because optimal treatment planning for individuals with diabetes requires accurate BG records, care must be taken to interpret them in light of the social demand characteristics associated with clinical assessment.     

Spatial coding in the processing of anaphor by good and poor readers: Evidence from eye movement analyses

An experiment that examined the way in which young readers deployed eye movements while reading sentences and while answering questions containing either a pronominal or noun anaphor is reported. To evaluate the possible causal role played by differences in inspection strategies between readers of above- and below-average reading skill, a third“age control” group of younger children was also tested. This group was matched on absolute reading ability with the less skilled group of older children, and on relative reading ability (i.e. reading quotient) with the more skilled group. Differences in inspection strategy were apparent between the groups of good and poor readers. Good readers launched more selective reinspections, whereas the poorer readers were more inclined to engage in“backtracking” and appeared to make less use of the displayed text. In every case there was a marked similarity in the behaviour of the good readers and the“age controls”. These results suggest that the ability to code the spatial location of words in a sentence, and, where necessary, to use this information to launch accurately targetted selective reinspections of previously read text, plays a crucial role in the development of skilled reading performance.     

Association between anxiety and depression in children and adolescents with anxiety disorders

The relationship between anxiety and depression was examined in a sample of 106 children and adolescents referred to an outpatient anxiety disorder clinic for children. Twenty-eight percent of patients with DSM-III diagnoses of anxiety disorders displayed a concurrent major depression. Children with anxiety disorders plus major depression were found (1) to be older, (2) to demonstrate more severe anxiety symptomatology, and (3) to be diagnosed with different rates of certain anxiety-disorder subtypes, when compared to anxious patients without major depression. Nondepressed anxious children and adolescents did not differ from a psychopathological control group in severity of either anxiety or depression symptoms.     

Mothers' & fathers' explanations of observed interactions with their children

Mothers and fathers were asked via an open-ended interview technique to explain specific interactions with their children that had been noted during a period of family observation in the home. Explanations were obtained for behavior in five interactional contexts (e.g., interactions involving discipline and interactions encouraging the child to be independent). The explanations were classified first to determine the extent to which they referred to what might have been actual thoughts at the time of the behavior. Second, they were content analysed to determine how much parents perceived themselves as responding to the child, versus how much they presented their behavior as arising from their own dispositions, purposes, and experiences. Results showed that most of the explanations did not contain what could be considered conscious cognitions at the time of the behavior. This suggests parents might have been responding automitically in the situation. Also, parents did not perceive their behavior as being mainly in response to the child. Instead they primarily saw themselves as the agents of their own actions. The latter trend varied in degree according to the interactional context. Mothers seemed more child centered in their explanations than fathers. Implications are examined for future research on links between parental cognition and behavior, and for the methods adopted to study parental cognitions. Questions are raised about the extent to which parents planfully determine their behavior and the extent to which they are aware of the reasons for their behavior.     

The ratio principle holds over a million-to-one range of illumination

Infant sensitivity to kinetic information specifying three-dimensional object shape was assessed using computer-generated random-dot displays. Four-month-old infants were habituated to displays of an object oscillating about two different axes on alternating trials. Following habituation, the infants were tested for recovery from habituation to a display of the same object and a novel object. Both test displays employed a new axis of rotation. The infants generalized habituation to the same object and increased their looking to the new object. These results provide evidence that infants are sensitive to motion-carried information specifying three-dimensional object shape, since the random-dot displays minimized static information that differentiated the two objects. These findings suggest that, at least by 4 months of age, infants can detect subtle differences in shape from purely kinetic information.     

Relationship between affect and memory: motivation-based selective generation.

Two experiments examined the influence of anger and retaliatory motivation on memory for negative material. In the 1st study, 60 male undergraduates memorized words with positive, negative, and neutral semantic connotations. It was found that angered men who expected to retaliate against their provocateur recalled more negative words than other words, and more than Ss in all other affect and evaluation conditions. Angered men in the nonretaliation condition displayed no differences in negative word recall. The 2nd experiment investigated memory for details of a provoking experience. Angered men who expected to retaliate more accurately recalled the details of their provocation, but whether they were given the retaliation information before or after provocation had no bearing on memory for these details. Results are discussed in terms of a motivation-based selective generation hypothesis for the relationship between anger and memory.     

Hillel's maxim: Framework for psychological health

Mental health practitioners continually struggle to find a simple framework for describing the characteristics of the psychologically healthy individual. Hillel's often quoted saying provides relevant insight into the healthy personality and a convenient framework against which to examine psychological health.     

Patterns of coping with cancer.

We identified five patterns of coping in a sample of 603 cancer patients: "seeking or using social support," "focusing on the positive," "distancing," "cognitive escape-avoidance," and "behavioral escape-avoidance." Relationships of these coping patterns to sociodemographic characteristics, medical factors, stress appraisals, psychotherapeutic experience, and emotional distress were tested using correlational and regression techniques. Type of cancer, time since diagnosis, and whether a person was currently in treatment had few or no relationships to coping. The specific cancer-related problem (e.g., pain, fear of future) was also not associated with how individuals coped. Perceptions of its stressfulness, however, were related to significantly more coping through social support and more of both forms of escape-avoidance. Coping through social support, focusing on the positive, and distancing was associated with less emotional distress, whereas using cognitive and behavioral escape-avoidance was associated with more emotional distress. Implications of the results for understanding coping processes and intervention with cancer patients are discussed.