The effects of perceived social support on quality of life in patients awaiting coronary artery bypass grafting and their partners: testing dyadic dynamics using the Actor-Partner Interdependence Model

Patients awaiting coronary artery bypass grafting (CABG) need support from their partners or family caregivers to manage their self care successfully and to maximise quality of life. Partners need social support to help overcome the stressful tasks of an unexpected caregiving role. It is not known whether the individual's perceived social support contributes to their own, as well as their partner's quality of life. The aims of this study were to assess differences in social support and quality of life in patients and partners awaiting CABG, and to examine whether patients' and partners' perceived social support predicted their own, as well as their partner's quality of life before CABG. This cross-sectional study recruited 84 dyads (patients 84% males, aged 64.5 years and partners 94% females, aged 61.05 years). Perceived social support was assessed using the Medical Outcomes Study Social Support survey, with sub-scales for informational/emotional support, affectionate support, tangible support and positive social interaction. Quality of life was assessed using the Short-Form 12 Health Survey. Dyadic data were analysed using the Actor-Partner Interdependence Model, with distinguishable dyad regression. Results revealed the patients' informational/emotional support exhibited an actor effect on their own mental health (? = 0.19, p = 0.001); indicating those with low informational/emotional support had poorer mental health. There was a partner effect of the patients' informational/emotional support on their partner's mental health (? = 0.14, p = 0.024), indicating the patients' informational/emotional support was associated with the partner's mental health. None of the other types of social support exhibited an actor effect or a partner effect on the patient's or the partner's mental or physical health. More research into the relationship between social support and mental health is needed to help inform the design of interventions that target the dyad.     

The conceptual link between social desirability and cultural normativity

Psychologists have a recurrent concern that socially desirable responding (SDR) is a form of response distortion that compromises the validity of self‐report measures, especially in high‐stakes situations where participants are motivated to make a good impression. Psychologists have used various strategies to minimise SDR or its impact, for example, forced choice responding, ipsatization, and direct measures of social desirability. However, empirical evidence suggests that SDR is a robust phenomenon existing in many cultures and a substantive variable with meaningful associations with other psychological variables and outcomes. Here, we review evidence of the occurrence of SDR across cultures and tie SDR to the study of cultural normativity and cultural consonance in anthropology. We suggest that cultural normativity is an important component of SDR, which may partly explain the adaptiveness of SDR and its association with positive outcomes.     

The Concept Shifting Test: adult normative data

The Concept Shifting Test (CST) is a newly developed Trail Making Type test that measures concept shifting and executive functioning. The purpose of the present study was to determine whether CST performance was affected by age, gender, educational level, or handedness and to establish the normal range of test performance. The CST was administered to a large sample (N = 1,794) of cognitively intact adults (age range 24 to 81 years). The results showed that CST performance was superior in women, decreased with age, and increased with level of education. Handedness did not affect CST performance. Normative data that are corrected for the influences of these demographical variables were established with a regression-based normative approach.     

Accessing lexical memory: The transfer of word repetition effects across task and modality

Reading by literate adults is generally assumed to represent skill acquired years earlier. However, the present experiments show that aspects of that skill can be readily modified. In two experiments, pronunciation of visually presented common words speeded later recognition of those words. This facilitation of recognition occurred although subjects did not expect word repetition and the task was changed from pronunciation to recognition. In contrast, naming pictures did not facilitate later recognition of visually presented picture names. The occurrence of facilitation when the task was changed and the lack of facilitation when stimulus format was changed suggest that facilitation occurs in the processes of encoding and accessing memory, processes that may change little across tasks but may change substantially with stimulus format changes. This facilitation of recognition occurs automatically without mediation by subjects’ expectations. A third experiment indicates that this facilitation of recognition shows little relation to episodic memory.     

Effects of Spatial and Motor Demands in Handwriting

Four experiments were conducted to study response programming in handwriting tasks. Twelve right-handed subjects wrote acoustically presented words and phrases, and their handwriting was digitally recorded. Changes in latency, movement time, trajectory length, and pen pressure were studied as a function of response complexity (i.e., word length, complexity of initial letter, and spacing distance). The lengthening of the spatiotemporal parameters preceding the more complex structures is interpreted to be a reflection of the effects of mental load. The results further indicate that the choice of a programming strategy is dependent on the structural complexity of the task. Writing pressure decreased as a function of increased sequence length. The findings support a hierarchical model of handwriting.     

Cognitive predictors of posttraumatic stress symptoms six months following acute coronary syndrome

This study examined patients' illness representations assessed shortly after an acute coronary syndrome (ACS) as predictors of posttraumatic stress symptoms six months later. Illness representations were assessed in ACS patients using standard measures at a home visit three weeks after discharge from hospital. Posttraumatic stress symptoms were assessed at the same time, and again six months later. Patients were aged 61 years on average, the majority being men (89.8%) of white European decent (89%). Greater posttraumatic symptoms at six months were associated with beliefs that the illness would last a long time (timeline), that it had an unpredictable time course (timeline--cyclical), greater consequences, less personal and treatment control, poorer illness coherence and stronger negative emotional representations (emotional upset relating to the illness; p?相似文献   

The Stroop color-word test: influence of age, sex, and education; and normative data for a large sample across the adult age range

The Stroop Color-Word Test was administered to 1,856 cognitively screened, healthy Dutch speaking participants aged 24 to 81 years. The effects of age, gender, and education on Stroop test performance were investigated to adequately stratify the normative data. The results showed that especially the speed-dependent Stroop scores (time to complete a subtest), rather than the accuracy measures (the errors made per Stroop sub-task), were profoundly affected by the demographic variables. In addition to the main effects of the demographic variables, an Age Low Level of Education interaction was found for the Error III and the Stroop Interference scores. This suggests that executive function, as measured by the Stroop test, declines with age and that the decline is more pronounced in people with a low level of education. This is consistent with the reserve hypothesis of brain aging (i.e., that education generates reserve capacity against the damaging effects of aging on brain functions). Normative Stroop data were established using both a regression-based and traditional approach, and the appropriateness of both methods for generating normative data is discussed.     

Relationships between physiological and psychological stress and salivary immunoglobulin A among young female gymnasts

We investigated whether psychological and physical stress induced by training or competition influence the secretory immune system among 12 highly trained young female gymnasts. Salivary levels of secretory IgA and cortisol responses to gymnastic training session or competition were assessed a total of 10 times, immediately before and after two training sessions which had different intensities and just before and after a major competition. These parameters were also measured on two non-training days. The Brunel Mood Scale was also used to assess the gymnasts's overall mood on each test day. IgA:Protein ratio was calculated. Significant decreases in this ratio were found after each exercise session, related to the physiological and psychological stress induced by exercise. Over the 5-mo. training period the presession IgA:Protein ratios were unchanged. Gymnasts registered any episodes of upper respiratory tract infection. Bouts of exercise induce transitory effects on the immune system in relation to the workload and the stress induced by the exercise without any relation to increased susceptibility to illness in children.     

The perceptual integration of auditory stimulus edges: an illusory short tone in stimulus patterns consisting of two partly overlapping glides

Two partly overlapping frequency glides can be perceived as consisting of a long pitch trajectory accompanied by a short tone in the temporal middle. It was found that the appearance of this middle tone could not be related to peripheral processes concerned with spectral splatter or combination tones that could have emerged during the overlap of the glides. Furthermore, it was found that the middle tone was perceived even when components of the 2 glides were separated by more than an equivalent rectangular bandwidth at any time during the overlap. The appearance of the middle tone indicates that auditory events can result from the perceptual integration of component parts-that is, stimulus edges-of acoustically different sounds.