Somatization, psychiatric disorder, and stress in utilization of ambulatory medical services

Examined the prediction from Mechanic's (1972) attribution theory of somatization that somatizers who are under stress will overuse ambulatory medical services. Two hundred fourteen volunteer patients from university ambulatory care clinics completed the Diagnostic Interview Schedule and the Life Experiences Inventory. We examined somatization, psychiatric diagnoses, and life stress-and the interaction of these factors-in predicting frequency of medical visits during the preceding year, after controlling for need (active medical problems) and predisposing factors. As hypothesized, life stress interacted with somatization in predicting number of medical visits; somatizers who were under stress made more visits to the clinics than did nonsomatizers or somatizers who were not under stress. Although stress affected somatizers most, stress was predictive of increased medical utilization for all patients. These results suggest that psychological services intended to reduce overutilization of outpatient medical services might best focus on stress reduction and be most beneficial to somatizers.     

Problem music and self-harming

Academics and protest groups have claimed that "problem music" (hard rock, hip hop/rap, & punk) causes self-injurious thoughts/behaviors among fans. In this study we investigated whether the relationship is mediated by self-esteem, delinquency, and conservatism; and whether first exposure to problem music preceded self-injurious thoughts. A liking for problem music was associated with four of the five self-injurious measures, although these significant relationships were weakened (into nonsignificance in the case of two self-injurious measures) when the mediating variables were included. Listening to problem music did not precede self-injurious thoughts. Problem music is associated with self-injurious thoughts and behaviors, but this relationship is mediated by other factors and the former does not seem to cause the latter.     

Prevention of depression with primary care patients: A randomized controlled trial

The prevention of major depression is an important research goal which deserves increased attention. Depressive symptoms and disorders are particularly common in primary care patients and have a negative impact on functioning and well-being comparable with other major chronic medical conditions. The San Francisco Depression Prevention Research project conducted a randomized, controlled, prevention trial to demonstrate the feasibility of implementing such research in a public sector setting serving low-income, predominantly minority individuals: 150 primary care patients free from depression or other major mental disorders were randomized to an experimental cognitive-behavioral intervention or to a control condition. The experimental intervention group reported a significantly greater reduction in depressive levels. Decline in depressive levels was significantly mediated by decline in the frequency of negative conditions. Group differences in the number of new episodes (incidence) of major depression did not reach significance during the 1-year trial. We conclude that depression prevention trials in public sector primary care settings are feasbile, and that depressive symptoms can be reduced even in low-income, minority populations. To conduct randomized prevention trials that can test effects on incidence with sufficient statistical power, subgroups at greater imminent risk have to be identified.     

Verbal and behavioral responses to familiar and unfamiliar music

Thirty adult subjects completed an Operant Music Listening Recorder (OMLR) task with two unfamiliar and two familiar music channels (one “popular” and one “classical” in each case), then rated the music on each channel on seven-point scales for liking, quality, and familiarity. The two familiar music channels received significantly higher ratings than the two unfamiliar channels on all three rating scales, and there were no significant main effects or interactions involving musical style. The predictions (a) that subjects would spend more time listening to the familiar channels on the OMLR task, and (b) that measures of listening time would display higher correlations with ratings of liking than with those of quality both received weak support from the direction of the results, but neither was confirmed by statistical significance tests. The results are discussed in terms of the fragmentation between the affective and evaluative components of attitudes toward music.     

Psychosocial Adjustment in Male-to-Female Transsexuals: An Overview of the Research Evidence

Transsexualism has been defined as an extreme gender dysphoria; it refers to unhappiness with one's biological sex and the desire to have the body of the opposite sex and to be regarded by others as a member of that other sex. Transsexualism is not a common condition, but its prevalence is not yet known. A large number of transsexuals receive hormonal treatment and sex reassignment surgery (SRS). In spite of years of poor quality research, due in part to methodological problems, recent research on surgical outcomes has provided important information. However, psychological research into transsexualism has ignored the cognitive style and psychological functioning of transsexuals, and very little effort has been made to incorporate research findings into the development of psychological treatments to improve the quality of life for transsexuals.     

There are many ways to be rich: Effects of three measures of semantic richness on visual word recognition

Previous studies have reported that semantic richness facilitates visual word recognition (see, e.g., Buchanan, Westbury, & Burgess, 2001; Pexman, Holyk, & Monfils, 2003). We compared three semantic richness measures--number of semantic neighbors (NSN), the number of words appearing in similar lexical contexts; number of features (NF), the number of features listed for a word's referent; and contextual dispersion (CD), the distribution of a word's occurrences across content areas-to determine their abilities to account for response time and error variance in lexical decision and semantic categorization tasks. NF and CD accounted for unique variance in both tasks, whereas NSN accounted for unique variance only in the lexical decision task. Moreover, each measure showed a different pattern of relative contribution across the tasks. Our results provide new clues about how words are represented and suggest that word recognition models need to accommodate each of these influences.     

Female “Thin Ideal” Media Images and Boys' Attitudes Toward Girls

Both boys and girls are exposed repeatedly to “thin-ideal” images in the media, that is, images of unrealistically thin and attractive women. As yet, however, little research has examined the impact of these images on boys. In the present study we investigated the effect of exposure to televised thin-ideal images on boys' attitudes toward girls. The participants were 354 boys aged 13–15 years, who viewed either 20 commercials that epitomized the thin-ideal for women or 20 commercials that contained no such images. They then rated the importance of 10 characteristics, including slimness and physical attractiveness, in their choice of partner or girlfriend. Appearance schematicity, a trait measure of the extent of investment in appearance as the basis for self-evaluation, was also assessed. It was found that schematicity was positively related to boys' importance ratings of attractiveness, slimness, athletic ability, muscularity, and popularity in a girlfriend. Further, boys who scored medium (but not high or low) on appearance schematicity were influenced by the commercials. These findings suggest that the media may have an indirect impact on girls' body image through influence on boys' expectations and evaluations of girls' appearance.     

Music, IQ, and the executive function

This article is a commentary on 'Examining the association between music lessons and intelligence' (Schellenberg, 2011).     

Gender bias in the evaluation of new age music

Eminent composers in Western European art music continue to be predominantly male and eminence in contemporary pop music is similarly male dominated. One contributing factor may be the continuing under-valuation of women's music. Possible anti-female bias in a contemporary genre was investigated using the Goldberg paradigm to elicit judgments of New Age compositions. Since stronger stereotyping effects occur when information provided about individuals is sparse, fictitious male and female composers were presented either by name only or by name with a brief biography. Evidence for anti-female bias was found in the name-only condition and was stronger when liking for the music was controlled. Other findings were the tendency for females to give higher ratings, and the association of gender differences in liking of the music with ratings of quality in the name-only condition. These results are relevant to the design of formal assessment procedures for musical composition.