Aerobic conditioning and stress reduction: Participation or conditioning?

The efficiency of an aerobic conditioning program (jogging) is compared to cognitive therapy (stress inoculation) and a waiting list control in modifying self-reported chronic stress. The participants were community residents; 48 were females and 25 were males. Treatment sessions were conducted over a 10-week period with subjects meeting in small groups for 1$\text{1}\text{2}$ hours per week. The State/Trait Inventories, a Tension Thermometer and a submaximal bicycle ergometer test were administered pre, post and follow-up. Repeated measures, multivariate analysis of variance indicated that both treatments were effective in reducing stress compared to the waiting list control and that these changes were maintained at 3-month follow-up. Multivariate analysis indicated that participants with higher initial levels of aerobic fitness did not report less stress, while participants who obtained higher levels of fitness during the conditioning program fared no better in reducing stress than their counterparts who obtained lower levels of aerobic fitness. These findings are of interest because they suggest that the psychosocial components of the fitness program were active ingredients of treatment rathee than the effects of improved cardiovascular functioning.     

The Mediational Role of Perceived Competence in Psychological Adjustment to Rheumatoid Arthritis1

Chronic illnesses such as rheumatoid arthritis (RA) have been linked to poor psychological adjustment, although individual differences in this relationship have been observed. This study examines the role of perceived competence as a mediator between RA and adjustment. Persons with RA (N= 208) were surveyed three times at 6-month intervals concerning several potential antecedents of adjustment (pain, psychosocial impairment, social support, and control beliefs), self-perceived level of competence, and level of adjustment (life satisfaction and depressive symptomatology). Within each observational period strong evidence was obtained for perceived competence as a mediator of adjustment. Longitudinally (across the year) the data were consistent with a mediational model, but strong evidence establishing mediation was not obtained. Implications of these findings, and the importance of examining the role of perceived competence in adaptation to chronic illness, are discussed.     

A COMPREHENSIVE EVALUATION OF REINFORCER IDENTIFICATION PROCESSES FOR PERSONS WITH PROFOUND MULTIPLE HANDICAPS

We evaluated comprehensively a preference assessment for identifying reinforcers for persons with profound multiple handicaps. Four experiments were conducted involving 18 individuals. Results of Experiment 1 replicated previous findings in that the assessment identified student preferences for respective stimuli, and caregiver opinion of preferences did not coincide with the systematic assessment. Results of Experiment 2 indicated highly preferred stimuli were likely to function as reinforcers in training programs, whereas stimuli not highly preferred did not function as reinforcers. Results of Experiment 3 suggested the 12 stimuli used in the assessment represented a comprehensive stimulus set for identifying preferences, although the utility of the set sometimes could be enhanced by caregiver opinion. Results of Experiment 4 indicated the assessment identified preferences likely to be maintained over time. Overall, results are discussed in terms of identifying limits and alternatives to a behavioral teaching technology when applied to persons with profound multiple handicaps.     

Somatic complaints in anxious children

Although stomachaches and headaches are considered characteristic of children with anxiety disorders, there is converging evidence that a broader range of somatic symptoms may be associated with children's expressions of anxiety. The purpose of this study was to determine the prevalence of somatic complaints in anxious children. The results indicated that children with anxiety disorders endorsed the presence of many different somatic complaints, and that contrary to clinical intuition, stomaches and headaches were not among the most commonly reported symptoms. In addition, the anxious children endorsed significantly more somatic complaints when compared to normal controls. Furthermore, the symptom pattern reported by anxious children indicated the presence of both the somatic and cognitive components usually associated with panic attacks, although none of the children met diagnostic criteria for panic disorder. The results are discussed in terms of the contribution of somatic symptoms to the understanding of anxiety disorders in children.     

Salt taste detection: an R-index approach to signal-detection measurements

The R-index approach to the signal-detection P(A) index of sensitivity was used to measure taste sensitivity to NaCl solutions. The R-index is the predicted probability of the correct choice of a signal, for a given signal-noise pair. For flow-wise and sipwise presentation, R-indices did not fluctuate significantly, provided subjects could not see the stimuli yet to be presented, indicating a lack of systematic sensitivity drift. The simultaneous measurement of more than one signal strength with reference to a common noise stimulus was seen to be a viable and sensitive procedure. Comparison of flow-wise and sipwise presentation of stimuli using R-indices, indicated that the former elicited greater subject sensitivity to NaCl taste.     

Divided attention, order of report and responses to immediately successive signals

Two effects, “divided-attention” and “order of report”, are operationally denned. Their relative contributions to the reduction in efficiency which accompanies the recognition of difficult nonverbal signals, presented simultaneously, is considered. Experiment I evaluated the two effects in the absence of a fixed order of report and emphasis instructions, confounding features of previous studies. The results showed: an overall impairment of performance with simultaneous signals; a contribution of both effects to the decrement, with a suggestion of the primacy of the “order of report” effect; and a significant interaction between the latter effect and modality, such that visual signals showed the greater effect. Experiment II using similar signals tested the assumption that simultaneity of presentation is a necessary condition for obtaining reduced efficiency with multiple signals. The assumption was only partially confirmed, a significant decrement in performance occurring only for the second of two successively presented signals. Similarities between the two sets of results are noted, as well as between these and modality differences obtained with verbal materials. Two possible accounts of the data are proposed, one based on “input”, the other on “storage” models of divided-attention. The hypothesis that subjects report the most clearly perceived signal first is rejected as an independent explanation.     

Standardized playroom measures as indices of hyperactivity

A group of 16 children from a normal community population was compared with two groups of 16 children referred for clinical evaluation of hyperactivity. These three groups were matched on age, sex, and race. One of the clinic groups was matched with the community sample on IQ and social class as well, while the children in the other clinic group were mentally retarded and of somewhat lower social class. All children were observed in a standardized playroom for two 15-minute sessions, one under free play instructions and the other under instructions restricting activity and toy-changing behavior. The two groups of children referred for evaluation of hyperactivity had significantly higher playroom activity scores than controls under both instructional conditions and significantly higher toy-change scores under restrictive instructions. Parental ratings of activity were also significantly higher in both clinic groups than in the community group. The mentally retarded clinic sample did not differ from the other clinic sample on any of the measures of activity or toy switching.A preliminary version of this article was presented at the meeting of the American Psychological Association, Chicago, Illinois, August 30, 1975, as part of a Symposium on Hyperactive Children: Assessment, Treatment, and Outcome. This research was supported by U. S. Public Health Service, Maternal and Child Health Project No. 916 and by Grants HD-03110 and ES-01104.