Seeking medical care for a breast cancer symptom: determinants of intentions to engage in prompt or delay behavior

This study examined the cognitive structures underlying women's intentions to delay or not delay seeking medical care for a breast cancer symptom. Middle-aged women imagined that they had just discovered a particular change in their breast, and they completed a questionnaire that assessed variables specified by Ajzen and Fishbein's theory of reasoned action with respect to two alternative courses of action: immediately calling the doctor (i.e., prompt behavior) and monitoring the breast change on one's own (i.e., delay behavior). Also assessed were variables external to the theory that were drawn from previous research on cancer delay. Results showed that intentions to delay were positively associated with having favorable attitudes toward delay and with perceived social pressure to delay; the attitudinal factor, however, was more influential than the social factor in determining intentions. Underlying favorable attitudes toward delay were beliefs that delay would be likely to result in maintaining control over and avoiding the disruption of one's own and others' lives but would be unlikely to result in negative health outcomes. No external variable was found to contribute to intentions to delay above and beyond attitudinal and normative considerations.     

Prevalence of weight reducing and weight gaining in adolescent girls and boys

This is a survey of the prevalence of weight reducing and weight gaining in high school children. Our sample of 1,373 high school girls and boys was geographically, racially, and economically diverse. On the day of the survey, 63% of the girls and 16.2% of the boys reported being on weight reducing regimens; 9.1% of the girls and 28.4% of the boys were trying to gain weight. Most female reducers and male gainers were already normal weight. Compared to other racial groups, whites and Hispanics were more likely to be reducing, whereas blacks were more likely to be gaining. Exercise and moderate caloric reduction were most popular for weight reducing, and a small but significant number were regularly using fasting, vomiting, laxatives, and appetite suppressants. The direction of weight modification for girls and boys conformed to stereotyped physical ideals. The rate of weight reducing in female high school adolescents has increased significantly since similar surveys of American youths 20 years ago.     

Left sidedness and sleep difficulty: the alinormal syndrome

Four indexes of laterality: handedness, footedness, eyedness, and earedness, were assessed in a sample of 1274 subjects. Left- and right-sided groups were compared on two aspects of self-reported sleep difficulty: trouble falling asleep and frequent night wakenings. The incidence of sleep difficulty was found to be elevated in the left-sided groups. The results are discussed in terms of a possible complex of behavioral deviations from the statistical norm, called the alinormal syndrome.     

Correlations between glucose metabolic rates in brain regions of healthy male adults at rest and during language stimulation

This study examines the effect of different behavioral conditions on patterns of correlation between regional cerebral metabolic rates for glucose. Cerebral glucose metabolism was determined with positron emission tomography and (11C)-deoxyglucose in 29 normal subjects between the ages of 23 and 55. Seventeen subjects were studied in an unstimulated (resting) condition and 12 subjects during a phoneme monitoring language stimulation. Partial correlation coefficients, controlling for whole brain glucose metabolism, were calculated for pairs of metabolic rates in 14 cortical and 2 subcortical regions. Both stimulated and unstimulated subjects showed statistically significant correlations between left and right hemisphere homologs. The stimulated subjects also showed significant within-hemisphere correlations between left but not right hemisphere regions. These included left perisylvian regions classically associated with language functions (left inferior frontal, left superior temporal and left transverse temporal cortical regions) as well as other regions. Significant correlations between left regions and a right superior temporal region were also found. In general, these findings show a pattern of cross-hemisphere symmetry at rest and of hemisphere asymmetry during stimulation. Moreover, the asymmetry observed during stimulation appears to be superimposed upon a pattern of cross-hemisphere symmetry similar to that observed in the unstimulated state.     

Spatial constraints on attention to speech in the blind

When sighted persons try to identify one of two speech utterances coming from different directions, they display both a frontal position advantage, i.e., better recognition of inputs from the front than of those from the rear, and a right-side advantage, better recognition of inputs from the right than of those from the left. The present study demonstrates a dissociation of the two effects in blind subjects (N = 10) who showed no frontal position advantage together with a right-side advantage superior to that of control sighted subjects (N = 16). There was no systematic difference between congenitally blind subjects and noncongenitals. The absence of frontal position advantage in the blind is consistent with the notion that this effect originates in the habit of sighted listeners to orient toward the source of heard speech. The occurrence of at least normal right-side advantage in the blind does not support recent suggestions of reduced lateralization of language functions in such subjects.