Attention Deficit/Hyperactivity Disorder in Adults with Sleep Apnea

AAttention deficit hyperactivity disorder (ADHD) is a common childhood illness. In some patients, this illness may persist into adulthood and an association between ADHD and Obstructive Sleep Apnea (OSA) has been found in childhood. However, it is unclear how OSA and ADHD coincide in adulthood. Therefore, to explore the relationship between OSA and adult ADHD the current investigation utilized a clinically-based cross-sectional survey. Subjects consisted of 81 treatment-naïve OSA patients and 32 controls. Measures included each patient completed a questionnaire regarding sleep, Adult ADHD scale. Clinical information, body mass index, 36-item Short Form Health Survey (SF-36), Epworth Sleepiness Scale (ESS), Hospital Anxiety and Depression Scale, and polysomnography.The subjects with Apnea-Hypopnea Index (AHI) ≥ 5 events/h were defined as patients with OSA. The control group was accepted as individuals with AHI > 0 events/h. The prevalence of adult ADHD was not different between the patients with OSA and the control group [(7.4 % (6/75) vs. 6.3 % (2/30), p = 0.8, respectively]. OSA patients with ADHD, as compared with those without, had higher anxiety scores and poorer physical component scores of quality of life and higher ESS scores. ADHD scores in patients with OSA were associated with anxiety and depression scores and SF36 physical and mental component scores in bivariate analyses. Thus, in our sample ADHD was not a frequent illness in adult patients with OSA. However, in patients with OSA and ADHD higher levels of anxiety and daytime sleepiness and poorer quality of life was found.     

Social problem‐solving,perceived stress,depression and life‐satisfaction in patients suffering from tension type and migraine headaches

This study aimed at investigating social problem solving, perceived stress, depression, and life‐satisfaction in patients with tension type and migraine headaches. Forty‐nine migraine and 42 tension type headache patients (n = 91) consenting to participate were compared to a total of 49 matched healthy control group. Participants filled in a questionnaire consisting self‐report measures of problem solving, perceived stress, depression and life satisfaction. They were also asked about headache duration, frequency, pain severity, psychiatric treatment and sense of control in one's life. T‐tests, chi‐square, analysis of variance, logistic regression analysis and Pearson product moment correlation coefficient procedures were used to analyze the data. Tension type headache patients reported having had more frequent headaches than the migraine patients but migraine patients reported having had more intense pain than the tension type headache patients. Instances of psychiatric treatment were more common among tension type headache patients than the migraine and the control group. Compared to the healthy controls, headache patients displayed a deficiency in problem solving, higher levels of perceived stress and depression. Levels of problem solving skills in headache patients were related inversely to depression, perceived stress and the number of negative life events but problem solving skills of headache patients was related positively to life‐satisfaction. The findings from this study suggested that cognitive behavioral problem solving therapy or training might be a viable option for reducing levels of stress and depression, and to increase life‐satisfaction in patients suffering from primary headache.     

The effect of a career adaptability psycho-educational programme on coping with career indecision and career adaptability: A pilot study

This study aimed to examine the effects of a career construction theory-oriented Career Adaptability Psycho-educational Programme on career adaptability and coping with career indecision in Turkish high school students. Twenty-six participants took part in the experimental design. A split-plot (mixed) design of 2 × 3 (experimental/control groups X pretest/posttest/follow-up test) was used. It was found that the Career Adaptability Psycho-educational Programme has a significant effect on coping with career indecision and career adaptability; the same effect was found for the follow-up measures completed 4 months later.     

Conflict monitoring and feature overlap: Two sources of sequential modulations

Recent findings demonstrating that the Simon effect diminishes when the preceding trial is a noncorresponding trial led researchers to develop two alternative accounts. The conflict monitoring account argues that the automatic activation from stimulus location information is under the regulation of a control mechanism, which adjusts the level of activation depending on conflict in the preceding trial. In contrast, the feature integration account holds that sequential modulations of the Simon effect can be attributed to the integration of stimulus and response features into event files. Previous research demonstrated a potential contribution to sequential modulations from both mechanisms. We use a four-choice task to extend these findings and to investigate the exact nature of the feature overlap effects. Both conflict monitoring and feature overlap effects were found to contribute to sequential modulations. However, the feature overlap effects did not conform to predictions of the feature integration account. We argue that the feature overlap effects are accounted for better by strategic shortcuts in response selection.     

Reliability and Validity of the Spiritual Care-Giving Scale in a Turkish Population

This study aimed to adapt an English version of the survey tool Spiritual Care-Giving Scale for Turkish students and to evaluate its psychometric properties. Spiritual care is a central element of holistic nursing, but is not often made explicit in the theoretical and practical components of preregistration nursing programs. A composite scale will assist in identifying students’ perceptions and issues to be addressed in curricula and practice settings in Turkey. The scale was composed of 35 items and five subscales. Cronbach’s α reliability coefficient was .96, and item–total point correlations were between .37 and .77. In addition, split-half reliability coefficient was .88. The Spiritual Care-Giving Scale was found to be a valid and reliable instrument for measuring the multifaceted perspectives of spirituality and spiritual care in practice by students. Further testing of this scale is required with other student populations and clinicians.     

The necessary impossibility: Dynamics of identity among young people of different backgrounds in Vienna

Identity, the key term during the last two decades in social sciences, is employed for different, even opposite purposes. On the one hand, there are liberal aims claiming social recognition, which usually are summarized under the term politics of identity. On the other hand, there are social movements and conceptions, the objectives of which are diametrically opposed to emancipatory ideas, and which encompass nationalisms, ethnopluralism, cultural fundamentalism, differential racism, and xenophobia. In this field of tensions this contribution is focusing on narratives and strategies of identity among young people in group discussions. Encounters among youth from different cultural, ethnic, and social contexts and with different expectations produce diasporic public spheres, which are neither predominantly emancipatory nor fully controlled, but rather emerging and therefore contested. In our theoretical reflections we challenge common dichotomies and main models of identity; in our empirical approaches we examine the topography and the dynamics of identity as well as “situated hierarchies” of different sources of identity.     

Structure versus process: Mach, Hertz, and the Normative Aspect of Science

In the end of the nineteenth century, there was a remarkable ‘empiricist attitude’ found among certain philosopher-scientists, an attitude which arguably emerged in the main as a reaction to the anti-scientific mood prevalent in the culture that time. Those philosopher-scientists, such as Mach and Hertz, were particularly anxious to emphasize and laud the privileged status of the empirical dimension ofour scientific knowledge, distinguishing it carefully from the theoretical constructions and hypothetical entities that are ordinarily posited by scientists. Yet, as I exhibit in this article, there were certain crucial philosophical differences between these two thinkers with respect to their general conception of scientific theories and scientific norms guiding the activity. I suggest further that the most central difference in this context between Mach and Hertz can justifiably (and, perhaps, more fruitfully) be articulated and reckoned in traditional andcontemporary epistemological terms. This revised version was published online in August 2006 with corrections to the Cover Date.     

Personal Values and Intended Self‐Presentation during Job Interviews: A Cross‐Cultural Comparison

This study examined the impact of personal values on intended self‐presentation during job interviews among German, Ghanaian, Norwegian, and Turkish students (total N= 1,474). We also sought to explain cultural differences in self‐presentation among these groups. The Cultural Impression Management Scale for applicants (CIM‐A) and the Portrait Values Questionnaire were administered. A multigroup MIMIC model with invariant measurement and structural weights was supported, in which achievement, security, and benevolence values predicted a latent impression management factor. Intended impression management scores were significantly higher in the Ghanaian and Turkish samples than in the Norwegian and German samples. Values (achievement and security) accounted for 19.6 per cent of the cross‐cultural differences in self‐presentation. Adding acquiescence as an additional predictor (interpreted here as a measure of communication style) decreased the cross‐cultural differences by 52.8 per cent. It is concluded that values are similarly related to intended self‐presentation across these four groups, even though the cross‐cultural differences in mean scores in both sets of variables were considerable.     

Are your cross‐ethnic friends ethnic and/or national group identifiers? The role of own and perceived cross‐ethnic friend's identities on outgroup attitudes and multiculturalism

We investigated how own ethnic and national identities and perceived ethnic and national identities of close cross‐ethnic friends may predict outgroup attitudes and multiculturalism among Turkish (majority status, N = 197) and Kurdish (minority status, N = 80) ethnic group members in Turkey (M_age = 21.12, SD = 2.59, 69.7% females, 30.3% males). Compared with Turkish participants, Kurdish participants were more asymmetrical in rating their cross‐ethnic friend's identities relative to their own, reporting higher ethnic identity, but lower national identity for themselves. Own ethnic identity was negatively associated with attitudes and multiculturalism, whereas own national identity was positively associated with only attitudes. Perceived cross‐ethnic friend's national identity was positively related to both outgroup attitudes and multiculturalism. Shared national identification (high levels of own and friend's national identity) led to most positive outgroup attitudes and highest support for multiculturalism. Findings were discussed in the light of social identity and common ingroup identity models.