Provider Perspectives on Barriers and Strategies for Achieving Culturally Sensitive Mental Health Services for Immigrants: A Hamilton, Ontario Case Study

As research reveals that the healthy immigrant effect, whereby the health of immigrants at the time of arrival is high but subsequently declines and converges toward that of the native-born population, also extends to mental well-being, this paper aims to examine the barriers to mental health care for immigrants in Hamilton, Ontario. Through the use of face-to-face interviews with eight service providers, barriers to care were revealed to include cultural insensitivity, stigma and shame, and limited resources. Suggestions for improvements to mental health care are also discussed.     

Speech comprehension difficulties in older adults: cognitive slowing or age-related changes in hearing?

Speech comprehension declines more rapidly in older adults than in younger adults as speech rate increases. This effect is usually attributed to a slowing of brain function with age. Alternatively, this Age X Speed interaction could reflect the inability of the older adult's auditory system to cope with speed-induced stimulus degradation. When the authors speeded speech in a way that produced minimal degradation, both age groups were equally affected. However, when speech was speeded using other methods, word identification declined more in older than in younger adults. Hence, auditory decline rather than cognitive slowing may be responsible for older adults' poorer performance in speeded conditions.     

Parent and Adolescent Responses to PovertyRelated Stress: Tests of Mediated and Moderated Coping Models

We tested several models of the associations among economic strain, life stress, coping, involuntary stress responses, and psychological symptoms in a sample of 57 parent-adolescent dyads from rural, lower-income families. Economic strain and life stress predicted symptoms for both parents and adolescents. Stressor-symptom specificity was found for parents, such that economic strain uniquely predicted depression, whereas negative life events predicted hostility. Involuntary stress responses were associated with higher levels of symptoms for both parents and the adolescent children. Secondary control coping was associated with fewer symptoms for both parents and adolescents. Results support a mediational role of coping and responses to stress during adolescence, with a shift to moderational status in adulthood. Implications of these results are discussed with regard to developmental coping theory and potential interventions with at-risk families.     

Spatial and conjoint models based on pairwise comparisons of dissimilarities and combined effects: Complete and incomplete designs

In pairwise multidimensional scaling, a spatial representation for a set of objects is determined from comparisons of the dissimilarity of any two objects drawn from the set to the dissimilarity of other pairs of objects drawn from that set. In pairwise conjoint scaling, comparisons among the joint effects produced by pairs of objects, where the objects in a pair are drawn from separate sets, are used to determine numerical representations for the objects in each set. Monte Carlo simulations of both pairwise dissimilarities and pairwise conjoint effects show that Johnson's algorithm can provide good metric recovery in the presence of high levels of error even when only a small percentage of the complete set of pairwise comparisons are tested.     

Interpersonal Reactions to Depression and Physical Disablllty In Dyadic Interactions1

Examined the interpersonal responses of persons engaged in dyadic interactions with confederates who enacted either depressed or socially appropriate roles and appeared either with or without a physical disability. Subject negative evaluations of confederates were indirectly obtained from a thought-listing measure. The overt behaviors of subjects were surreptitiously recorded on videotape and measures of verbal and nonverbal behavior were acquired. Subjects spoke less to the depressed targets and had significantly higher rates of negative evaluations of these persons. In addition, subjects gazed less at the depressed confederates. These effects were not moderated by target physical appearance. Findings are discussed as they relate to social models of depression and the stigmatizing effects of disability.     

Separate mechanisms recruited by exogenous and endogenous spatial cues: evidence from a spatial Stroop paradigm

The present experiments tested whether endogenous and exogenous cues produce separate effects on target processing. In Experiment 1, participants discriminated whether an arrow presented left or right of fixation pointed to the left or right. For 1 group, the arrow was preceded by a peripheral noninformative cue. For the other group, the arrow was preceded by a central, symbolic, informative cue. The 2 types of cues modulated the spatial Stroop effect in opposite ways, with endogenous cues producing larger spatial Stroop effects for valid trials and exogenous cues producing smaller spatial Stroop effects for valid trials. In Experiments 2A and 2B, the influence of peripheral noninformative and peripheral informative cues on the spatial Stroop effect was directly compared. The spatial Stroop effect was smaller for valid than for invalid trials for both types of cues. These results point to a distinction between the influence of central and peripheral attentional cues on performance and are not consistent with a unitary view of endogenous and exogenous attention.     

Motor proficiency and emotional/behavioural disturbance in autism and Asperger's disorder: another piece of the neurological puzzle?

The relationship of motor proficiency with emotional/behavioural disturbance, autistic symptoms and communication disturbance was investigated in children diagnosed with autism and Asperger's disorder (AD). The Movement Assessment Battery for Children was used as a measure of motor impairment, and the Developmental Behavioural Checklist was used as a measure of emotional/behavioural disturbance in the following groups: AD (n?=?22), high functioning autism (HFA) (n?=?23), LFA (n?=?8) and typically developing children (n?=?20). The HFA group had more difficulty with motor items, such as ball skills and balance, than did the AD group. There were significant positive correlations between impairments in motor proficiency (in particular ball skills and balance) and emotional/behavioural disturbance, autistic symptoms and communication disturbance. These findings are consistent with the hypothesis that there are qualitative and quantitative differences in the motor profile between autism and AD. In addition, the association between motor proficiency impairment and emotional/behavioural disturbance in autism and AD emphasizes the importance for screening of co-occurring emotional/behavioural symptoms in individuals with motor difficulties. These findings have implications for the potential use of adjunct motor measures in the diagnosis and definition of autism spectrum disorders.     

But I can’t pass that far! The influence of motor skill on decision making

Objectives

The influence of motor skill on perceptual-cognitive and perceptual-motor decision making has been theorised but not verified empirically.

Method

Expert (n = 19), developmental (n = 20), and lesser-skilled netballers (n = 19) completed tests designed to evaluate three different components of domain-specific expertise: (i) motor skill-execution; (ii) perceptual-cognitive decision making; and (iii) perceptual-motor decision making.

Results

Each of the three measures was found to improve commensurate with domain-specific skill. Decisions requiring movements (perceptual-motor) elicited more accurate decision making than simple verbal responses (perceptual-cognitive), irrespective of participant skill. Although motor skill was found to be related to the successful execution of a most appropriate movement in a game situation, it was not found to limit the nature of the decision made by participants. No evidence was found to support the supposition that lesser-skilled participants bias their perceptual-cognitive decisions towards ones supported by their motor ability.

Conclusions

Results fail to comprehensively support the contemporary models for the development of perceptual-cognitive and perceptual-motor skill in sport.     

SPSS macros to compare any two fitted values from a regression model

In regression models with first-order terms only, the coefficient for a given variable is typically interpreted as the change in the fitted value of Y for a one-unit increase in that variable, with all other variables held constant. Therefore, each regression coefficient represents the difference between two fitted values of Y. But the coefficients represent only a fraction of the possible fitted value comparisons that might be of interest to researchers. For many fitted value comparisons that are not captured by any of the regression coefficients, common statistical software packages do not provide the standard errors needed to compute confidence intervals or carry out statistical tests—particularly in more complex models that include interactions, polynomial terms, or regression splines. We describe two SPSS macros that implement a matrix algebra method for comparing any two fitted values from a regression model. The !OLScomp and !MLEcomp macros are for use with models fitted via ordinary least squares and maximum likelihood estimation, respectively. The output from the macros includes the standard error of the difference between the two fitted values, a 95% confidence interval for the difference, and a corresponding statistical test with its p-value.