Investigating healthcare providers' knowledge of trichotillomania and its treatment

Given the low prevalence rate and rather secretive nature of trichotillomania, it is uncertain how much trichotillomania-related knowledge physicians and psychologists possess, what the perceived role of a psychologist is in the treatment process, what level of familiarity practitioners have with effective treatments and whether providers have resource materials available for patients. In a postal survey of 501 psychologists and physicians in the USA, providers responded correctly to 61% of the general knowledge items about trichotillomania. Most providers believed that psychologists may play a variety of roles in the clinical management of the disorder. Although providers were fairly accurate about the effectiveness of certain treatments for trichotillomania (e.g. medication, habit-reversal), a number of non-empirically supported treatments were endorsed as being effective. Furthermore, an overwhelming majority of healthcare providers did not have resources or referral information available for patients with trichotillomania. Implications of the findings and limitations of the study are discussed.     

TPS: A hybrid automatic-interactive system for developing proofs

The theorem proving system Tps provides support for constructing proofs using a mix of automation and user interaction, and for manipulating and inspecting proofs. Its library facilities allow the user to store and organize work. Mathematical theorems can be expressed very naturally in Tps using higher-order logic. A number of proof representations are available in Tps, so proofs can be inspected from various perspectives.     

Immediate antecedents of cigarette smoking: an analysis from ecological momentary assessment

The authors assessed the association between smoking and situational cues, including affect, in real-world contexts. Using ecological momentary assessment, 304 smokers monitored ad-lib smoking for 1 week, recording each cigarette on palm-top computers. Generalized estimating equations contrasted 10,084 smoking and 11,155 nonsmoking situations. After controlling for smoking restrictions, smoking was strongly related to smoking urges and modestly related to consumption of coffee and food, the presence of other smokers, and several activities. Smoking was unrelated to negative or positive affect or to arousal, although it was associated with restlessness. Thus, in daily life, affect appears to exert little influence over ad-lib smoking in heavy smoking adults.     

The impact of personality on the reporting of unfounded symptoms and illness.

This study examined the role of personality in the reporting of symptoms and illness not supported by underlying pathology. After assessment of the Big Five personality factors, 276 healthy volunteers were inoculated with a common cold virus. On each of the following 5 days, objective indicators of pathology, self-reported symptoms, and self-reported illness onset were assessed. Neuroticism was directly associated with reports of unfounded (without a physiological basis) symptoms in individuals at baseline and postinoculation in those with and without colds. Neuroticism was also indirectly associated with reports of unfounded illness through reports of more symptoms. Openness to Experience was associated with reporting unfounded symptoms in those with verifiable colds, whereas Conscientiousness was associated with reporting unfounded illness in those who were not ill.     

Recollection is a continuous process: Evidence from plurality memory receiver operating characteristics

Is recollection a continuous/graded process or a threshold/all-or-none process? Receiver operating characteristic (ROC) analysis can answer this question as the continuous model and the threshold model predict curved and linear recollection ROCs, respectively. As memory for plurality, an item's previous singular or plural form, is assumed to rely on recollection, the nature of recollection can be investigated by evaluating plurality memory ROCs. The present study consisted of four experiments. During encoding, words (singular or plural) or objects (single/singular or duplicate/plural) were presented. During retrieval, old items with the same plurality or different plurality were presented. For each item, participants made a confidence rating ranging from “very sure old”, which was correct for same plurality items, to “very sure new”, which was correct for different plurality items. Each plurality memory ROC was the proportion of same versus different plurality items classified as “old” (i.e., hits versus false alarms). Chi-squared analysis revealed that all of the plurality memory ROCs were adequately fit by the continuous unequal variance model, whereas none of the ROCs were adequately fit by the two-high threshold model. These plurality memory ROC results indicate recollection is a continuous process, which complements previous source memory and associative memory ROC findings.     

Ambiguous-cue learning in preschool children: A test of the dimensional characteristics of task stimuli

Sixteen preschool children were administered a two-choice discrimination problem consisting of three stimulus compounds: the consistently rewarded stimulus, the consistently nonrewarded stimulus, and the ambiguous stimulus which was nonrewarded when paired with the positive, but rewarded when paired with the negative. When both pair of stimuli, positive-ambiguous and negative-ambiguous, were presented together the subject was required either to choose or to avoid the ambiguous stimulus depending upon the stimulus with which it was paired. In Experiment 1, when each of three stimuli (positive, negative, ambiguous) varied along one nonspatial cue dimension (color), performance was better on negative-ambiguous trials than positive-ambiguous trials. In Experiment 2, when the positive and negative stimuli varied along three nonspatial cue dimensions (colors and form) and the ambiguous stimulus varied along one of these dimensions (color), superior positive-ambiguous over negative-ambiguous performance was obtained. These findings complement those reported for other subjects and confirm Berch's (D. B. Berch, Learning and Motivation, 1974, 5, 135–148) predictions regarding use of differential numbers of cue dimensions.     

Examining the Differential Item Functioning of the Rosenberg Self‐Esteem Scale Across Eight Countries1

We examined the differential item functioning (DIF) of Rosenberg's (1965 ) Self‐Esteem Scale (RSES) and compared scores from U.S. participants with those from 7 other countries: Canada, Germany, New Zealand, Kenya, South Africa, Singapore, and Taiwan. Results indicate that DIF was present in all comparisons. Moreover, controlling for latent self‐esteem, participants from individualistic countries had an easier time reporting high self‐esteem on self‐competence‐related items, whereas participants from communal countries had an easier time reporting high self‐esteem on self‐liking items ( Tafarodi & Milne, 2002 ). After adjusting for DIF, we found larger mean self‐esteem differences between the countries than observed scores initially indicated. The suitability of the RSES, and the importance of examining DIF, for cross‐cultural research are discussed.     

Does heightened affect make smoking cues more salient?

Negative affect (NA) states are robustly related to relapse. However, the mechanisms for this relationship are not well understood. Whereas most models have proposed that NA directly promotes lapsing, some models suggest that NA may promote lapses indirectly by increasing reactivity to smoking cues. This hypothesis was tested in secondary analyses of a study in which 248 smokers used ecological momentary assessment to self-monitor affective valence, smoking cues, and lapses during an attempt to quit smoking. The smoking cues the authors examined were others' smoking and consumption of alcohol or coffee. The odds of lapsing when exposed to smoking cues were compared across conditions of positive affect, neutral affect, and NA. Consistent main effects of affective valence were seen but not the hypothesized interaction. Indeed, analyses showed that the effect of cues was typically diminished under conditions of NA. No evidence was found to support the hypothesis that smoking cues and lapsing are more closely linked under NA conditions.