Secondary traumatic stress in emergency medicine clinicians

Previously called Secondary Traumatic Stress (STS), secondary exposure to trauma is now considered a valid DSM-5 Criterion A stressor for posttraumatic stress disorder (PTSD). Previous studies have found high rates of STS in clinicians who treat traumatically injured patients. However, little research has examined STS among Emergency Medicine (EM) physicians and advanced practice providers (APPs). The current study enrolled EM providers (N = 118) working in one of 10 hospitals to examine risk factors, protective factors, and the prevalence of STS in this understudied population. Most of the participants were physicians (72.9%), Caucasian (85.6%), and male (70.3%) with mean age of 39.7 (SD = 8.9). Overall, 12.7% of the sample screened positive for STS with clinical levels of intrusion, arousal, and avoidance symptom clusters, and 33.9% had at least one symptom cluster at clinical levels. Low resilience and a history of personal trauma were positively associated with positive STS screens and STS severity scores. Borderline significance suggested that female gender and spending ≥10% of one’s time with trauma patients could be additional risk factors. Findings suggest that resilience-building interventions may be beneficial.     

Evaluating Effort: Influences of Evaluation Mode on Judgments of Task‐specific Efforts

The claim that humans adapt their actions in ways that avoid effortful processing (whether cognitive or physical) is a staple of various theories of human behavior. Although much work has been carried out focusing on the determinants of such behaviors, less attention has been given to how individuals evaluate effort. In the current set of experiments, we utilized the general evaluability theory to examine the evaluability of effort by examining subjective value functions across different evaluation modes. Individuals judged the anticipated effort of four task‐specific efforts indexed by stimulus rotation, items to be remembered, weight to be lifted, and stimulus degradation across joint (i.e., judged comparatively) and single evaluation modes (i.e., judged in isolation). General evaluability theory hypothesizes that highly evaluable attributes should be consistently evaluated (i.e., demonstrate similar subjective value functions) between the two modes. Across six experiments, we demonstrate that the perceived effort associated with items to be remembered, weight to be lifted, and stimulus degradation can be considered relatively evaluable, while the effort associated with stimulus rotation may be relatively inevaluable. Results are discussed within the context of subjective evaluation, internal reference information, and strategy selection. In addition, methodological implications of evaluation modes are considered. Copyright © 2017 John Wiley & Sons, Ltd.     

The Interdisciplinarity of Collaborations in Cognitive Science

We introduce a new metric for interdisciplinarity, based on co‐author publication history. A published article that has co‐authors with quite different publication histories can be deemed relatively “interdisciplinary,” in that the article reflects a convergence of previous research in distinct sets of publication outlets. In recent work, we have shown that this interdisciplinarity metric can predict citations. Here, we show that the journal Cognitive Science tends to contain collaborations that are relatively high on this interdisciplinarity metric, at about the 80th percentile of all journals across both social and natural sciences. Following on Goldstone and Leydesdorff (2006), we describe how scientometric tools provide a valuable means of assessing the role of cognitive science in broader scientific work, and also as a tool to investigate teamwork and distributed cognition. We describe how data‐driven metrics of this kind may facilitate this exploration without relying upon rapidly changing discipline and topic keywords associated with publications.     

Couples' Relationships: Questioning Assumptions, Beliefs, and Values

I want to express my deep appreciation to Howard J. Markman and Kim Halford for their excellent work as guest editors of the special section, Couple Relationship Education in an International Context.     

Basic processes in reading: the effect of interletter spacing

Reading is acutely sensitive to the amount of space between letters within a string. In the present investigation, we explore the impairment caused by increasing interletter spacing when reading single words and nonwords aloud. Specifically, 2 hypotheses are tested: (a) whether increasing interletter spacing induces serial processing while reading aloud and (b) whether this serial processing results from an increased reliance on a serial sublexical mechanism similar to that implemented in dual route models of reading. Implications of the present results for understanding basic processes in reading are discussed with particular reference to different types of serial processing in reading aloud and the role of attention in reading.     

Unaltered ethical standards for individual physicians in the face of drastically reduced resources resulting from an improvised nuclear device event

When disaster disrupts healthcare and other systems, the ethical allocation of resources should follow principles of justice, defined as fairness, established for normal clinical practice. Standards of clinical practice may be altered during disaster, but ethical standards must remain centered on prioritizing the treatment of patients according to need and the effectiveness of treatment. Should resources become extremely limited, it is fair to restrict their use to patients who have the highest needs, provided that the intervention is effective. When resources become more available, patients with lower priority can be increasingly accommodated.     

Pain Intensity,Psychological Inflexibility,and Acceptance of Pain as Predictors of Functioning in Adolescents with Juvenile Idiopathic Arthritis: A Preliminary Investigation

Juvenile Idiopathic Arthritis (JIA) is a chronic rheumatic disease associated with pain and maladjustment. This study investigated whether pain, acceptance of pain, and psychological inflexibility uniquely predicted functional disability, anxiety, general quality of life (QOL), and health-related quality of life (HQOL) among adolescents with JIA. Twenty-three adolescents with JIA and pain were recruited from a pediatric rheumatology clinic. Participants completed self-report measures pertaining to the key study variables. A series of multiple regression analyses demonstrated that higher pain uniquely predicted higher functional disability. Greater psychological inflexibility uniquely predicted higher anxiety, lower general QOL, and lower HQOL. Increases in acceptance of pain were found to be uniquely related to increases in general QOL. These data confirm prior findings that pain impacts functioning, and provide preliminary findings that psychological inflexibility and acceptance may be important targets of psychological intervention for youth with JIA and pain to improve functioning and QOL.