Relationship with health care provider and adherence to HIV medications

Suboptimal adherence to antiretroviral medications was reported in a sample of 97 inner-city residents with HIV/AIDS. Most respondents had been seeing the same physician for several years. Those who perceived themselves to be more engaged with their health care provider also reported better treatment adherence. This finding, though, should be viewed with caution since self-reported measures were used. Interventions that target adherence could include patients' perceptions of providers.     

Developments in long-term explicit memory late in the first year of life: behavioral and electrophysiological indices

Coincident with developments in the temporal-cortical explicit memory network, long-term recall abilities are newly emergent late in the first year of human life. We recorded event-related potentials (ERPs) in 9-month-olds as an index of the integrity of the neural substrate underlying a task thought to reflect explicit memory, namely, deferred imitation. ERP measures of recognition memory 1 week after unique laboratory experiences predicted whether and how much infants recalled of the experiences 1 month later. The findings further imply that memory storage and consolidation processes are a major source of variability in long-term recall memory late in the first year of life.     

Partition priming in judgment under uncertainty

We show that likelihood judgments are biased toward an ignorance-prior probability that assigns equal credence to each mutually exclusive event considered by the judge. The value of the ignorance prior depends crucially on how the set of possibilities (i.e., the state space) is subjectively partitioned by the judge. For instance, asking "what is the probability that Sunday will be hotter than any other day next week?" facilitates a two-fold case partition, [Sunday hotter, Sunday not hotter], thus priming an ignorance prior of 1/2. In contrast, asking "what is the probability that the hottest day of the week will be Sunday?" facilitates a seven-fold class partition, [Sunday hottest, Monday hottest, etc.], priming an ignorance prior of 1/7. In four studies, we observed systematic partition dependence: Judgments made by participants presented with either case or class formulations of the same query were biased toward the corresponding ignorance prior.     

Modeling unipolar depression as a chaotic process

This study inspected the deterministic structure of unipolar depression. Two women self-monitored sadness hourly 10 times a day for 6 months. One woman had a recurrent history of unipolar depression, and the other did not. Data were analyzed by visual inspection, examination of the Fourier transforms of the time plots, and the correlation dimension. Results suggested that in addition to a strong periodic component that existed only within the depressed subject's mood time series, a low-dimensional chaotic process might have been operating. In the nondepressed control subject, no such periodicity or process could be identified. The findings support maladaptive deterministic theories of mood disorders and have implications for the assessment of unipolar depression.     

Using the expectation maximization algorithm to estimate coefficient alpha for scales with item-level missing data

A 2-step approach for obtaining internal consistency reliability estimates with item-level missing data is outlined. In the 1st step, a covariance matrix and mean vector are obtained using the expectation maximization (EM) algorithm. In the 2nd step, reliability analyses are carried out in the usual fashion using the EM covariance matrix as input. A Monte Carlo simulation examined the impact of 6 variables (scale length, response categories, item correlations, sample size, missing data, and missing data technique) on 3 different outcomes: estimation bias, mean errors, and confidence interval coverage. The 2-step approach using EM consistently yielded the most accurate reliability estimates and produced coverage rates close to the advertised 95% rate. An easy method of implementing the procedure is outlined.     

Boredom proneness and sleep disorders as predictors of adult attention deficit scores

This study examined the extent to which boredom proneness and sleep disturbances were related to attention deficit scores in college-aged adults. In a sample of 148 college students, Attention scores on the Adult Behavior Checklist were best predicted by Boredom Proneness (BP) subscale scores, which assess one's inability to maintain internal stimulation and feelings of constraint, and scores on the Epworth Daytime Sleepiness Scale and Athens Insomnia Scale (R2 = .57). Hyperactivity scores were best predicted by the BP subscales, which assess one's need for a stimulating environment, the perception of time passing slowly, and feelings of constraint, and the Epworth Scale (R2 = .51). The findings contribute to the understanding of the symptomatology of attention deficit in adults and provide further evidence of the validity of this measure.     

Respect for the developmentally disabled and forgoing life-sustaining treatment

A developmentally disabled person should be treated at all times as a unique individual and not as some anonymous "disabled person." The developmentally disabled should not be subjected to invasive medical treatment that is unduly burdensome or nonbeneficial, or be forced to endure a quality of life not meaningful to them as individuals. They have a right to refuse or accept treatment that a surrogate must exercise on behalf of each individual in a responsible and careful manner. Three cases and a preliminary approach to the ethical analysis of decisions to allow developmentally disabled persons to die by forgoing medical treatment are offered. The "best interests" of a developmentally disabled individual, properly understood, can serve as a useful and ethically defensible standard for determining the ethical propriety of surrogate decision making about forgoing life-sustaining medical treatment of the disabled.     

Individual differences in the responses of naïve rhesus monkeys to snakes

The authors demonstrated individual differences in inhibited behavior and withdrawal responses of laboratory-born rhesus monkeys when initially exposed to a snake. Most monkeys displayed a small significant increase in their behavioral inhibition in the presence of a snake. A few monkeys had marked responses, and some actively withdrew. Although the responses of the most extreme laboratory-born monkeys were comparable to feral-born monkeys, the responses of the laboratory-born monkeys rapidly habituated. The individual differences in the responses of na?ve monkeys likely reflect a continuum from orienting to wariness to fear. A neurobiological model is presented that addresses potential mechanisms underlying these individual differences, their relation to fear, and how they may predispose to phobia development.