The substantive nature of psycholexical personality factors: a comparison across languages

The psycholexical approach to personality structure in American English has led to the Big Five factors. The present study considers whether this result is similar or different in other languages. Instead of placing the usual emphasis on quantitative indices, this study examines the substantive nature of the factors. Six studies in European languages were used to develop a taxonomy of content categories. The English translations of the relevant terms were then classified under this taxonomy. The results support the generality of Big Five Factor III (Conscientiousness). Factors IV (Emotional Stability) and V (Intellect) generally did not cohere. Factors I (Extraversion) and II (Agreeableness) tended to split when this was necessary to produce 5 factors. The analysis was extended to several additional studies.     

End-of-life care in nursing homes: the interface of policy,research, and practice

Much attention has begun to focus on the quality of care for persons near the end of life. Palliative care, especially through hospice, has generated much discussion as possibly the most holistic care available. Consideration of how chronically ill older adults receive such care as a result of public policy can benefit from adopting a multidimensional perspective. This paper adopts Bronfenbrenner's ecological model to understand current end-of-life care for nursing home residents, followed by consideration of how each of these dimensions or levels of influence can be used to foster both research agendas and policy reforms to improve end-of-life care of nursing home residents. Specifically, the benefits of considering the influence of such policy initiatives as the Medicare hospice benefit and the Patient Self-Determination Act (PSDA) on end-of-life care in nursing homes and the means through which policy can be informed by clinical research is emphasized.     

Potentials and limitations of cognitive treatments for obsessive-compulsive disorder

Exposure and response prevention (ERP) is a well-established treatment for obsessive-compulsive disorder (OCD). However, it is not completely effective for many patients, and some do not benefit from or tolerate this treatment. Over the past 3 decades there has been growing interest in using cognitive interventions, either as adjuncts or alternatives to exposure-based treatments such as ERP, to address these shortcomings. Cognitive therapy and cognitive behavior therapy for OCD have both demonstrated greater efficacy than no treatment at all, and appear to have a lower incidence of dropout than ERP. Unfortunately, however, for the average OCD patient, cognitive interventions have not improved treatment efficacy; that is, cognitive interventions, either alone or combined with ERP, are no more effective than ERP alone. Reasons for this disappointing result are considered, and indications for the use of cognitive interventions are discussed. Future research directions are suggested in order to evaluate more fully the merits of, and indications for, cognitive methods for treating OCD.     

A comparison of African American and White American veteran MMPI-2 profiles

The present study compared a matched sample of 180 African American and 180 White American veterans who completed the MMPI-2 as a part of their evaluation while receiving inpatient psychiatric treatment. Findings indicated no significant multivariate or univariate effects associated with race on the basic validity and clinical scales, a significant multivariate effect but no significant univariate effects associated with race across the supplementary scales. Overall the two groups had very similar mean profiles across the basic validity, clinical, and supplementary scales. Comparison of the two groups on the content scales yielded a significant multivariate and significant univariate effects with African Americans scoring higher on the FRS, BIZ, CYN, and ASP scales. Because the two groups differed in terms of frequency and type of drug abuse, follow-up 2 x 2 univariate analyses of variance were conducted for the FRS, BIZ, CYN, and ASP content scales comparing participants classified in terms of presence or absence of a primary or secondary drug abuse diagnosis by race. A significant main effect associated with drug abuse was obtained for ASP. Results are discussed and considered in light of earlier research on the MMPI-2 and race. Content scale differences are also discussed in terms of possible differences in worldview.     

Falsely recalled items are rich in item-specific information

Current theorizing suggests that critical lures in the Deese/Roediger-McDermott (DRM) procedure are often falsely remembered because they have received considerable relational processing (e.g., spreading activation or encoding of gist information). We used a repeated-testing paradigm to assess the amount of item-specific and relational processing given to the list items and the critical lures. Research has shown that items receiving item-specific processing are more likely to be recovered across successive tests. They are also output more slowly but more steadily throughout the recall period. In two experiments, we manipulated the processing performed on list items and then used item gains and cumulative recall curves to assess the amount of item-specific an drelational information encoded for both list items and lures. The results suggest that increasing the relational processing of list items increased item-specific processing of lures, whereas increasing item-specific processing of list items decreased item-specific processing of lures. We conclude that critical lures are typically rich in item-specific information, relative to list items.     

Putting Emotional Reactivity in its Place? Exploring Family-of-origin Influences on Emotional Reactivity,Conflict, and Satisfaction in Premarital Couples

The purpose of this research was to develop a structural equation model that tested the effects of emotional reactivity on the relational health of a representative sample of 736 premarital couples. We hypothesized that partners’ perceived family-of-origin experience would be predictive of partners’ reports of their own and their partners’ emotional reactivity. These reports were hypothesized to predict partners’ reports of their own and their partners’ ability to manage conflict, which were hypothesized to predict relationship satisfaction. Overall, the model fit the data quite well, with particularly interesting differences by gender. We discuss the model’s fit within the larger body of literature, the potential implications and limitations of our findings, and future research considerations. Electronic Supplementary Material The online version of this article (doi:) contains supplementary material, which is available to authorized users.     

Transactive memory system links work team characteristics and performance

Teamwork and coordination of expertise among team members with different backgrounds are increasingly recognized as important for team effectiveness. Recently, researchers have examined how team members rely on transactive memory system (TMS; D. M. Wegner, 1987) to share their distributed knowledge and expertise. To establish the ecological validity and generality of TMS research findings, this study sampled 104 work teams from a variety of organizational settings in China and examined the relationships between team characteristics, TMS, and team performance. The results suggest that task interdependence, cooperative goal interdependence, and support for innovation are positively related to work teams' TMS and that TMS is related to team performance; moreover, structural equation analysis indicates that TMS mediates the team characteristics-performance links. Findings have implications both for team leaders to manage their work teams effectively and for team members to improve their team performance.     

Utility of the Millon Behavioral Medicine Diagnostic (MBMD) to predict adherence to highly active antiretroviral therapy (HAART) medication regimens among HIV-positive men and women

Psychosocial and behavioral factors may be strong predictors of adherence to medications in a wide variety of diseases. Newly emerging antiretroviral medications for HIV have been shown to be effective but require near perfect adherence to offer clinically significant benefits. There is currently great interest in deriving patient factors that may predict optimal medication adherence in HIV-positive persons. In this study, we examined the association of psychosocial and behavioral characteristics using the Millon Behavioral Medicine Diagnostic (MBMD; Millon, Antoni, Millon, Meagher, & Grossman, 2001) and adherence to highly active antiretroviral therapy (HAART) among 117 HIV-positive individuals on HAART regimens. Specific indexes of the MBMD were associated with HAART adherence as assessed through patient interview, at baseline assessment, and at 3-month follow-up at a point after which participants had received medication adherence training. As hypothesized, the Medication Abuse scale of the MBMD was uniquely associated with overall adherence at baseline assessment and also predictive of adherence at 3-month follow-up. Additional MBMD scales were also related to overall adherence as well as specific adherence behaviors such as missed doses, following specific instructions, and overmedicating, although the Medication Abuse scale emerged as the most consistent predictor of adherence in the study. These results suggest that the MBMD can be used to predict adherence to HAART medication in a sample of HIV-positive men and women and may subsequently be used to identify those in need of adherence counseling at the point when medications are initiated.