A randomized trial of employment-based reinforcement of cocaine abstinence in injection drug users

High-magnitude and long-duration abstinence reinforcement can promote drug abstinence but can be difficult to finance. Employment may be a vehicle for arranging high-magnitude and long-duration abstinence reinforcement. This study determined if employment-based abstinence reinforcement could increase cocaine abstinence in adults who inject drugs and use cocaine during methadone treatment. Participants could work 4 hr every weekday in a workplace where they could earn about $10.00 per hour in vouchers; they were required to provide routine urine samples. Participants who attended the workplace and provided cocaine-positive urine samples during the initial 4 weeks were invited to work 26 weeks and were randomly assigned to an abstinence-and-work (n = 28) or work-only (n = 28) group. Abstinence-and-work participants had to provide urine samples showing cocaine abstinence to work and maintain maximum pay. Work-only participants could work independent of their urinalysis results. Abstinence-and-work participants provided more (p = .004; OR = 5.80, 95% CI = 2.03-16.56) cocaine-negative urine samples (29%) than did work-only participants (10%). Employment-based abstinence reinforcement can increase cocaine abstinence.     

Does a simultaneous memory load affect older and younger adults’ implicit associative learning?

This study investigated the effects of a simultaneous memory load on implicit associative sequence learning using the Triplets Learning Task (TLT). Participants in the Simultaneous condition held a secondary task memory load during the TLT, while those in the Sequential condition also performed both tasks, but successively, rather than simultaneously. Thus, the Simultaneous condition had a memory load during the TLT, while the Sequential condition did not. Probe blocks without the secondary task allowed separation of effects on learning from effects on its expression. Results revealed that the simultaneous memory load affected older, but not younger adults, by suppressing the expression of learning, not learning itself. Thus, older and younger adults can learn probabilistic associations while holding a simultaneous memory load, but the load can limit the extent to which older adults adapt their performance to environmental structure. Results are consistent with theories which propose that implicit associative learning does not call on limited capacity resources, and highlight the importance of distinguishing effects of dual tasks on the expression of learning from those on learning itself.     

Direct and indirect measures of frequency monitoring in young and elderly adults

Memory for frequency of occurrence of novel material (Turkish words) was investigated in young and elderly adults via direct (absolute and relative frequency judgments) and indirect (reading speed) measures. Both young and elderly adults showed increased reading speed as a function of frequency of occurrence (Experiment 1). However, when asked explicitly to identify how often a word occurred (Experiment 1) or which word occurred more often (Experiment 2), elderly subjects were less accurate than young adults. These results support and extend research on age-related dissociations in memory.     

“The Test of a Civilization Is the Way that It Cares for Its Helpless Members”: Violence Against Older Women

Violence against women is a major health risk nationally and internationally. However, despite its impact, violence against older women remains an understudied area. Abuse of older women is frequently unrecognized unless encompassed under “elder abuse.” The purpose of this article is to (1) provide a summary of current research on violence against older women, (2) describe methodological biases in research on violence against older women, (3) discuss methodological biases that have kept the problem of violence against older women hidden from view, and (4) propose new directions for feminist research, advocacy, and therapy.     

Implicit sequence learning: effects of level of structure, adult age, and extended practice

The influence of structure and age on sequence learning was investigated by testing 24 young and 24 older participants for 10 sessions in an alternating serial response time task in which pattern trials alternated with random trials. Individuals encountered lag-2 or lag-3 structure, and learning was measured by the difference (in response time and accuracy) between pattern and random trials. Both ages learned lag-2 structure, but the young learned more than the older participants. Only the young people learned lag-3 structure, and they did so more slowly and to a lesser degree than they learned lag-2 structure. These age deficits in higher order sequence learning after extended practice are consistent with simultaneity theory and with theories positing that age-related deficits in neuromodulation lead to less distinctive representations.     

Social Anxiety and Specificity of Positive Alcohol Expectancies: Preliminary Findings

This preliminary study examined the relationship between social anxiety and specificity of positive alcohol outcome expectancies (AOE) in a community sample of 62 drinking adults. The sample was divided into subsets of socially anxious (n = 17) and nonsocially anxious (n = 45) men and women. The Drinking Expectancy Questionnaire (DEQ) and Alcohol Expectancies in Social Evaluative Situations Scale (AESES) were used to determine if groups differed in the general positive AOE they hold, or only in AOE specific to social situations. ANOVAs revealed that socially anxious individuals had greater positive AOE specific to social situations (DEQ—Assertion scale and AESES) than nonsocially anxious individuals, with no differences in other positive AOE. Partial correlations controlling for social anxiety revealed that AOE specific to social situations correlated with greater drinking and alcohol dependency levels. Findings indicate that identification of AOE specific to social situations may be useful in classifying socially anxious individuals at risk for alcoholism and as a focus of expectancy challenge strategies for individuals with co-occurring social anxiety and drinking problems.     

Psychosocial correlates of substance use behaviors among African American youth

Cross-sectional data were collected on substance use behaviors and potential correlates in 1,494 African American students enrolled in grades 5-12 in eight schools in a central Alabama school district. Using a risk and asset framework, self-reported recent alcohol, cigarette, and marijuana use were analyzed by identifying and measuring levels of influence, including individual, family, and school. For alcohol and marijuana use, recurrent risk factors were age, being hit by a parent, affiliation with gangs, and a tolerant attitude of peers toward drug use. For cigarette use, risk factors were peer-oriented: associations with gangs or cohorts holding lenient attitudes about substance use. For all substances, salient asset factors were academic achievement and parental monitoring. Findings suggest that efforts to reduce substance use behaviors should be directed at adolescents in terms of academic achievement and grade level as well as their social environments. For the latter, peer/family risks and family/school assets should be the foci for programs to minimize the short- and long-term consequences of these behaviors. Hence, the emphasis should be placed on modeling attitudes, preventing gang and family violence, encouraging parental supervision, and building positive teacher-student interactions.