My Disaster Recovery: a pilot randomized controlled trial of an Internet intervention

Abstract

This pilot study tested the efficacy of the My Disaster Recovery (MDR) website to decrease negative affect and increase coping self-efficacy. Fifty-six survivors of Hurricane Ike were recruited from a larger study being conducted at the University of Texas Medical Branch at the first anniversary of the storm. Restricted randomization was used to assign participants to the MDR website, an information-only website, or a usual care condition. Group×time interactions indicated that MDR reduced participant worry more than the other conditions. A similar trend was also identified for depression. Both websites were accessed a small to moderate amount and participants reported mixed satisfaction for both websites. Although the effect sizes for worry and depression were in the moderate to large range, small sample size and timing of the intervention qualify the findings. These preliminary findings encourage further evaluation of MDR with a larger, demographically diverse sample and indicate that the MDR website might be helpful in reducing worry and depression.     

An investigation of phonology and orthography in spoken-word recognition.

The possible influence of initial phonological and/or orthographic information on spoken-word processing was examined in six experiments modelled after and extending the work Jakimik, Cole, and Rudnicky (1985). Following Jakimik et al., Experiment 1 used polysyllabic primes with monosyllabic targets (e.g., BUCKLE-BUCK/[symbol: see text]; MYSTERY-MISS,/[symbol: see text]). Experiments 2, 3, and 4 used polysyllabic primes and polysyllabic targets whose initial syllables shared phonological information (e.g., NUISANCE-NOODLE,/[symbol: see text]), orthographic information (e.g., RATIO-RATIFY,/[symbol: see text]), both (e.g., FUNNEL-FUNNY,/[symbol: see text]), or were unrelated (e.g., SERMON-NOODLE,/[symbol: see text]). Participants engaged in a lexical decision (Experiments 1, 3, and 4) or a shadowing (Experiment 2) task with a single-trial (Experiments 2 and 3) or subsequent-trial (Experiments 1 and 4) priming procedure. Experiment 5 tested primes and targets that varied in the number of shared graphemes while holding shared phonemes constant at one. Experiment 6 used the procedures of Experiment 2 but a low proportion of related trials. Results revealed that response times were facilitated for prime-target pairs that shared initial phonological and orthographic information. These results were confirmed under conditions when strategic processing was greatly reduced suggesting that phonological and orthographic information is automatically activated during spoken-word processing.     

The pessimistic induction,the flight to reference and the metaphysical zoo

Scientific realism says of our best scientific theories that (1) most of their important posits exist and (2) most of their central claims are approximately true. Antirealists sometimes offer the pessimistic induction in reply: since (1) and (2) are false about past successful theories, they are probably false about our own best theories too. The contemporary debate about this argument has turned (and become stuck) on the question, Do the central terms of successful scientific theories refer? For example, Larry Laudan offers a list of successful theories that employed central terms that failed to refer, and Philip Kitcher replies with a view about reference in which the central terms of such theories did sometimes refer. This article attempts to break this stalemate by proposing a direct version of the pessimistic induction, one that makes no explicit appeal to a substantive notion or theory of reference. While it is premature to say that this argument succeeds in showing that realism is probably false, the direct pessimistic induction is not subject to any kind of reference-based objection that might cripple a weaker, indirect version of the argument. Any attempt to trounce the direct pessimistic induction with a theory of reference fails.     

Reliability and validity of measures of anger/hostility in singapore: Cook & Medley Ho Scale, STAXI and Buss-Durkee hostility inventory

As part of a larger research programme concerned with the role of anger/hostility in heart disease in Singapore, three commonly used measures of anger/hostility (Cook & Medley Ho Scale, STAXI, Buss-Durkee Hostility Inventory) were examined for reliability and validity in an Asian population. A total of 968 Singaporean Chinese, Malay and Indian respondents completed one or more of these measures together with measures of symptom and illness experience. In addition, blood pressure and heart rate measures were taken for 201 respondents. Overall, the Ho and STAXI measures had reasonably high internal consistency and test-retest reliability. Internal consistency and test-retest reliability for the Buss Durkee measure were high for the total score but variable for the component scales. Correlation and regression showed that the Ho and STAXI appeared to be tapping a common core of variance, which can be characterized as trait anger. Correlations of the Ho and STAXI with health measures produced modest but statistically significant correlations for measures of symptom and illness experience and generally low and non-significant correlations for heart rate and blood pressure.     

The unique influence of attachment to god on forgiveness among incarcerated males

Religious constructs associated with forgiveness are understudied among incarcerated males. Attachment and forgiveness theory supported hypotheses that attachment to God would uniquely influence forgiveness, controlling for other biopsychosocial resources in regression modeling. Results, utilizing data collected from 261 male prison inmates, ages 45 to 82, demonstrated that each of three blocks of predictors explained significant amounts of variance in forgiveness: (1) biological and control variables; (2) social support and positive evaluation of life; and (3) attachment to God. The final model explained 53.7% of the total variance. Discussion focuses on the use of attachment to God and forgiveness assessments.     

Adjustment modes in the trajectory of progressive multiple sclerosis: a qualitative study and conceptual model

Objective: We examined cognitive and behavioural challenges and adaptations for people with progressive multiple sclerosis (MS) and developed a preliminary conceptual model of changes in adjustment over time.

Design: Using theoretical sampling, 34 semi-structured interviews were conducted with people with MS. Participants were between 41 and 77 years of age. Thirteen were diagnosed with primary progressive MS and 21 with secondary progressive MS. Data were analysed using a grounded theory approach.

Results: Participants described initially bracketing the illness off and carrying on their usual activities but this became problematic as the condition progressed and they employed different adjustment modes to cope with increased disabilities. Some scaled back their activities to live a more comfortable life, others identified new activities or adapted old ones, whereas at times, people disengaged from the adjustment process altogether and resigned to their condition. Relationships with partners, emotional reactions, environment and perception of the environment influenced adjustment, while people were often flexible and shifted among modes.

Conclusions: Adjusting to a progressive condition is a fluid process. Future interventions can be tailored to address modifiable factors at different stages of the condition and may involve addressing emotional reactions concealing/revealing the condition and perceptions of the environment.