sleep complaints,behavioral characteristics and vital exhaustion in myocardial infarction cases

Abstract

Prodromal symptoms of vital exhaustion and sleep complaints are increasingly being recognized as important risk indicators for myocardial infarction (MI). In this study, the relationships between vital exhaustion, behavioral characteristics, and MI, and between several sleep complaints and MI were investigated. The subjects were 133 male cases with first MI, 192 male hospital controls, and 133 male neighborhood controls. The instruments used were the Maastricht Questionnaire (vital exhaustion), the Life Styles Questionnaire (sleep complaints, coffee consumption, and current smoking), and the Structured Interview (Type A behavior). All sleep complaints, vital exhaustion, Type A behavior, excessive coffee consumption, and current smoking occurred significantly more often in MI-cases. After controlling for these potential confounders, and age, most sleep complaints retained significant associations with MI, in particular often taking naps during the day and waking up in the morning feeling tired and exhausted.     

Coping with dental treatment correlates of dispositional and domain specific monitoring and blunting

Abstract

Relations between coping style and several variables on an intermediary level were studied in a group of dentally anxious patients (N = 68) awaiting dental treatment. Monitoring was found to be positively related to the need of information: General dispositional monitoring was the best predictor of the need of information in case of more distant threat, whereas domain specific monitoring was the best predictor in case of imminent threat. Furthermore. dental trait anxiety was strongly related to early anticipatory tension, degree of anticipatory tension at several moments in time, and tension during treatment as perceived by the dentist, thereby overshadowing the weaker effects of coping style. Domain specific blunting was negatively related to desires for informational adaptations in the waiting room, and to question proneness as perceived by the dentist during treatment. It is concluded that, in order to study further effects of coping style, a sample homogeneous with respect to domain specific anxiety is needed.     

Holistic face processing can be independent of gaze behaviour: Evidence from the composite face illusion

People tend to perceive identical top halves (i.e. above the nose) of two face stimuli as being different when they are aligned with distinct bottom halves. This composite face illusion is generally considered as the most compelling evidence that facial features are integrated into a holistic representation. Here, we recorded eye‐movements during the composite face illusion in a delayed matching task of top halves of faces. Behavioural results showed a strong composite face effect, participants making more mistakes and taking longer time to match two identical top halves of faces when they were aligned (vs. misaligned) with different bottom halves. Importantly, fixation sites and eye‐movements were virtually identical when the top and bottom parts were aligned (composite illusion) or misaligned (no illusion), indicating that holistic face processing can be independent of gaze behaviour. These findings reinforce the view that holistic representations of individual faces can be extracted early on from information at a relatively coarse scale, independently of overt attention.     

The advice of the wise

The demand for happiness advice is vast and many different thinkers have offered their views. This special issue presents a cross section of happiness counseling through the ages and considers the advice by classic Chinese philosophers, Epicurus, Schopenhauer, as well as contemporary New Age thinkers and self-help authors. The papers follow three leading questions: 1) What is recommended for leading a happy life? 2) How does this advice fit in the worldview of the author and into a social, cultural and historical context? 3) Are the recommendations in line with what is known about the conditions of happiness? There are common themes in advice for a happy life but also much contradiction, and some honoured philosophers offer advice that can harm happiness if it is taken to heart by present day readers.     

Status protection in high status minority groups

The present study investigated the conditions under which group members try to obtain membership in another group, or are motivated to protect their group membership when they risk losing it. One hundred and twenty-nine high school students participated as subjects in a laboratory experiment. Subjects were divided into two groups, allegedly on the basis of their problem solving style. The relative size (minority/majority) and status position (high/low) of the subject's group, as well as the permeability of group boundaries (permeable/impermeable) were manipulated as independent variables in a 2×2×2 factorial design. The main dependent variables were the extent to which individuals valued their group membership, and identified with their group. The main results are that membership in a group with high status is considered more attractive than membership in a low status group, This differential evaluation of high and low status groups is more extreme in minority groups than in groups of majority size. Furthermore, when group boundaries are permeable, members of high status minorities show relatively strong ingroup identification, indicating a strengthening of ties with their own group when an alternative (majority) group affiliation is possible. However, our expectation that permeable group boundaries would result in diminished ingroup identification in low status minorities was not confirmed. Some additional data suggest that unsatisfactory membership in a low status group is resolved in a different way.     

Randomized Controlled Trial Testing the Effectiveness of a Depression Prevention Program (‘Op Volle Kracht’) Among Adolescent Girls with Elevated Depressive Symptoms

Depression rates rise dramatically from the early to late adolescence. Especially young adolescent girls with elevated depressive symptoms are at high risk for developing a depression during adolescence or adulthood. Therefore, the prevention of depression is important especially in this high-risk group. The aim of the present study was to examine the effectiveness of the Cognitive Behavioral Therapy (CBT) component of the depression prevention program ‘Op Volle Kracht’ (OVK) among Dutch adolescent girls with elevated depressive symptoms. In total, 102 adolescent girls (11–15 years) in the first and second year of secondary school participated in this study. The girls in the experimental group (n?=?50) followed the eight CBT-lessons of OVK and reported depressive symptoms 1 week prior to the start of the lessons, after every lesson, at one-month and 6-months follow-up. The girls in the control group (n?=?52) exclusively reported depressive symptoms at the same time points. Latent Growth Curve Modeling showed that the decrease in depressive symptoms was significantly larger for girls in the experimental group compared to the girls in the control group. Furthermore, it was found that at 6-months follow-up, the girls in the experimental group had significantly lower levels of depressive symptoms compared to the girls in the control group. These findings indicate that the CBT-component of OVK effectively reduces depressive symptoms in short term and possibly prevents the development of a clinical depression.     

Timing of schema activation and memory: Inhibited access to inconsistent information

In the present experiment, recognition of consistent and inconsistent information was measured as a function of time of schema activation. A schema was either activated before or after encoding, or not at all. Schema activation after encoding reduced recognition of inconsistent information while schema activation before encoding enhanced it (in comparison to the no schema control condition). Recognition of consistent information appeared to be unaffected by time of schema activation. It is argued that an a posteriori activated schema inhibits access to inconsistent information. In the Discussion a tentative theoretical explanation is provided.     

Using the common-sense model to predict risk perception and disease-related worry in individuals at increased risk for venous thrombosis.

OBJECTIVE: This study applied the Common-Sense Model (CSM) to predict risk perception and disease-related worry in 174 individuals with a genetic predisposition to venous thrombosis (thrombophilia). DESIGN: Participants completed an adapted version of the Illness Perception Questionnaire-Revised (IPQ-R) and measures assessing risk perception and worry. RESULTS: Regression analyses revealed that illness perceptions were predictors of risk perception and thrombosis worry. The hypothesis that illness perceptions mediate the relationship between a person's experience of venous thrombosis and perceived risk and thrombosis worry could not be confirmed. CONCLUSIONS: Further research should refine the IPQ-R for populations at risk of a disease and examine the value of the CSM in explaining the relationship between risk perception, worry, and health behavior.     

Bi-directional relations between anti-smoking parenting practices and adolescent smoking in a Dutch sample.

OBJECTIVE: Parenting is generally regarded a determinant of adolescent behavior, whereas the reverse is seldom considered. Reported effects of anti-smoking parenting practices on adolescent smoking are inconsistent. Cross-sectional results may have been misinterpreted and child effects have been overlooked. The main goal of this study was to explain previous inconsistent effects of anti-smoking parenting practices, by examining bi-directional relations between parenting and adolescent smoking. DESIGN AND MAIN OUTCOME MEASURES: Bi-directional relations were studied using a cross-lagged model where anti-smoking house rules, communication about smoking, and adolescent smoking were assessed at three subsequent years. RESULTS: The most prominent finding was that adolescent smoking behavior was a stronger predictor of parenting than vice versa. Anti-smoking house rules decreased as a result of adolescent smoking behavior, while communication increased. The reduction in house rules was more pronounced if parents smoked, while the increase in communication was greater for non-smoking parents. Results were independent of adolescent sex. CONCLUSION: Further research is needed to establish which aspects of parenting can be effective in deterring adolescent smoking. This study emphasizes the need for caution in interpreting cross-sectional research findings relating parenting to adolescent smoking.