CD4 Count and Physical Symptoms Among Urban African American Mothers with HIV: An Examination of the Role of Optimism and Depressive Symptoms

The current study examined the link between immune functioning (CD4 count) and physical symptoms, as well as the moderating role of optimism and depressive symptoms, in a sample of 99 low income, inner city African American women with HIV. Although there was no main effect of CD4 count on physical symptoms, depressive symptoms moderated the association between CD4 count and physical symptoms. More compromised immune functioning (lower CD4 count) was associated with more physical symptoms under conditions of higher levels of depressive symptoms, but not lower levels of depressive symptoms. This finding was observed using both a self-report measure and a clinician-rating of women’s depressive symptoms. There were no main or interactive effects for optimism. Clinical implications and future research directions are presented.     

Emotional content of true and false memories

Many people believe that emotional memories (including those that arise in therapy) are particularly likely to represent true events because of their emotional content. But is emotional content a reliable indicator of memory accuracy? The current research assessed the emotional content of participants' pre-existing (true) and manipulated (false) memories for childhood events. False memories for one of three emotional childhood events were planted using a suggestive manipulation and then compared, along several subjective dimensions, with other participants' true memories. On most emotional dimensions (e.g., how emotional was this event for you?), true and false memories were indistinguishable. On a few measures (e.g., intensity of feelings at the time of the event), true memories were more emotional than false memories in the aggregate, yet true and false memories were equally likely to be rated as uniformly emotional. These results suggest that even substantial emotional content may not reliably indicate memory accuracy.     

The persistence of false beliefs

Do false beliefs last? To explore this question, this study planted false beliefs or memories of a childhood experience with asparagus. We found that these false beliefs had consequences for subjects, when assessed directly after the suggestive manipulation. Moreover, subjects were brought back two weeks later to see if their false beliefs persisted. After two weeks, subjects' confidence in their new memories, and the consequences of those memories were diminished, but not extinguished. These false beliefs were found to be somewhat weaker than other subjects' true beliefs for the same events. Another novel finding was that the manipulation was sufficiently powerful to affect actual food choices.     

The Red Herring technique: a methodological response to the problem of demand characteristics

In past research, we planted false memories for food related childhood events using a simple false feedback procedure. Some critics have worried that our findings may be due to demand characteristics. In the present studies, we developed a novel procedure designed to reduce the influence of demand characteristics by providing an alternate magnet for subjects' natural suspicions. We used two separate levels of deception. In addition to giving subjects a typical untrue rationale for the study (i.e., normal deceptive cover story), we built in strong indicators (the "Red Herring") that the study actually had another purpose. Later, we told subjects that we had deceived them, and asked what they believed the "real purpose" of the study was. We also interviewed a subset of subjects in depth in order to analyze their subjective experiences of the procedure and any relevant demand. Our Red Herring successfully tricked subjects, and left little worry that our false memory results were due to demand. This "double cross" technique may have widespread uses in psychological research that hopes to conceal its real hypotheses from experimental subjects.     

Thematically‐induced arousal in naturally‐occurring emotional memories

A number of studies have examined participants' recollection of previously‐experienced emotional events. In these studies, emotion has generally been evoked by means of a specific attention‐grabbing visual stimulus (the sight of a bloody face or a weapon, views of surgery, and the like). We argue, however, that emotion outside of the laboratory is typically induced not by a particular visual stimulus, but by involvement and empathy with an unfolding event. We refer to this as ‘thematically‐induced arousal,’ as opposed to the ‘visually‐induced’ reactions involved in previous studies. In the present paper, we discuss the potential importance of this distinction, and report two studies that analysed sets of memories for emotional events that occurred outside the laboratory. The data make it clear that naturally‐occurring emotional events tend to be thematically‐arousing, not visually‐arousing, and provide an initial characterization of how these two types of arousal might shape memory. We discuss the implications of this finding, but we also emphasize the need for further data in this largely‐unexplored domain. Copyright © 2003 John Wiley & Sons, Ltd.     

A prospective study of pediatric loss of control eating and psychological outcomes

Loss of control (LOC) eating in youth is associated cross-sectionally with eating-related and psychosocial distress and is predictive of excessive weight gain. However, few longitudinal studies have examined the psychological impact and persistence of pediatric LOC eating. We administered the Eating Disorder Examination and self-reported measures of depressive and anxiety symptoms to 195 boys and girls (mean age = 10.4 years, SD = 1.5) at baseline and again 4.7 years (SD = 1.2) later to 118 of these youth. Missing data were imputed. Baseline report of LOC was associated with the development of partial- or full-syndrome binge eating disorder (p = .03), even after accounting for the contribution of sex, race, baseline characteristics (age, disordered eating attitudes, and mood symptoms), body mass index growth between baseline and follow-up, and years in study. Half (52.2%; 95% CI [1.15, 6.22]) of children who endorsed experiencing LOC at baseline reported persistence of LOC at follow-up (p = .02). Compared with children who never reported LOC eating or reported LOC only at baseline, those with persistent LOC experienced significantly greater increases in disordered eating attitudes (ps < .001) and depressive symptoms (p = .027) over time. These data suggest that LOC eating in children is a problematic behavior that frequently persists into adolescence and that persistent LOC eating is associated with worsening of emotional distress.     

Comparison of range of motion and function of subjects with reverse anatomy Bayley-Walker shoulder replacement with those of normal subjects

Patients with rotator cuff tear and degenerative shoulder joint disease commonly experience severe pain and reduced performance during activities of daily living. A popular way to treat these patients is by means of reverse anatomy shoulder prosthesis. Studying the kinematics of subjects with reverse anatomy implant would be useful in order to gain knowledge about functionality of different designs. It is hypothesized that the kinematics of these subjects, in the absence of rotator cuff muscles, differs from that of normal subjects. In this study the upper limb kinematics of 12 subjects with a Bayley-Walker reverse anatomy shoulder prosthesis while performing tasks common in everyday activities and those that represent the range of motion was analyzed and compared to that of 12 normal subjects. Each patient also completed an Oxford Shoulder Score. Substantial reduction in the Bayley-Walker subjects' ranges of motion was observed compared to normal subjects. The mean abduction angle decreased from 109° (±20) for normal subjects to 64° (±25). A similar trend was observed during flexion and axial rotation tasks. Furthermore, the normal group showed less variable ranges of motion performing the standard tasks, whereas for the prosthetic group this varied greatly, which is likely to be dependent on muscle strength. Although the decreased range of motion was prominent, subjects were able to complete most of the tasks by compensating with their elbow and trunk. The most challenging task for Bayley-Walker subjects was lifting an object to head height.     

Summation priming in aphasia: evidence for alterations in semantic integration and activation

The present study used a lexical decision paradigm to study the summation of priming effects in normal and aphasic participants. The amount of priming produced by pairs of definitionally converging associative words was compared to the amount of priming produced by pairs of single associative words and non-words in two experiments in which the ISI between primes and targets varied from 200 ms (Experiment 1) to 600 ms (Experiment 2). Control subjects showed a pattern of additive summation priming at the short ISI and overadditive summation priming at the longer ISI. Broca's aphasics showed overadditive priming at the short ISI and no significant priming at the longer ISI; Wernicke's aphasics showed no significant priming at the short ISI and additive priming at the longer ISI. These results suggest that aphasics differ from normals in their ability to integrate the activation derived from multiple linguistic associations and may provide an account of some of the clinical phenomenology of these patients.     

Adults’ self-reported attachment influences their savoring ability

Positive affect is important for well-being, yet little is known about individual differences in the ability to up-regulate (savor) positive emotions. In a sample of 120 adults (ages 18–94; 62.5% female), this study extends correlational work by examining how attachment relates to self-reported savoring and to an experimentally-induced behavioral savoring task where participants were randomly assigned to reflect on a positive event (or complete a control task). Avoidance was related to lower trait savoring, and the effects of attachment on experimentally-induced savoring differed by the type of event participants savored. Avoidance was related to poorer affective outcomes after savoring interpersonal events but was unrelated to affective outcomes for non-interpersonal events. Anxiety was related to better outcomes after savoring non-interpersonal events but was unrelated to savoring interpersonal events. Overall, effects suggest that more insecurely attached adults may not savor as often, and may have difficulty savoring interpersonal events but not non-interpersonal events.