Prevalence,Detection and Correlates of PTSD in the Primary Care Setting: A Systematic Review

Research suggests that posttraumatic stress disorder (PTSD) is common, debilitating and frequently associated with comorbid health conditions, including poor functioning, and increased health care utilization. This article systematically reviewed the empirical literature on PTSD in primary care settings, focusing on prevalence, detection and correlates. Twenty-seven studies were identified for inclusion. Current PTSD prevalence in primary care patients ranged widely between 2 % to 39 %, with significant heterogeneity in estimates explained by samples with different levels of trauma exposure. Six studies found detection of PTSD by primary care physicians (PCPs) ranged from 0 % to 52 %. Studies examining associations between PTSD and sociodemographic variables yielded equivocal results. High comorbidity was reported between PTSD and other psychiatric disorders including depression and anxiety, and PTSD was associated with functional impairment or disability. Exposure to multiple types of trauma also raised the risk of PTSD. While some studies indicated that primary care patients with PTSD report higher levels of substance and alcohol abuse, somatic symptoms, pain, health complaints, and healthcare utilization, other studies did not find these associations. This review proposes that primary care settings are important for the early detection of PTSD, which can be improved through indicated screening and PCP education.     

Psychometric Properties of the Cultural Intelligence Scale in a Saudi Arabian Context

The purpose of this study was to evaluate the psychometric properties of the cultural intelligence scale (CQS) in a Saudi Arabian context. The CQS was administered to a random sample of 553 undergraduate students at Hail University. Results of a confirmatory factor analysis (CFA) supported the four‐factor structure of the CQS: cognitive, metacognitive, motivational, and behavioral. In addition, the results of a second‐order CFA indicated that these four factors can be further collapsed into one general factor. The CQS showed adequate internal consistency and test–retest reliability as well as convergent and discriminant validity. The results further revealed no significant differences between males and females. In sum, results suggest that the Arabic version of the CQS is a reliable and valid instrument for measuring an individual's intercultural intelligence.     

The Challenger Disaster And The Revival Of Rhetoric In Organizational Life

Explanations of the cause of the Challenger disaster by the Presidential Commission and by communication scholars are flawed. These explanations are characterized by a common tendency to emphasize the technical and procedural aspects of organizational life at the expense of the cognitive and ethical. Rightly construed, the Challenger disaster illustrates both the need for a revived art of rhetoric and the importance of putting in place the political and social conditions that make this art efficacious in furthering cognitive understanding and ethical conduct.     

Evaluations of Presidential Campaign Speakers as a Function of Similarity and Expectancy Disconfirmation

During the week prior to the November 1972 U.S. Presidential election, 249 college students heard a young, "freaky"-appearing or an old, "straight"-appearing speaker—corresponding to a stereotyped McGovern or Nilon advocate—deliver a speech for either the expected or unexpected candidate. Espectancy had little effect on speaker ratings, but speakers were rated more positively by subjects who were similar to them in age. appearance, and (especially) candidate preference. Similarity, particularly in regard to preferred presidential candidate, affected the ratings of the speaker made by pro-McGovern subjects to a greater degree than the ratings made by pro-Nixon subjects. These data suggested that college-aged Nixon supporters may have experienced an identification conflict.     

SOCIAL SKILLS TRAINING WITH CHILDREN: PROCEED WITH CAUTION

Three learning disabled children, selected on the basis of peer sociometric ratings and teacher referral, received social skills training. A group training procedure consisting of coaching, modeling, behavior rehearsal, and feedback was used to teach children the target behaviors of eye contact and appropriate verbal responses. A multiple baseline analysis across target behaviors was used to demonstrate treatment effectiveness on role-play scenes trained during treatment sessions. Duration of speech was measured as an untrained, corollary measure. The following measures were also obtained during baseline, posttreatment, and 1-mo follow-up for the experimental subjects and three control subjects: (a) performance on role-play scenes not trained during treatment sessions; (b) behavioral observations in a free play setting, and (c) sociometric ratings. In addition, the trained and untrained role-play scenes were administered by novel experimenters following treatment. The results indicated that socially unskilled, learning disabled children can be taught to respond appropriately to role-play situations. However, improved performance did not generalize to the natural school setting and treatment did not effect ratings of peer acceptance. The implications of these findings for future social skills training with children are discussed.     

Persuasion,surveillance, and voting behavior

More than 4000 students received one of three letters urging them to vote in a campus primary election. Two letters suggesting that voting behavior would be monitored produced 37% turnout compared with 32% for a nonsurveillance letter and 26% for noletter controls. Differences among these three groups are significant at p < .01. The letters also increased turnout in a runoff election held one week after the primary; however there were no differences among the three letters. These results are discussed in terms of Thibaut and Kelley's three-step process for enforcing group norms.