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).     

Age effects on the employability-career success relationship

This study investigated the similarity of the factor structure for self-reported versus supervisor-rated employability for two age groups of workers, and then validated a career success enhancing model of employability across the two age groups. The results confirmed a two-factor model including self-reported and supervisor-rated employability as underlying factors. Moreover, Multi-Group Structural Equation Modeling (SEM) indicated that for the youngsters both self- and supervisor ratings of employability related significantly to objective career success outcomes. However, for the over-forties self-rated employability related positively to promotions throughout the career, while the supervisor ratings related negatively to overall promotions. The findings have important implications for performance appraisal practices aimed at increasing life-long employability and career success.     

A dissociation between similarity effects in episodic face recognition

University of Newcastle, Callaghan, New South Wales, Australia Memory similarity, the similarity between a test lure and memory traces, reduces confidence and accuracy in all forms of recognition memory. In contrast, Tulving (1981) showed that, in recognition memory for scenic pictures, choice similarity, the similarity between forced choice test alternatives, increased accuracy but decreased confidence. In the present study, we replicated both memory and choice similarity effects and the dissociation between accuracy and confidence with pictures of faces. State-trace analysis confirmed the dissociation and identified two dimensions underlying these effects, one associated with choice similarity and another associated with memory similarity. Further analysis showed that the effect of study—test lag was associated with the memory-similarity dimension.     

Mortality salience and the desire for offspring

Research on terror management theory (TMT) illustrates that following mortality salience (MS) people defend their cultural worldviews and bolster self-esteem to transcend death. Recently, research additionally showed that MS increased self-reports of the number of children desired in Dutch men but not in Dutch women. We conducted three studies to further investigate the role of desire for offspring in terror management. In Study 1, we conceptually replicated previous findings for Germany and found increased desire for offspring following MS in both men and women. Extending prior research Study 2 revealed that following MS not only was the accessibility of death-related thoughts increased, but also the accessibility of thoughts related to offspring. Finally, Study 3 suggested that the MS effect on ingroup bias was eliminated under conditions of offspring salience. Relating these findings to TMT, anticipated or actual offspring is discussed as a buffer against existential anxiety.     

Does empathy predict adolescents' bullying and defending behavior?

Through structural equation modeling, this study tested a path of relations in which different levels of empathic responsiveness were posited to be differently associated to bullying and defending behavior. Three hundred and eighteen Italian adolescents (142 girls and 176 boys; mean age = 13.2 years) completed the Davis's Interpersonal Reactivity Index [Davis, 1983] for empathy and the Participant role scales [Salmivalli et al., 1996] for bullying and defending behavior. The results revealed that the model fitted the data adequately, but only in the case of boys. As hypothesized, low levels of empathic responsiveness were associated to students' involvement in bullying others. In contrast, empathy was positively associated with actively helping victimized schoolmates. However, the estimates algorithm did not reach convergence with girls' data. The current findings confirm and extend the literature on the relation between empathy, prosociality and aggressive behavior. Educational implications are also discussed.     

Body expressions influence recognition of emotions in the face and voice

The most familiar emotional signals consist of faces, voices, and whole-body expressions, but so far research on emotions expressed by the whole body is sparse. The authors investigated recognition of whole-body expressions of emotion in three experiments. In the first experiment, participants performed a body expression-matching task. Results indicate good recognition of all emotions, with fear being the hardest to recognize. In the second experiment, two alternative forced choice categorizations of the facial expression of a compound face-body stimulus were strongly influenced by the bodily expression. This effect was a function of the ambiguity of the facial expression. In the third experiment, recognition of emotional tone of voice was similarly influenced by task irrelevant emotional body expressions. Taken together, the findings illustrate the importance of emotional whole-body expressions in communication either when viewed on their own or, as is often the case in realistic circumstances, in combination with facial expressions and emotional voices.     

Age and Assessments of Professional Expertise: The Relationship between Higher Level Employees’ Age and Self‐assessments or Supervisor Ratings of Professional Expertise

In this article the relationship between higher level employees’ age and assessments of professional expertise is described. Hypotheses have been tested with original survey data from 417 higher level employees and 224 direct supervisors. Concerning the analyses of the effects of age, our hypotheses have for the greater part been confirmed. In our study, we have found that age‐related stereotyping is an important phenomenon where assessments concerning professional expertise are made by supervisors. As regards the self‐ratings, there is no relationship between age and professional expertise. Further research is needed to understand the pattern of differences between the two types of ratings. Some speculations concerning improvements of the measurements are discussed.     

A psychometric evaluation of the Temperament in Middle Childhood Questionnaire (TMCQ) in a Swedish sample

Personality is generally considered to be biologically founded in temperament, and temperamental qualities have proven to be relatively stable across childhood and into adulthood (Caspi, Roberts & Shiner, 2005 ). Temperament predicts important developmental outcomes such as academic performance (Muris, 2006 ), and social functioning (Eisenberg, Fabes, Guthrie & Reiser, 2000 ), and it has also been found to be strongly related to the etiology and maintenance of internalizing and externalizing psychopathology in children (Muris, Meesters & Blijlevens, 2007 ; Nigg, 2006 ). To allow for the possibility of making early interventions, identification of potential risk factors (such as temperamental dispositions) is of great importance (Rettew & McKee, 2005 ). As temperament is multidimensional and has many different manifestations, parents and teachers are valuable sources in providing information about children's temperament (Rothbart & Bates, 2006 ; Tackett, Slobodskaya, Mar et al., 2012 ), and caregiver questionnaires are frequently used in child personality research. However, such questionnaires are only useful if their reliability and validity have been established. The aim of the present study was to examine the psychometric properties of the Temperament in Middle Childhood Questionnaire (TMCQ; Simonds, Kieras, Rueda & Rothbart, 2007 ), which focuses specifically on the ages between 7 and 11 years. The TMCQ is the least validated of the Rothbart measures, and although reliability data have been presented, together with some validity data, for a computerized self‐report version of the questionnaire (Simonds & Rothbart, 2004 ), information about the reliability and validity for the caregiver version is scant. In the present paper, we report such data for a Swedish sample.