Clinical events in coronary patients who report low distress: adverse effect of repressive coping

OBJECTIVE: Coronary artery disease (CAD) patients who report low distress are considered to be at low psychological risk for clinical events. However, patients with a repressive coping style may fail to detect and report signals of emotional distress. The authors hypothesized that repressive CAD patients are at risk for clinical events, despite low self-rated distress. DESIGN: This was a prospective 5- to 10-year follow-up study, with a mean follow-up of 6.6 years. At baseline, 731 CAD patients filled out Trait-Anxiety (distress), Marlowe-Crowne (defensiveness), and Type D scales; 159 patients were classified as "repressive," 360 as "nonrepressive," and 212 as "Type D." MAIN OUTCOME MEASURES: The primary endpoint was a composite of total mortality or myocardial infarction (MI); the secondary endpoint was cardiac mortality/MI. RESULTS: No patients were lost to follow-up; 91 patients had a clinical event (including 35 cardiac death and 32 MI). Repressive patients reported low levels of anxiety, anger and depression at baseline, but were at increased risk for death/MI (21/159 = 13%) compared with nonrepressive patients (22/360 = 6%), p = .009. Poor systolic function, poor exercise tolerance, 3-vessel disease, index MI and Type-D personality--but not depression, anxiety or anger--also independently predicted clinical events. After controlling for these variables, repressive patients still had a twofold increased risk of death/MI, OR = 2.17, 95% CI = 1.10-4.08, p = .025). These findings were replicated for cardiac mortality/MI. CONCLUSION: CAD patients who use a repressive coping style are at increased risk for clinical events, despite their claims of low emotional distress. This phenomenon may cause an underestimation of the effect of stress on the heart. (PsycINFO Database Record (c) 2008 APA, all rights reserved).     

Reevaluating the potency of the memory conformity effect

Witnesses sometimes report event details that are acquired solely from another witness. We reevaluated the potency of this memory conformity effect. After viewing a crime video, some participants learned about nonwitnessed details via discussion (dyad group), reading another participant’s report (read group), or watching another version of the video (both-video group). In Experiment 1, these participants often reported nonwitnessed details, but on a source-judgment test most details were attributed primarily to the actual source rather than to the video. In addition, the dyad group was not more likely than the read or both-video groups to report nonwitnessed details. Participants in Experiment 2 were explicitly discouraged from providing details that were remembered from the secondary source only. These postwarning instructions substantially reduced the memory conformity effect, and a dyad group was not more likely than a read group to report nonwitnessed details. Encouraging source monitoring at test can reduce the negative consequences of co-witness collaboration.     

The development of hand preference in children: The effect of task demands and links with manual dexterity

Lateralisation of hand preference and manual dexterity are known to develop over childhood, while in adulthood strength of hand preference has been shown to interact with extrinsic task demands. Some evidence exists to suggest that strength of hand preference and motor skill may be related. In the current study a handedness inventory, midline crossing (QHP) and peg-moving tasks were used to investigate: (1) the development of hand preference between 4 and 11 years; (2) whether extrinsic task demands affect strength of hand preference, and (3) whether strength of hand preference was associated with manual dexterity. Younger children (4–5 years) showed weak hand preference in comparison to older children (8–11 years), and extrinsic task demands influenced willingness to cross the body’s midline with the preferred hand. Age and peg-moving speed were associated with midline crossing in certain task conditions. Overall, results suggest a coupling between manual dexterity and brain maturation in typical development.     

Introspection &; remembering

We argue that episodic remembering, understood as the ability to re-experience past events, requires a particular kind of introspective ability and understanding. It requires the understanding that first person experiences can represent actual events. In this respect it differs from the understanding required by the traditional false belief test for children, where a third person attribution (to others or self) of a behavior governing representation is sufficient. The understanding of first person experiences as representations is also required for problem solving with images. In support of this argument we review developmental evidence that children’s episodic remembering is independent of and emerges after mastery of the false belief task but emerges together with the use of imagery for solving visual rotation tasks.     

Incidental learning of S-R contingencies in the masked prime task

Subliminal motor priming effects in the masked prime paradigm can only be obtained when primes are part of the task set. In 2 experiments, the authors investigated whether the relevant task set feature needs to be explicitly instructed or could be extracted automatically in an incidental learning paradigm. Primes and targets were symmetrical arrows, with target color, not shape, the response-relevant feature. Shape and color covaried for targets (e.g., <> always blue, >< always green), whereas primes were always black. Over time, a negative compatibility effect (NCE; response benefits when prime and target had different shapes) developed, indicating that primes affected the motor system. When target shape and color varied independently (control condition), no NCE occurred, in line with the assumption that the NCE reflects task set-dependent motor processes, not perceptual interactions.     

Psychiatric and behavioral disorders in persons with Down syndrome

Similar to the state of the broader intellectual disabilities field, many gaps exist in the research and treatment of mental health concerns in people with Down syndrome. This review summarizes key findings on the type and prevalence of behavior and emotional problems in children, adolescents, and adults with Down syndrome. Such findings include relatively low rates of severe problems in children, and well-documented risks of depression and Alzheimer's disease in older adults. The review also considers emerging data on autism, and the paucity of studies on adolescents. Three next steps for research are highlighted, including a need to: (1) connect research on psychiatric status and diagnoses across developmental periods, including adolescence, and to examine such associated processes as sociability, anxiety and attention; (2) unravel complicated biopsycho-social risk and protective factors that serve to increase or diminish psychopathology; and (3) identify evidence-based treatments that both reduce distressful symptoms and enhance well-being in individuals with Down syndrome.     

Contribution de l'apprentissage précoce d'une deuxième langue au développement de la conscience linguistique et à l'apprentissage de la lecture

The present study aims to validate the effects of second language learning on children's linguistic awareness. More particularly, we examine whether bilingual background improves the ability to manipulate morpho‐syntactic structure. We postulate that children who received a precocious learning of two languages (French‐German) may develop enhanced awareness and control of syntactic structure since they need an appropriate syntactic repertoire in each language. In return, these children will gain access to the written language with more ease. Our results show an advantage for the children who attended bilingual classes since kindergarten: they were better at grammatical judgement and correction tasks and word recognition.     

Changes in Multidigit Synergies and Their Feed-Forward Adjustments in Multiple Sclerosis

The authors explored the changes in multidigit synergies in patients with multiple sclerosis (MS) within the framework of the uncontrolled manifold hypothesis. The specific hypotheses were that both synergy indices and anticipatory synergy adjustments prior to the initiation of a self-paced quick action would be diminished in the patients compared to age-matched controls. The MS patients and age-matched controls (n = 13 in both groups) performed one-finger and multifinger force production tasks involving both accurate steady-state force production and quick force pulses. The patients showed significantly lower maximal finger forces and a tendency toward slower force pulses. Enslaving was increased in MS, but only in the lateral fingers (index and little). Indices of multifinger synergies during steady-state force production were lower in MS, mainly due to the lower amount of intertrial variance that did not affect total force. Anticipatory synergy adjustments were significantly delayed in MS. The results show that MS leads to significant changes in multidigit synergies and feed-forward adjustments of the synergies prior to a quick action. The authors discuss possible contributions of subcortical structures to the impaired synergic control.     

Why metaphors make good insults: perspectives,presupposition, and pragmatics

Metaphors are powerful communicative tools because they produce ‘framing effects’. These effects are especially palpable when the metaphor is an insult that denigrates the hearer or someone he cares about. In such cases, just comprehending the metaphor produces a kind of ‘complicity’ that cannot easily be undone by denying the speaker’s claim. Several theorists have taken this to show that metaphors are engaged in a different line of work from ordinary communication. Against this, I argue that metaphorical insults are rhetorically powerful because they combine perspectives, presupposition, and pragmatics in the service of speech acts with assertoric force.