Multidimensional Retirement Planning Behaviors,Retirement Confidence,and Post-Retirement Health and Well-Being Among Chinese Older Adults in Hong Kong

Applied Research in Quality of Life - Maintaining health and well-being in later life is becoming increasingly crucial because of rapid population aging and prolonged years in retirement....     

Heart rate variability during sympatho-excitatory challenges: Comparison between spontaneous and metronomic breathing

Respiration influences heart rate variability, leading to the suggestion that respiration should be controlled to assess autonomic function by using heart rate variability. Clearly, control of respiration is advantageous or even essential in several experimental circumstances. However, control of respiration, by itself, produces a small, but significant, increase in mean heart rate and a decrease in respiratory synchronous variation in heart rate. We tested whether, in some experimental situations, it may be possible to arrive at similar interpretation about autonomic function with and without using control of respiratory rate. heart rate spectral powers from nine subjects were compared between spontaneous and metronomic breathing during two sympatho-excitatory stresses, lower body negative pressure (LBNP) and head up tilt (HUT). The normalized spectral powers in supine and HUT during spontaneous breathing were: 0.43 and 0.75 in very low (VLF) and 0.28 and 0.09 in high frequency (HF) regions. The powers during metronomic breathing were: 0.36 and 0.82 (VLF) and 0.36 and 0.09 (HF). The powers in supine and LBNP during spontaneous breathing were: 0.43 and 0.81 (VLF) and 0.28 and 0.06 (HF). The powers during metronomic breathing were: 0.36 and 0.80 (VLF) and 0.36 and 0.07 (HF). All p values were <0.05. Therefore, changes in heart rate spectral powers during HUT and LBNP were similar during metronomic breathing and spontaneous breathing. These results suggest that in experimental designs such as in our study, using metronomic breathing may not provide any additional insight into autonomic function than that can be obtained during spontaneous breathing.     

Using the Tenets of the Problem‐Centered Systems Therapy of the Family (PCSTF) to Teach the McMaster Approach to Family Therapists

This article describes the videoconferencing training of a group of family therapists in the McMaster Approach to evaluating and treating families. A discussion of the key tenets of the McMaster Approach lays the groundwork for how these tenets were applied to training in a residential treatment agency for adolescents. The article serves as an example of how videoconference technology can facilitate extended training, even from a distance.     

Participants’ Preferences for Interpretive Programs and Social Interactions at a Japanese Natural Park

ABSTRACT

A case study at Okutama-Kohan Park in Japan was designed to explore adult participants’ preferences for interpretive programs. The study included adults who participated in an interpreter-led program in the park. A questionnaire survey with 492 participants examined their preferences for interpretive program types, topics, timing, and types of social interaction during a program. The associations between participants’ preferences and their age, gender, or group composition were also explored. Designing programs that are consistent with these preferences should help to enhance free-choice adult learning environments.     

How does one become spiritual? The Spiritual Modeling Inventory of Life Environments (SMILE)

We report the theoretical background, psychometric properties, and correlates of the Spiritual Modeling Inventory of Life Environments (SMILE), a measure of perceptions of spiritual models, defined as everyday and prominent people who have functioned for respondents as exemplars of spiritual qualities, such as compassion, self-control, or faith. Demographic, spiritual, and personality correlates were examined in an ethnically diverse sample of college students from California, Connecticut, and Tennessee (N = 1010). A summary measure of model influence was constructed from perceived models within family, school, and religious organization, and among prominent individuals from both tradition and media. The SMILE, based on concepts from Bandura's (1986) Social Cognitive Theory, was well-received by respondents. The summary measure demonstrated good 7-week test–retest reliability (r = 0.83); patterns of correlation supporting convergent, divergent, and criterion-related validity; demographic differences in expected directions; and substantial individual heterogeneity. Implications are discussed for further research and for pastoral, educational, and health-focused interventions.     

Social anxiety disorder in veterans affairs primary care clinics

To examine the prevalence and correlates of social anxiety disorder (SAD) in veterans, 733 veterans from four VA primary care clinics were evaluated using self-report questionnaires, telephone interviews, and a 12-month retrospective review of primary care charts. We also tested the concordance between primary care providers’ detection of anxiety problems and diagnoses of SAD from psychiatric interviews. For the multi-site sample, 3.6% met criteria for SAD. A greater rate of SAD was found in veterans with than without post-traumatic stress disorder (PTSD) (22.0% vs. 1.1%), and primary care providers detected anxiety problems in only 58% of veterans with SAD. The elevated rate of comorbid psychiatric diagnoses and suicidal risk associated with SAD was not attributable to PTSD symptom severity. Moreover, even after controlling for the presence of major depressive disorder, SAD retained unique, adverse effects on PTSD diagnoses and severity, the presence of other psychiatric conditions, and suicidal risk. These results attest to strong relations between SAD and PTSD, the inadequate recognition of SAD in primary care settings, and the significant distress and impairment associated with SAD in veterans.     

Misconceptions about incline speed for nonlinear slopes

In 3 experiments, college students provided qualitative predictions about a marble's speed along nonlinear inclines. When predicting the outcome of a race between identical marbles along differently shaped ramps, most students predicted incorrectly that the shorter path was necessarily quicker (the shorter-quicker belief). When comparing instantaneous speed at 2 points, most students predicted incorrectly that incline speed depended on the slope at that point (the slope-speed belief). A final experiment provides evidence that the slope-speed belief reflects a deeper fallacy regarding the resistance encountered while traversing inclines and lifting objects. This fallacy also predicts the prevalent belief that heavier objects fall faster than lighter objects during incline descent or free fall.     

Utah youth suicide study: psychological autopsy

We conducted a psychological autopsy study to further understand youth suicide in Utah. While traditional psychological autopsy studies primarily focus on the administration of psychometric measures to identify any underlying diagnosis of mental illness for the suicide decedent, we focused our interviews to identify which contacts in the decedent's life recognized risk factors for suicidal behavior, symptoms of mental illness, as well as barriers to mental health treatment for the decedent. Parents and friends recognized most symptoms universally, although friends better recognized symptoms of substance abuse than any other contact. The study results suggest that parents and friends are the most appropriate individuals for gatekeeper training and, in conjunction with other innovative screening programs, may be an effective strategy in reducing adolescent suicide.