Death Attitudes,Palliative Care Self-efficacy,and Attitudes Toward Care of the Dying Among Hospice Nurses

Journal of Clinical Psychology in Medical Settings - Previous research has linked death attitudes, palliative care self-efficacy, and attitudes toward care of the dying among nursing students and...     

Assessment of mothers' concerns about infants,toddlers, and preschoolers

Only recently has determining the child-rearing concerns of parents been considered an important research objective. Existing efforts have, for the most part, either employed small sample sizes or surveyed parents already in the process of seeking help or advice. It was, therefore, felt that additional, more representative data were needed. In the present study, 583 mothers with children aged 59 months or younger were surveyed regarding their concerns about their children's development. On the „Specific Needs Assessment Report”︁ (SNAR) (copyright © 1975, by Karl F. Riem, J. Jeffrey Crisco, and Kathy Willms), mothers rated their concerns for 60 developmental-behavioral items about their children's health, attending skills, problem behaviors, communication skills, motor skills, cognitive skills, self-help skills, and social skills. Mothers were most frequently concerned to a moderate or major degree about at least one item of the problem behavior category. For this category, parent-child management, crying-whining, and temper tantrums were the individual items of greatest concern. Mothers of girls more frequently indicated health concerns than mothers of boys. These results support those of previous investigations, which suggested the need for parent education programs to help parents manage their children.     

The breathing bear with preterm infants: Effects on sleep,respiration, and affect

This study investigated the sleep/wake states, respiration, and affective behaviors of premature infants who were provided à “breathing” bear in the isolette from 33 to 35 weeks conceptional age (CA). The Breathing Bear is à source of rhythmic stimulation that is optional for the infants. Its “breathing” reflects the breathing rate of the individual infant. At 33 weeks CA, 27 premature infants were provided à Breathing Bear (BrBr) and 26 were given à Non-Breathing Bear (N-BrBr). At 35 weeks, interfeed observations for an average of 1.7 hours were made of the babies' states and state-specific behaviors, along with respiration recordings. By 35 weeks, the BrBr babies showed less wakefulness, more quiet sleep, fewer startles in quiet sleep, and less crying than the N-BrBr babies. In addition, they were more likely to smile and N-BrBr babies were more likely to grimace in active sleep. These findings replicate and extend previous reports of effects of the Breathing Bear on neurobehavioral organization. They also suggest that less negative affect is expressed by the BrBr babies; and they point to the importance of future study of preterm infants' affective expressions, both in sleep and in waking.     

Hippocampal damage and exploratory preferences in rats: memory for objects, places, and contexts

Rats have a natural tendency to spend more time exploring novel objects than familiar objects, and this preference can be used as an index of object recognition. Rats also show an exploratory preference for objects in locations where they have not previously encountered objects (an index of place memory) and for familiar objects in contexts different from those in which the objects were originally encountered (an index of context memory). In this experiment, rats with cytotoxic lesions of the hippocampal formation were tested on all three versions of the novelty-preference paradigm, with a 5-min retention interval between the familiarization and test phases. Rats with sham lesions displayed a novelty preference on all three trial types, whereas the rats with hippocampal lesions displayed a novelty preference on Object trials but did not discriminate between the objects on Place trials or Context trials. The findings indicate that hippocampal damage impairs memory for contextual or spatial aspects of an experience, whereas memory for objects that were part of the same experience are left relatively intact.     

Infants' and adults' use of duration and intensity cues in the segmentation of tone patterns

Adults and 8-month-olds were presented with sequences in which every third complex tone was either longer or more intense. Segmentation was measured by comparing the detection of silent gaps inserted into three possible locations in each pattern: Silent gaps inserted at perceived segmentation boundaries are harder to detect than gaps within perceived phrases or groups. A go/no-go conditioned head-turn (hand-raising for adults) procedure was used. In Experiment 1, detection was worse for the gaps following the longer complex tones than for the gaps at the other locations, suggesting that the longer tones marked the ends of perceived groups for both infants and adults. Experiment 2 showed that an increase in intensity did not result in any systematic grouping at either age.     

Psychosocial Treatment Strategies in the MTA Study: Rationale, Methods, and Critical Issues in Design and Implementation

The Collaborative Multimodal Treatment Study of Children with Attention Deficit Hyperactivity Disorder (ADHD), the MTA, is the first multisite, cooperative agreement treatment study of children, and the largest psychiatric/psychological treatment trial ever conducted by the National Institute of Mental Health. It examines the effectiveness of Medication vs. Psychosocial treatment vs. their combination for treatment of ADHD and compares these experimental arms to each other and to routine community care. In a parallel group design, 579 (male and female) ADHD children, aged 7–9 years, 11 months, were randomly assigned to one of the four experimental arms, and then received 14 months of prescribed treatment (or community care) with periodic reassessments. After delineating the theoretical and empirical rationales for Psychosocial treatment of ADHD, we describe the MTA's Psychosocial Treatment strategy applied to all children in two of the four experimental arms (Psychosocial treatment alone; Combined treatment). Psychosocial treatment consisted of three major components: a Parent Training component, a two-part School Intervention component, and a child treatment component anchored in an intensive Summer Treatment Program. Components were selected based on evidence of treatment efficacy and because they address comprehensive symptom targets, settings, comorbidities, and functional domains. We delineate key conceptual and logistical issues faced by clinical researchers in design and implementation of Psychosocial research with examples of how these issues were addressed in the MTA study.Deceased     

Parenting and Family Stress Treatment Outcomes in Attention Deficit Hyperactivity Disorder (ADHD): An Empirical Analysis in the MTA Study

Parenting and family stress treatment outcomes in the MTA study were examined. Male and female (579), 7–9-year-old children with combined type Attention Deficit Hyperactivity Disorder (ADHD), were recruited at six sites around the United States and Canada, and randomly assigned to one of four groups: intensive, multi-faceted behavior therapy program alone (Beh); carefully titrated and monitored medication management strategy alone (MedMgt); a well-integrated combination of the two (Comb); or a community comparison group (CC). Treatment occurred over 14 months, and assessments were taken at baseline, 3, 9, and 14 months. Parenting behavior and family stress were assessed using parent-report and child-report inventories. Results showed that Beh alone, MedMgt alone, and Comb produced significantly greater decreases in a parent-rated measure of negative parenting, Negative/Ineffective Discipline, than did standard community treatment. The three MTA treatments did not differ significantly from each other on this domain. No differences were noted among the four groups on positive parenting or on family stress variables. Results are discussed in terms of the theoretical and empirically documented importance of negative parenting in the symptoms, comorbidities and long-term outcomes of ADHD.     

Magnitude estimation of manually assessed elastic stiffness: stability of the exponent

Magnitude estimations were obtained for manual assessments of pure elastic stiffness stimuli (metal springs). 20 subjects of varied experience in manual assessment of spinal stiffness volunteered to participate. The mean exponent of the power function relating perceived magnitude of elastic stiffness to measured physical magnitude was 1.65. Exponents varied across the 20 individuals but were stable across testing sessions held at least 2 weeks apart, and the size of the exponent was not related to prior experience.