Personal, Medical, and Healthcare Utilization Among Homeless Veterans Served by Metropolitan and Nonmetropolitan Veteran Facilities

This study assessed differences in personal, medical, and health care utilization characteristics of homeless veterans living in metropolitan versus nonmetropolitan environments. Data were obtained from a Veterans Health Administration (VHA) network sample of homeless veterans. Chi-square tests were used to assess differences in demographics, military history, living situation, medical history, employment status, and health care utilization. Moderator analyses determined whether predictors of health care utilization varied by metropolitan status. Of 3,595 respondents, 60% were residing in metropolitan areas. Age, sex, and marital status were similar between metropolitan and nonmetropolitan homeless. Metropolitan homeless were less likely to receive public financial support or to be employed, to have at least one medical problem, one psychiatric problem, or current alcohol dependency, but more likely to be homeless longer. Of the 52% of the sample who used VHA care in the last 6 months, 53% were metropolitan versus 49% nonmetropolitan (p = .01). Metropolitan status predicted at least one VHA visit within the prior 6 months (OR:1.3, CI:1.1, 1.6). Significant differences occur in the personal, medical, and health care utilization characteristics of homeless veterans in metropolitan versus nonmetropolitan areas.     

How communication goals determine when audience tuning biases memory

After tuning their message to suit their audience's attitude, communicators' own memories for the original information (e.g., a target person's behaviors) often reflect the biased view expressed in their message--producing an audience-congruent memory bias. Exploring the motivational circumstances of message production, the authors investigated whether this bias depends on the goals driving audience tuning. In 4 experiments, the memory bias was found to a greater extent when audience tuning served the creation of a shared reality than when it served alternative, nonshared reality goals (being polite toward a stigmatized-group audience; obtaining incentives; being entertaining; complying with a blatant demand). In addition, the authors found that these effects were mediated by the epistemic trust in the audience-congruent view but not by the rehearsal or accurate retrieval of the original input information, the ability to discriminate between the original and the message information, or a contrast away from extremely tuned messages. The central role of epistemic trust, a measure of the communicators' experience of shared reality, was supported in meta-analyses across the experiments.     

Disgust as embodied moral judgment

How, and for whom, does disgust influence moral judgment? In four experiments participants made moral judgments while experiencing extraneous feelings of disgust. Disgust was induced in Experiment 1 by exposure to a bad smell, in Experiment 2 by working in a disgusting room, in Experiment 3 by recalling a physically disgusting experience, and in Experiment 4 through a video induction. In each case, the results showed that disgust can increase the severity of moral judgments relative to controls. Experiment 4 found that disgust had a different effect on moral judgment than did sadness. In addition, Experiments 2-4 showed that the role of disgust in severity of moral judgments depends on participants' sensitivity to their own bodily sensations. Taken together, these data indicate the importance-and specificity-of gut feelings in moral judgments.     

Skating down a steeper slope: fear influences the perception of geographical slant

Previous studies have shown that conscious awareness of hill slant is overestimated, but visually guided actions directed at hills are relatively accurate. Also, steep hills are consciously estimated to be steeper from the top than the bottom, possibly because they are dangerous to descend. In the present study, participants stood at the top of a hill either on a skateboard or a wooden box of the same height. They gave three estimates of the slant: a verbal report, a visually matched estimate, and a visually guided action. Fear of descending the hill was also assessed. Those participants who were scared (by the skateboard) consciously judged the hill to be steeper than unafraid participants. However, the visually guided action measure was accurate across conditions. These results suggest that explicit awareness of slant is influenced by the fear associated with a potentially dangerous action that could be performed on the hill.     

The Relationship Between Emotional Resources and Emotional Labor: An Exploratory Study

The study examines the effects of a subtype of personal resources (i.e., emotional resources) on emotional labor strategies. We examined 2 variables, emotional intelligence and negative affectivity, as proxies for emotional resources. Largely consistent with predictions, results indicated that individuals with a high level of emotional resources (indicated by high emotional intelligence) are more likely than others to deep act, and individuals with comparatively low emotional resources (indicated by high negative affectivity) are more likely than others to surface act. The differential effects of surface acting and deep acting on strain and job satisfaction were examined. Depressed mood was found to mediate the relationship between surface acting and job satisfaction.     

Synthesis of studies of co-occurring disorder(s) in criminal justice and a research agenda

The studies reported in this special issue were designed to take advantage of the unique opportunity that the Criminal Justice Drug Abuse Treatment Studies (CJDATS) cooperative provides to the systematic study of several key issues in programming for co-occurring disorder(s) (COD) in the criminal justice system. These papers present findings from CJDATS studies pertaining to co-occurring disorder(s), identify clinical initiatives to strengthen efforts to treat the population with co-occurring disorder(s), and point to a direction for the elaboration of a future research agenda. Four key areas of investigation are presented: Screening and Diagnosis; the Relationship of Co-Occurring Disorder(s) to Violence; Gender Differences; and the Delivery of Services for Co-Occurring Disorder(s). The first section of this article summarizes the studies included in this special issue within the context of the research literature already available. The second section suggests a future research agenda for the study of offender populations with co-occurring disorder(s), and concludes with a broad statement of clinical advancements to date.     

Effects of warned and unwarned demand transitions on vigilance performance and stress

The present study was designed to explore the effects of warned and unwarned demand transitions in vigilance on performance and self-reported stress. Twenty observers (10 women and 10 men) were assigned at random to each of six conditions resulting from the factorial combination of signal salience (high and low salience signals) and switching (no switch, switch with warning, and switch without warning). Performance metrics and self-reported stress state (Task Engagement, Distress, and Worry) were collected. While demand transitions did destabilize subsequent performance, increasing intra-individual variability, overall performance efficiency was uninfluenced by either switching or warning. Demand transitions, whether warned or not, increased self-reported distress. A dynamic model of performance stress may be necessary and research employing vigilance tasks in the future may be useful for developing this performance-stress model.     

Psychological impact of illness intrusiveness in epilepsy - comparison of treatments

Chronic illnesses are associated with multiple stressors that compromise quality of life (QOL). Implicit in many of these is the concept of illness intrusiveness, the disruption of lifestyles and activities attributable to constraints imposed by chronic disease and its treatment. This study tested the illness intrusiveness theoretical framework in epilepsy and compared the impact of pharmacological and surgical treatments on illness intrusiveness and QOL. Cross-sectional data compared three epilepsy groups (N = 145): (a) 40 patients admitted for presurgical evaluation to an Epilepsy Monitoring Unit; (b) 52 patients treated pharmacologically; and (c) 53 post-surgical patients. Illness intrusiveness differed significantly across epilepsy patients with the differences primarily related to seizure control. Illness intrusiveness varied inversely with seizure control (p < .05). Seizure freedom, whether achieved by surgical or pharmacological treatments, was associated with maximal reduction of illness intrusiveness. Increased illness intrusiveness correlated significantly with decreased QOL and increased depressive symptoms. Perceived control over diverse life domains correlated positively with QOL and psychosocial outcomes. Path analysis supported the validity of the illness intrusiveness theoretical framework in epilepsy. Illness intrusiveness is an important determinant of the psychosocial impact of epilepsy and its treatment. Effective pharmacological or surgical treatment may reduce illness intrusiveness in epilepsy. Findings also offer encouragement that QOL in epilepsy, as in other chronic conditions, may be enhanced by multidisciplinary bio-psychosocial efforts. Health care providers should consider multifaceted interventions to reduce illness intrusiveness and, thereby, improve QOL.     

Neuropsychologic functioning in children with autism: further evidence for disordered complex information-processing.

A wide range of abilities was assessed in 56 high-functioning children with autism and 56 age- and IQ-matched controls. Stepwise discriminant analyses produced good group discrimination for sensory-perceptual, motor, complex language, and complex memory domains but lower agreement for the reasoning domain than previously obtained for adults. Group discrimination did not occur for attention, simple language, simple memory, and visuospatial domains. Findings provide additional support for a complex information-processing model for autism, previously based on adult data, demonstrating a pattern across domains of selective impairments on measures with high demands for integration of information and sparing when demands were low. Children as compared to adults with autism exhibited more prominent sensory-perceptual symptoms and less pronounced reasoning deficits reflecting brain maturation.