Adaptation to an autoimmune disorder: Does mental flexibility impact illness-related self-regulation?

Objective: To examine whether mental flexibility moderates the relationship between illness representations of control and coping behaviour in individuals suffering from rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE).

Design: Recently, diagnosed RA (N = 80) and SLE (N = 75) patients completed questionnaires about illness representations of personal and treatment control and four coping behaviours: instrumental coping, adherence to medical advice, palliative coping and wishful thinking. Mental flexibility was assessed with the Trail Making Test Part B (TMT-B), while visuomotor processing speed, as a confounder, was assessed with the Trail Making Test Part A (TMT-A). Moderated mediation models were tested within a bootstrapped multiple regression framework.

Results: TMT-A scores had no statistically significant moderation effects on the relation between representations and coping behaviour. Conversely, in those participants with SLE, TMT-B scores moderated the relation of personal control to wishful thinking and palliative coping, as well as the relation of treatment control to both wishful thinking and palliative coping. All significant effects were restricted to the SLE group.

Conclusion: Interactions between neurocognitive factors and the process of illness adaptation may emerge early during the course of SLE. The present findings highlight the role of cognitive functioning as an integral part of the illness-related self-regulation mechanism.     

Prediction of childhood problems at three years in children experiencing disorders of regulation during infancy

The objective of this study was to determine if symptoms of regulatory disorder (RD) during infancy were related to clinical status at three years. Two age‐matched RD groups based on severity (N = 10 in mild RD group; N = 22 in moderate–severe RD group) and an age‐matched control group (N = 38) were evaluated at 7 and 30 months. A fourth group with pervasive developmental disorders (N = 18) also were tested. Problems with self‐regulation, including sleep, feeding, state control, self‐calming, sensory reactivity, mood regulation, and emotional and behavioral control, were documented during infancy. Children were retested at 36 months in their development, behavior, and play. Two child psychiatrists unfamiliar with the subjects' diagnostic classification during infancy provided diagnoses at 36 months. At 36 months, 60% of children with mild regulatory disorders did not meet criteria for any disorders, while 95% of infants with moderate regulatory disorders had diagnoses that fell into two diagnostic clusters: (1) delays in motor, language, and cognitive development and (2) parent–child relational problems. Most toddlers in the pervasive developmental disorder group were diagnosed as having PDD or autism with mental retardation or borderline intelligence at 36 months. Early symptoms are discussed as they relate to later diagnostic outcomes for the clinical samples. © 2000 Michigan Association for Infant Mental Health.     

Relative Cost Effectiveness of In-Person and Internet Interventions for Relationship Distress

While the efficacy of couple therapy has been repeatedly demonstrated, most distressed couples do not seek treatment. To improve reach and overcome barriers to therapy, Integrative Behavioral Couple Therapy (IBCT) was translated into a web-based program, OurRelationship (OR). While both IBCT and OR have been shown to improve relationship and individual functioning, the goal of the present study was to compare the relative cost effectiveness of these two treatment modalities. In IBCT, 74% of couples experienced reliable improvement, compared to 55% of couples in OR. Within-group Cohen's d effect sizes during treatment for relationship satisfaction were d = 0.87 for IBCT and d = 0.96 for OR. Relative cost effectiveness analyses revealed that even at the highest expense estimates for OR and the lowest expense estimates for IBCT, OR was more cost effective in creating reliable improvement once at least 229 couples were served and was more cost effective in creating large-size effects once at least 153 couples were served. Cost-effectiveness increases for both IBCT and OR as more couples are served; however, this cost savings occurs at a much more rapid rate for OR. These findings demonstrate that despite higher initial development costs, Internet programs are a cost-effective option for dissemination either as a stand-alone service or as an initial intervention in a stepped care model with more intensive in-person services.     

Identifying the Developmental Strengths of Juvenile Offenders: Assessing Four Life‐Skills Dimensions

The authors describe the development of the Life‐Skills Development Scale Juvenile Form, a brief self‐report instrument for assessing the life‐skills development of juvenile offenders. Reliability and validity findings are presented, implications for treatment planning are provided, and recommendations for further research are discussed.     

CHANGES IN THE FACIAL PROMINENCE OF WOMEN AND MEN OVER THE LAST DECADE

Two studies measured the facial prominence of women and men in popular images over the last decade. The first study used 1,200 photo-graphs from Time and Newsweek for the years 1970 and 1980. The results indicate that overall, men have received greater facial prominence than women, and facial prominence has increased over the decade. Only for Newsweek did women show a significantly greater increase in facial prominence than men. The second study used 640 photographs from Good Housekeeping and Ms. for the years 1974 and 1984. The results show that overall, men have received greater facial prominence than women, and facial prominence has risen over the decade, although not by much. In Ms. , women but not men gained; in Good Housekeeping , women gained slightly, but not as much as men. The results are consistent with earlier reports of an asymmetry in representation of men's and women's faces and suggest that this asymmetry is slowly diminishing.     

Complexities in International Organizational Socialization

The growing number of expatriates highlights the importance of organizational socialization as these people strive to adjust to a new work environment in a foreign country. Research hypotheses presented by Feldman (1997) are reviewed for their impact on future research. The complexities of organizational socialization or work adjustment within an international context are believed to transcend the bounds of simple linear relationships. Five of the hypotheses are discussed to illustrate these complexities and to offer new ideas for future research.     

SEX-RELATED ATTITUDES AND PERSONAL CHARACTERISTICS IN THE UNITED STATES

First, differences in attitudes and beliefs towards masculine and feminine roles as well as legal and social facts in the U.S. are presented. Due to women's and civil rights movements those differences are changing now. However, inequalities and barriers for changing are still not completely overcome, often referring to differences in temperament and motivation between men and women which are assumed to be based on biological and/or socializing factors. In the U.S. sample, sex differences emerged on the following variables: Marriage importance (F> M), Masculinity score for self (M > F), Femininity score for self (F > M), Femininity score for ideal man (F > M), Masculinity score for ideal women (F > M) and Competitiveness (M > F). Academic orientation also influences the Educational Aspirations and Expectations (college > technical) and the Masculinity score for the ideal woman (college > technical). Suggestions are given for future research work: finding techniques to decrease sex stereotypes and focusing research on the conditions which were responsible in the past for the traditional masculine and feminine roles in the American Society and how these roles no longer are appropriate.     

Emotional mood and memory in young children

Two experiments examined affect-dependent memory with preschool/kindergarten and third-grade children. A two-list intentional learning procedure was used to assess the effects of the congruent versus incongruent relationship between affect (happy vs sad) during initial list learning and affect (happy vs sad) during a delayed recall test. When induction of emotional mood was preceded by relaxation exercises in Experiment 1, no evidence of affect dependence was observed. When the relaxation procedure was omitted in Experiment 2, the affect-dependent pattern was obtained in both free recall and cued recall for both age groups. The results of Experiment 2 show that affect-dependent memory is a reasonably robust phenomenon in children and that hypnosis is not necessary for its appearance. However, the phenomenon is apparently absent under conditions of relaxation, a result consistent with two-factor theories of emotion.