Stress, appraisal, coping, and social support as predictors of adaptational outcome among dementia caregivers

A stress and coping model was used to study predictors of individual differences in caregiver adaptation. A total of 54 family caregivers of elderly dementia patients completed interviews and questionnaires assessing the severity of patient impairment and caregiving stressors; caregiver appraisals, coping responses, and social support and activity; and caregiver outcomes, including depression, life satisfaction, and self-rated health. Correlational and regression analyses supported the utility of the stress and coping model. Appraisal, coping responses, and social support and activity were significant predictors of caregiver outcome, even when severity of caregiving stressors was statistically controlled. The importance of a multidimensional approach to assessing caregiver outcomes was supported by regression analyses indicating that each caregiver outcome was predicted by different patterns of stressors, appraisal, coping, and social support and activity. Results are discussed in terms of a stress and coping model of caregiving, and clinical implications for work with caregiving families.     

The Vietnam veteran and his preschool child: Child rearing as a delayed stress in combat veterans

Integral to a successful readjustment following his Vietnam combat experience, is the veteran's ability to make the transition from the reflex of combat aggressiveness, to adaptive, nondestructive aggression in his current life. Child rearing has been observed to stress the veteran's working through of this very necessary, though often difficult, transition. Specifically, the activity and agression of the terrible two's and the preschool child, particularly males, reawakens the painful affects of combat aggression and sadism. Attempts to control the aggressiveness in his children and himself may lead to maladaptive coping and symptom breakthrough in the veteran, his child and/or his family unit. Two case examples, one brief, one more detailed, illustrate this observation.Paper read at Symposium on War Babies: Delayed Effects of Warmaking, Disaster and Persecution on Children, Xth International Congress of Child and Adolescent Psychiatry, Dublin, July 26, 1982.     

Correspondence between parents' reports on the Behavior Problem Checklist

Interparent agreement on the Behavior Problem Checklist (BPC) was assessed in relation to several potentially influential variables. Major findings indicated parent agreement to be of a moderate level, generally higher in nondistressed than distressed samples, lower on Personality Problem items than Conduct Problem items, very low regarding presence of specific behaviors, and importantly related to type of reliability index employed. Issues deserving additional research effort are discussed.This research was supported in part by NIMH Grant No. 2R01 MH25802 and by NIAAA Research Scientist Development Award No. 1K01 AA00027 to the first author.     

Microaggressions: The experience of individuals with mental illness

The main objective of the study was to investigate the types of microaggressions experienced by individuals with mental illness (MI) based on this marginalized group status. This study included 4 focus groups, comprised of 18 individuals diagnosed with MI(es). The researchers qualitatively identified four themes (a) conveying stereotypes against individuals with MI (i.e. assumptions of inferiority, seeking attention or being dramatic, assumptions of coldness, bringing MI upon themselves, and using MI as an excuse), (b) invalidating the experience of having a MI (i.e. doubting existence, doubting severity, and avoiding acknowledgment of the MI), (c) defining a person by their disorder, and (d) misuse of terminology. Participants revealed the main perpetrators (i.e. family, friends, and professionals) of the microaggressions. The researchers discuss: how the identified themes compare to the three categories of microaggressions (i.e. microinsults, microinvalidations, and microassaults); similarities and differences between the current results and previously identified racial, gender, and sexual orientation microaggressions perpetrated in daily interactions and in therapeutic settings; and the perpetrators of microaggressions as they relate to prejudicial attitudes and social distance. Finally, the authors make recommendations for practitioners and researchers.     

Functional imaging of working memory and peripheral endothelial function in middle-aged adults

The current study examined the relationship between a prognostic indicator of vascular health, flow-mediated dilation (FMD), and working memory-related brain activation in healthy middle-aged adults. Forty-two participants underwent functional magnetic resonance imaging while completing a 2-Back working memory task. Brachial artery endothelial-dependent flow-mediated dilation (FMD) was assessed using B-mode ultrasound. The relationship between FMD and task-related brain activation in a priori regions of interest was modeled using hierarchical linear regression. Brachial FMD, was significantly related to reduced working memory-related activation in the right superior parietal lobule (β = 0.338, p = 0.027), independent of age, sex, systolic blood pressure, and full scale IQ (F(5, 36) = 2.66, p = 0.038). These data provide preliminary support for the association between a preclinical marker of endothelial dysfunction and cerebral hemodynamic alterations in healthy middle-aged adults. Considering the modifiable nature of endothelial function, additional investigations on the prognostic significance of FMD on future cognitive impairment are warranted.     

Spacing Simultaneously Promotes Multiple Forms of Learning in Children's Science Curriculum

The spacing effect refers to the robust finding that long‐term memory is promoted when learning events are distributed in time rather than massed in immediate succession. The current study extended research on the spacing effect by examining whether spaced learning schedules can simultaneously promote multiple forms of learning, such as memory and generalization, in the context of an educational intervention. Thirty‐six early elementary school‐aged children were presented with science lessons on one of three schedules: massed, clumped, and spaced. At a 1‐week delayed test, children in the spaced condition demonstrated improvements in both memory and generalization, significantly outperforming children in the other conditions. However, there was no observed relationship between children's memory performance and generalization performance. The current study highlights directions for future research and contributes to a growing body of work demonstrating the benefits of spaced learning for educational curriculum. Copyright © 2014 John Wiley & Sons, Ltd.     

Finding the good in the bad: age and event experience relate to the focus on positive aspects of a negative event

All lives contain negative events, but how we think about these events differs across individuals; negative events often include positive details that can be remembered alongside the negative, and the ability to maintain both representations may be beneficial. In a survey examining emotional responses to the 2013 Boston Marathon bombings, the current study investigated how this ability shifts as a function of age and individual differences in initial experience of the event. Specifically, this study examined how emotional importance (i.e. self-reported emotional arousal and personal significance), involvement (i.e. self and friend/family involvement in the 2013 Boston Marathon and self-involvement in prior marathons), and self-reported surprise upon hearing about the event related to the tendency to report focusing on the negative and positive aspects of the bombings. Structural equation models revealed that while greater emotional importance and surprise were associated with a greater focus on negative elements, involvement and age were associated with increased consideration of positive aspects. Further, emotional importance was more strongly related to an increased focus on negative aspects for young adults and an increased focus on positive aspects for older adults, highlighting a tendency for older adults to enhance positive features of an otherwise highly negative event.     

Reduction of Health Care Costs and Improved Appropriateness of Incoming Test Orders: the Impact of Genetic Counselor Review in an Academic Genetic Testing Laboratory

The goal of this study was to evaluate the impact of genetic counselor (GC) review of incoming test orders received in an academic diagnostic molecular genetics laboratory. The GC team measured the proportion of orders that could be modified to improve efficiency or sensitivity, tracked provider uptake of GC proposed testing changes, and calculated the health care dollar savings resulting from GC intervention. During this 6-month study, the GC team reviewed 2367 incoming test orders. Of these, 109 orders (4.6%) were flagged for review for potentially inefficient or inappropriate test ordering. These flagged orders corresponded to a total of 51 cases (1–5 orders for each patient), representing 54 individuals and including 3 sibling pairs. The GC team proposed a modification for each flagged case and the ordering providers approved the proposed change for 49 of 51 cases (96.08%). For the 49 modifications, the cost savings totaled $98,750.64, for an average of $2015.32 saved per modification. This study provides evidence of the significant contribution of genetic counselors in a laboratory setting and demonstrates the benefit of laboratories working with ordering providers to identify the best test for their patients. The review of test orders by a genetic counselor both improves genetic test ordering strategies and decreases the amount of health care dollars spent on genetic testing.     

The song,not the singer: Infants prefer to listen to familiar songs,regardless of singer identity

Parent's infant-directed vocalizations are highly dynamic and emotive compared to their adult-directed counterparts, and correspondingly, more effectively capture infants’ attention. Infant-directed singing is a specific type of vocalization that is common throughout the world. Parents tend to sing a small handful of songs in a stereotyped way, and a number of recent studies have highlighted the significance of familiar songs in young children's social behaviors and evaluations. To date, no studies have examined whether infants’ responses to familiar versus unfamiliar songs are modulated by singer identity (i.e., whether the singer is their own parent). In the present study, we investigated 9- to 12-month-old infants’ (N = 29) behavioral and electrodermal responses to relatively familiar and unfamiliar songs sung by either their own mother or another infant's mother. Familiar songs recruited more attention and rhythmic movement, and lower electrodermal levels relative to unfamiliar songs. Moreover, these responses were robust regardless of whether the singer was their mother or a stranger, even when the stranger's rendition differed greatly from their mothers’ in mean fundamental frequency and tempo. Results indicate that infants’ interest in familiar songs is not limited to idiosyncratic characteristics of their parents’ song renditions, and points to the potential for song as an effective early signifier of group membership.     

Cross‐Situational Learning of Minimal Word Pairs

Cross‐situational statistical learning of words involves tracking co‐occurrences of auditory words and objects across time to infer word‐referent mappings. Previous research has demonstrated that learners can infer referents across sets of very phonologically distinct words (e.g., WUG, DAX), but it remains unknown whether learners can encode fine phonological differences during cross‐situational statistical learning. This study examined learners’ cross‐situational statistical learning of minimal pairs that differed on one consonant segment (e.g., BON–TON), minimal pairs that differed on one vowel segment (e.g., DEET–DIT), and non‐minimal pairs that differed on two or three segments (e.g., BON–DEET). Learners performed above chance for all pairs, but performed worse on vowel minimal pairs than on consonant minimal pairs or non‐minimal pairs. These findings demonstrate that learners can encode fine phonetic detail while tracking word‐referent co‐occurrence probabilities, but they suggest that phonological encoding may be weaker for vowels than for consonants.