Measuring adjustment to chronic skin disorders: validation of a self-report measure

This article describes the development of a questionnaire that assesses problems in adapting to chronic skin disorders, the Adjustment to Chronic Skin Diseases Questionnaire. Patients (N = 442) with different skin disorders completed the original item pool. Principal-components analysis suggested a 6-factor solution that was largely replicated with 2 additional samples of 192 patients with psoriasis or atopic dermatitis and 165 patients with atopic dermatitis. Four of the subscales showed very good internal consistencies, retest reliabilities, and sufficient correlations with expert ratings: Social Anxiety/Avoidance, Itch-Scratch Cycle, Helplessness, and Anxious-Depressive Mood. Two short additional subscales, Impact on Quality of Life and Deficit in Active Coping, showed moderate internal consistencies, but good retest reliabilities. Correlations of the subscales with measures of depression, anxiety, and coping, and meaningful differences between dermatological subgroups support their construct validity. A treatment study showed that changes in some of the subscales correlated with changes in the severity of the skin condition.     

Discrete and cyclical movements: unified dynamics or separate control?

In the literature on motor control, three theoretical perspectives on the relation between discrete and cyclical movements may be discerned: (a) cyclical movements are concatenated discrete movements; (b) discrete movements are a limiting case of cyclical movements, and (c) discrete and cyclical movements are motor primitives that may be combined but are irreducible to each other. To examine the tenability of these perspectives, 16 participants performed cyclical and discrete (flexion and extension) reaching movements of various amplitudes to differently sized targets. The kinematic properties of the recorded movements were analyzed and compared in detail. The cyclical, ongoing movements differed markedly from the discrete movements as well as from the first and last half-cycles of a bout of cyclical movements, especially in terms of their symmetry ratio. These effects were largely independent of amplitude, target size and movement direction (flexion-extension). The results obtained ruled out perspective (a) and, in principle, left open perspectives (b) and (c). However, the observed kinematic features were not readily accounted for by the specific dynamical models that have been proposed under perspectives (b) and (c). Future modeling attempts should explicate the dynamics of initiation and abortion of both discrete and cyclical movements.     

Heart-beat perception, panic/somatic symptoms and anxiety sensitivity in children

There is considerable evidence implicating heart-beat perception (HBP) accuracy and anxiety sensitivity (AS) in the development of panic in adults. However, to date there have been no studies exploring the association between HBP, AS and childhood panic/somatic symptoms. Seventy-nine children aged 8 to 11 years completed a mental tracking paradigm (Psychophysiology 18 (1981) 483) to assess HBP, the Children's Anxiety Sensitivity Index (J Clin Chil Psychol 20 (1991) 162) and the Screen for Childhood Anxiety Related Emotional Disorders (J Am Acad Child Adoles Psych 38 (1999) 1230). Those with good HBP (n = 7, 9%) had significantly higher panic/somatic symptoms (t = -1.71, P < 0.05), and AS (t = -2.16, P < 0.02) than those with poor HBP. There were no effects of age, sex or BMI on HBP. Those with high levels of panic/somatic symptoms were seven times more likely to have good HBP and had AS scores 1 S.D. higher than the remainder of the sample. Multivariate analyses revealed that these two phenotypes had independent associations with high panic/somatic symptoms. These results extend the literature on HBP and panic and suggest that in children, as in adults, increased panic/somatic symptoms are associated with enhanced ability to perceive internal physiological cues, and fear of such sensations.     

Attitudes Toward Affirmative Action as a Function of Racial Identity Among African American College Students

Variations in support for affirmative action were assessed in a sample of 181 African American college students in Massachusetts. These students generally endorsed affirmative action, and endorsement varied positively as a function of the belief that one had personally benefited from affirmative action. Aspects of racial identity, indexed by the Multidimensional Inventory of Black Identity, also predicted variations in attitudes toward affirmative action, over and above background factors and personal benefit. Consistent with realistic group conflict theory, the most influential aspects of identity were centrality (i.e., the degree to which group identity is central to personal identity), private regard (i.e., pride in the group), and an oppressed minority ideology (i.e., a viewpoint that emphasizes the similarities between African Americans and other oppressed groups).     

Car use of young adults: The role of travel socialization

This study evaluates how different aspects of travel socialization during childhood and adolescence contribute to the explanation of travel mode choice in young adulthood. In an online survey with 2612 students who had access to a car three different socialization aspects were measured retrospectively: communication with parents about the environmental impact of travel mode choice at the participants’ age of 15, the symbolic-affective importance of driving and acquisition of a driver’s license at the age of 18, and finally multi-mobility in the peer group at the age of 18. It was expected that socialization constructs would have a direct effect on social and personal norm as wells as on car use habit and an indirect effect on car use, mediated by norms, habit and intention. Structural equation modelling showed a significant impact of all socialization constructs on either norms or car use habit or both. Moreover, the postulated mediator effect could be confirmed. The paper encourages widening the perspective of transport studies by aspects of socialization, which have been neglected in former research on adults mobility behaviour.     

Peer Perceptions of Social Skills in Socially Anxious and Nonanxious Adolescents

Previous studies using adult observers are inconsistent with regard to social skills deficits in nonclinical socially anxious youth. The present study investigated whether same age peers perceive a lack of social skills in the socially anxious. Twenty high and 20 low socially anxious adolescents (13–17 years old) were recorded giving a 5-min speech. Unfamiliar peer observers (12–17 years old) viewed the speech samples and rated four social skills: speech content, facial expressions, posture and body movement, and way of speaking. Peer observers perceived high socially anxious adolescents as significantly poorer than low socially anxious adolescents on all four social skills. Moreover, for all skills except facial expressions, group differences could not be attributed to adolescents’ self-reported level of depression. We suggest that therapists take the perceptions of same age peers into account when assessing the social skills of socially anxious youth.     

Linking Formal Child Care Characteristics to Children’s Socioemotional Well-Being: A Comparative Perspective

Most research on formal child care and children’s outcomes has focused on single countries. We, however, contend that policy context may moderate the association between formal child care characteristics and children’s socioemotional well-being. We examined this by comparing the Netherlands, Finland and the UK; three countries that differ regarding family policies. Of these three countries, Finland was recently ranked highest (ranked 1st) with regards to quality of child care in a recent analysis by the Economist, followed by the UK (ranked 3rd) and then the Netherlands (ranked 7th). We hypothesized that children who attend child-care settings in countries with higher-quality formal child-care provision would generally show better socioemotional outcomes. Data from the comparative ‘Families 24/7’ survey were used, including 990 parents with children aged 0–12. We distinguished between two age groups in our analysis. Results indicated that, compared to the UK, longer hours in formal care were less beneficial in the Netherlands. Furthermore, spending time in formal care during nonstandard hours was more harmful for children in Finland compared to the UK. Lastly, receiving care from multiple caregivers was more disruptive for British children than for Dutch children. No differences were found between Finland and the Netherlands.     

The (un)reliability of item-level semantic priming effects

Many researchers have tried to predict semantic priming effects using a myriad of variables (e.g., prime–target associative strength or co-occurrence frequency). The idea is that relatedness varies across prime–target pairs, which should be reflected in the size of the priming effect (e.g., cat should prime dog more than animal does). However, it is only insightful to predict item-level priming effects if they can be measured reliably. Thus, in the present study we examined the split-half and test–retest reliabilities of item-level priming effects under conditions that should discourage the use of strategies. The resulting priming effects proved extremely unreliable, and reanalyses of three published priming datasets revealed similar cases of low reliability. These results imply that previous attempts to predict semantic priming were unlikely to be successful. However, one study with an unusually large sample size yielded more favorable reliability estimates, suggesting that big data, in terms of items and participants, should be the future for semantic priming research.     

Effectiveness of a smartphone-based worry-reduction training for stress reduction: A randomized-controlled trial

Objective: Perseverative cognition (e.g. worry) and unconscious stress are suggested to be important mediators in the relation between stressors and physiological health. We examined whether a smartphone-based worry-reduction training improved a physiological marker of stress (i.e. increased heart rate variability [HRV]) and unconscious stress.

Design: Randomised-controlled trial was conducted with individuals reporting work stress (n = 136). Participants were randomised to the experimental, control or waitlist condition (resp. EC, CC, WL). The EC and CC registered emotions five times daily for four weeks. The EC additionally received a worry-reduction training with mindfulness exercises.

Main Outcome Measures: Primary outcome was 24-h assessments of HRV measured at pre-, mid- and post-intervention. Secondary outcomes were implicit affect and stress. Effects on heart rate and other psychological outcomes were explored.

Results: A total of 118 participants completed the study. No change from pre- to post-intervention was observed for the primary or secondary outcomes. The change over time was not different between conditions.

Conclusion: Findings suggest that the training was ineffective for improving HRV or psychological stress. Future studies may focus on alternative smartphone-based stress interventions, as stress levels are high in society. There is need for easy interventions and smartphones offer possibilities for this.