Iona College Community Centered Family Health History Project: Lessons Learned from Student Focus Groups

The Community Centered Family Health History project was initiated to create accessible family health history tools produced by and for the community. The project goal was to promote increased community engagement in health education by encouraging conversations among family members that would translate knowledge of family health history into healthy lifestyle choices. As one of seven community partners, Iona College participated in customizing and beta-testing the Does It Run in the Family? toolkit. Twenty-nine college students were engaged to recruit three relatives related by blood to provide feedback on the utility of the toolkit. The toolkit consists of two booklets—“A Guide to Family Health History” and “A Guide to Understanding Genetics and Health”—explaining the importance of knowing and talking about health within the family as well as basics about how conditions are passed down through generations. Twenty-two of the twenty-nine students participated in focus groups to discuss their reactions to participation in the project. Students in the focus group reported that the study participants—students and their family members—found the toolkit to be user friendly and the experience a valuable one that prompted many to take positive steps toward good health.     

Dyadic Coping Among Couples with COPD: A Pilot Study

COPD (chronic obstructive pulmonary disease) is associated with psychological distress for patients as well as their partners. Dyadic coping can be negatively impacted by stressors. This study's objective was to compare the dyadic coping of couples in which one partner suffered from COPD with healthy couples of the same age. A total of 43 complete couples with COPD and 138 healthy couples participated in this pilot study. The surveys were sent by mail. The response rate of the COPD sample was 24.3%. In order to analyze the effect of gender and role (patient vs. partner) on dyadic coping, linear mixed models were calculated. To analyze the effect of gender and group (COPD group vs. normative comparison group) on dyadic coping, two-way analyses of variance were calculated for independent samples. COPD patients and their partners indicated that the patients received more support and were less able to provide support to their partners. This difference was also evident in comparison with the normative comparison group. In addition, couples with COPD perceived higher levels of negative coping and provided a considerably lower assessment of their positive dyadic coping. The dyadic coping of couples with COPD is unbalanced and more negative when compared to that of healthy couples. Interventions aimed at supporting COPD couples should seek to improve couples' dyadic coping in addition to individual coping strategies.     

Subtyping children and adolescents who are overweight based on eating pathology and psychopathology

Children and adolescents who are overweight can differ on dimensions measuring dietary restraint and psychopathology. Classifying clinical obese children and adolescents based on these psychological characteristics is shown to be useful in making differential prognoses. The present study aimed to research the validity of subtyping children and adolescents with overweight (N?=?138) in a non-clinical sample. Using cluster analysis, results revealed three subtypes: a dietary restraint/internalizing group (DR?+?IN; n?=?41), a pure internalizing group (IN; n?=?20) and a non-symptomatic group (NS; n?=?77). The DR?+?IN group outscored both other groups on measures of eating pathology, whereas the IN group outscored both other groups on measures of negative offect. Interestingly, the three groups did not differ on degree of overweight. The results seem to suggest that different psychological mechanisms can be observed in subgroups of young overweight adolescents. Further research should explore how individual psychological characteristics can be helpful when stipulating weight loss treatment programmes.     

Transtheoretical Model Constructs for Physical Activity Behavior are Invariant across Time among Ethnically Diverse Adults in Hawaii

OBJECTIVES: Physical activity (PA) research applying the Transtheoretical Model (TTM) to examine group differences and/or change over time requires preliminary evidence of factorial validity and invariance. The current study examined the factorial validity and longitudinal invariance of TTM constructs recently revised for PA. METHOD: Participants from an ethnically diverse sample in Hawaii (N=700) completed questionnaires capturing each TTM construct. RESULTS: Factorial validity was confirmed for each construct using confirmatory factor analysis with full-information maximum likelihood. Longitudinal invariance was evidenced across a shorter (3-month) and longer (6-month) time period via nested model comparisons. CONCLUSIONS: The questionnaires for each validated TTM construct are provided, and can now be generalized across similar subgroups and time points. Further validation of the provided measures is suggested in additional populations and across extended time points.     

The role of orthography in speech production revisited

The language production system of literate adults comprises an orthographic system (used during written language production) and a phonological system (used during spoken language production). Recent psycholinguistic research has investigated possible influences of the orthographic system on the phonological system. This research has produced contrastive results, with some studies showing effects of orthography in the course of normal speech production while others failing to show such effects. In this article, we review the available evidence and consider possible explanations for the discrepancy. We then report two form-preparation experiments which aimed at testing for the effects of orthography in spoken word-production. Our results provide clear evidence that the orthographic properties of the words do not influence their spoken production in picture naming. We discuss this finding in relation to psycholinguistic and neuropsychological investigations of the relationship between written and spoken word-production.     

Treatment rejecting and treatment seeking personality disorders: Type R and Type S

An important distinguishing feature of one group of personality disorders is the wish of the sufferer to seek treatment. For another group this wish is rarely entertained. Although there is some variation between different types of personality disorder the wish to change is not confined to any one diagnostic category. A useful subclassification of personality disorders is therefore into Type R (treatment rejecting) and Type S (treatment seeking) personality disorders, and these are defined operationally. The classification of 68 personality disordered patients on the caseload of an assertive community team using a simple scale showed a 3 to 1 ratio between Type R and Type S personality disorders with Cluster C personality disorders being significantly more likely to be Type S, and paranoid and schizoid (Cluster A) personality disorders significantly more likely to be Type R than others. It is suggested that this typology is useful for those contemplating treatment with those who have personality disorders.     

Maternal Attributions Related to Compliance with Cystic Fibrosis Treatment

This study examined mothers' attributions related to their children's compliance with various components of medical treatment for cystic fibrosis (CF). Mothers of children with CF were queried regarding adherence rates and reasons for child compliance with chest physiotherapy, inhalation therapy, exercise, medication, and dietary treatments. Maternal attributions for compliance were assessed on the dimensions of parental locus, stability, and controllability. Mothers reported significantly less compliance with diet than with other CF treatments; they also perceived the reasons for compliance with diet and exercise as more external and less under their control. These findings are discussed in relation to parent–child interactions that may be critical to improving treatment adherence, particularly in the context of nutritional interventions.     

A computational account of children's analogical reasoning: balancing inhibitory control in working memory and relational representation

Theories accounting for the development of analogical reasoning tend to emphasize either the centrality of relational knowledge accretion or changes in information processing capability. Simulations in LISA (Hummel & Holyoak, 1997, 2003), a neurally inspired computer model of analogical reasoning, allow us to explore how these factors may collaboratively contribute to the development of analogy in young children. Simulations explain systematic variations in United States and Hong Kong children's performance on analogies between familiar scenes (Richland, Morrison & Holyoak, 2006; Richland, Chang, Morrison & Au, 2010). Specifically, changes in inhibition levels in the model's working-memory system explain the developmental progression in US children's ability to handle increases in relational complexity and distraction from object similarity during analogical reasoning. In contrast, changes in how relations are represented in the model best capture cross-cultural differences in performance between children of the same ages (3-4 years) in the United States and Hong Kong. We use these results and simulations to argue that the development of analogical reasoning in children may best be conceptualized as an equilibrium between knowledge accretion and the maturation of information processing capability.