Social support group attendance is related to blood pressure, health behaviours, and quality of life in the Multicenter Lifestyle Demonstration Project

Changes in coronary risk factors, health behaviours, and health-related quality of life (HRQOL) were examined by tertiles of social support group attendance in 440 patients (21% females) with coronary artery disease. All patients participated in the Multicenter Lifestyle Demonstration Project (MLDP; eight hospital sites in the USA), an insurance-covered multi-component cardiac prevention program including dietary changes, stress management, exercise and group support for 1 year. Significant improvements in coronary risk factors, health behaviours, and HRQOL were noted at 1 year. Several of these improvements (i.e. systolic blood pressure, health behaviours, HRQOL) were related to social support group attendance, favoring those who attended more sessions. The associations between support group attendance to systolic blood pressure and to four HRQOL subscales (bodily pain, social functioning, mental health, and the mental health summary score) remained significant when controlling for changes in health behaviours, but dropped to a non-significant level for the HRQOL subscales 'physical functioning', 'general health' and 'role-emotional'. These results suggest an independent relationship of social support group attendance to systolic blood pressure while improvements in quality of life may be in part due to improved health behaviours facilitated by increased social support group attendance.     

Applying Pregroups to Italian Statements and Questions

We know from the literature in theoretical linguistics that interrogative constructions in Italian have particular syntactic properties, due to the liberal word order and the rich inflectional system. In this paper we show that the calculus of pregroups represents a flexible and efficient computational device for the analysis and derivation of Italian sentences and questions. In this context the distinction between direct vs. indirect statements and questions is explored. Special Issue Categorial Grammars and Pregroups Edited by Wojciech Buszkowski and Anne Preller     

Sleep's function in the spontaneous recovery and consolidation of memories

Building on 2 previous studies (B. R. Ekstrand, 1967; B. R. Ekstrand, M. J. Sullivan, D. F. Parker, & J. N. West, 1971), the authors present 2 experiments that were aimed at characterizing the role of retroactive interference in sleep-associated declarative memory consolidation. Using an A-B, A-C paradigm with lists of word pairs in Experiment 1, the authors showed that sleep provides recovery from retroactive interference induced at encoding, whereas no such recovery was seen in several wake control conditions. Noninterfering word-pair lists were used in Experiment 2 (A-B, C-D). Sleeping after learning, in comparison with waking after learning, enhanced retention of both lists to a similar extent when encoding was less intense because of less list repetition and briefer word-pair presentations. With intense encoding, sleep-associated improvements were not seen for either list. In combination, the results indicate that the benefit of sleep for declarative memory consolidation is greater for weaker associations, regardless of whether weak associations result from retroactive interference or poor encoding.     

Implicit attitudes towards romantic partners predict well‐being in stressful life conditions: Evidence from the antenatal maternity ward

An idiographic variant of the Implicit Association Test (IAT; Greenwald, McGhee, & Schwartz, 1998 ) was used to investigate how implicit attitudes towards romantic partners are related to explicit attitudes, relationship‐related variables such as adult attachment and relationship satisfaction, and psychological well‐being as a potential outcome of relationship quality. The validity of the Partner‐IAT was investigated using a known group approach that contrasted abused women currently living in a refuge (N = 22), women who had recently fallen in love (N = 19), women who were currently hospitalized due to pregnancy complications (N = 48), and a control group of female students (N = 52). Across the whole sample, the Partner‐IAT showed satisfactory internal consistency (α  =  .83). As expected, the analysis of group differences revealed that abused women living in a refuge showed more negative implicit and explicit attitudes toward (ex‐)partners than women belonging to the other three groups. Women in love showed the most positive partner attitudes, but the difference to the control group reached significance only for explicit but not implicit attitudes. Implicit attitudes toward partners correlated significantly with explicit attitudes, secure attachment, and psychological well‐being. To investigate whether implicit and explicit partner attitudes can predict important relationship outcomes, psychological well‐being was regressed on both variables in group‐wise hierarchical multiple regression analyses. Explicit partner attitudes were significantly related to psychological well‐being in student controls and hospitalized pregnant women. However, only in hospitalized pregnant women did implicit attitudes account for variance in well‐being over and above explicit attitudes. This pattern of results is compatible with the notion that positive implicit representations of the romantic partner can function as a genuine coping resource that effectively buffers against major stressful life circumstances.     

Manipulating establishing operations to verify and establish stimulus control during mand training

Acquisition of verbal behavior is a major goal of interventions for children with developmental disabilities. We evaluated the effectiveness of manipulation of an establishing operation for functional discriminated mands. Four individuals with developmental disabilities participated in a training procedure designed to teach two separate mands for two separate preferred items. Participants were taught to mand using picture cards. Following training, the manipulation of the establishing operation was used to assess and establish discriminated manding. This manipulation involved providing free access to one of the preferred items, such that there should be no motivation to ask for it, while motivation to ask for the other item remained in place. Three of the 4 participants acquired discriminated manding using topographically similar responses (picture cards). One participant did not acquire a discriminated mand until topographically distinct mands were taught (vocal and picture card). Results suggest that discrimination training is not necessarily sufficient to teach discriminated manding when more than one picture card showing preferred items is used. In addition, manipulation of the establishing operation served as an appropriate assessment tool for the verification of discriminated manding as well as a possible training tool to establish discriminated manding.     

The impact of misleading questions on eyewitness memory in children and adults

The study examined developmental patterns of the negative effect of misleading post‐event information in two different kinds of eyewitness interviews. A total of 284 subjects aged between five and 64 years were shown a short video about a theft and three weeks as well as four weeks later questioned about it. The social pressure in the interview after three weeks was manipulated by asking half of the subjects suggestive and misleading questions. The other half was asked open‐ended and unbiased questions. In the neutral interview four weeks later, all subjects were asked the same set of recognition questions about the event. The results revealed that preschoolers in particular had problems with the interplay between cognitive and social factors (social pressure induced through the wording of the misleading questions) in the interview setting after three weeks. In the neutral recognition test, all age groups were shown to suffer from prior misinformation to about the same extent. However, with an exception in the group of 6‐year‐old children the negative effect of prior misinformation on the accuracy of recognition proved to be due to items that were peripheral to the observed event. Copyright © 2000 John Wiley & Sons, Ltd.     

Long-term effects of lifestyle changes on well-being and cardiac variables among coronary heart disease patients

OBJECTIVE: To focus on psychological well-being in the Lifestyle Heart Trial (LHT), an intensive lifestyle intervention including diet, exercise, stress management, and group support that previously demonstrated maintenance of comprehensive lifestyle changes and reversal of coronary artery stenosis at 1 and 5 years. DESIGN AND MAIN OUTCOME MEASURES: The LHT was a randomized controlled trial using an invitational design. The authors compared psychological distress, anger, hostility, and perceived social support by group (intervention group, n = 28; control group, n = 20) and time (baseline, 1 year, 5 years) and examined the relationships of lifestyle changes to cardiac variables. RESULTS: Reductions in psychological distress and hostility in the experimental group (compared with controls) were observed after 1 year (p < .05). By 5 years, improvements in hostility tended to be maintained relative to the control group, but reductions in psychological distress were reported only by experimental patients with very high 5-year program adherence. Improvements in diet were related to weight reduction and decreases in percent diameter stenosis, and improvements in stress management were related to decreases in percent diameter stenosis at both follow-ups (all p < .05). CONCLUSION: These findings illustrate the importance of targeting multiple health behaviors in secondary prevention of coronary heart disease.     

Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong Kong: a latent class approach

OBJECTIVE: To examine trajectories of psychological functioning using latent class analysis on a sample of hospitalized survivors of the 2003 severe acute respiratory syndrome (SARS) epidemic in Hong Kong. DESIGN: A longitudinal study of 997 survivors, recruited from among 1,331 individuals hospitalized for SARS, were interviewed at 6, 12, and 18 months after hospitalization. MAIN OUTCOME MEASURES: Psychological and physical functioning at each time point was measured using the 12-item Medical Outcome Study Short-Form Health Survey (SF-12). RESULTS: Four latent classes were identified--chronic dysfunction, delayed dysfunction, recovery, and resilience. All groups had better physical health than the chronic group. Resilient and recovered individuals had greater social support and less SARS-related worry, and resilient individuals were more likely to be male. The resilient group also had greater social support than the delayed group and better physical functioning than the recovered group. CONCLUSION: This study demonstrated that longitudinal outcome trajectories following a major health-threat event in an Asian sample bear close resemblance to prototypical trajectories observed in trauma studies using Western samples. Unique predictors of the trajectories included factors observed in previous studies, such as social support, as well as factors of particular relevance to a major disease outbreak, such as SARS-related worry.     

Accommodating a new identity: Possible selves,identity change and well‐being across two life‐transitions

We examined the role of desired, feared, and expected possible future identity structures in the restructuring of identity after two life transitions. A longitudinal study was conducted on 86 young adults during the transition from school to university and 143 adults during the transition to parenthood. In both samples, pre‐transition desires and expectations about the restructuring of identity predicted post‐transition actual identity structures. Post‐transition emotional well‐being was higher among those whose post‐transition identity structures more closely matched their initial desires and less closely matched their initial fears, and among those who reported a greater magnitude of identity change. We propose that possible future identity structures play an important role in the identity accommodation process during life‐transitions, and that they have significant implications for well‐being. Copyright © 2009 John Wiley & Sons, Ltd.