Seeking urgent pediatric treatment: factors contributing to frequency, delay, and appropriateness

The present study explored the factors that contribute to mothers' decisions to seek urgent medical attention for their children when symptoms are not of a traumatic nature. One hundred mothers seeking treatment for their children at a prepaid clinic completed a questionnaire eliciting their expectations regarding the course of their children's problems, seriousness of the problems, perceived responsibility for the symptoms, and extent to which a variety of factors contributed to their decisions to seek treatment. Demographic data and information about each child's symptoms and medical history were also obtained. Four major "reasons for seeking treatment" factors were identified: family history of the presenting complaint, worry regarding the symptoms, situational variables, and the extent of the child's illness behavior. The appropriateness of the visit, delay in seeking treatment, and frequency of mothers' use of the pediatric clinic were predicted by the nature of the presenting symptoms (particularly the presence of fever), the ages of the mother and child, and two of the reasons for seeking treatment factors (i.e., family history and child's illness behavior). The present study suggests that mothers pay more attention to presenting symptoms and to the children's behavior than to psychosocial stressors in deciding to seek urgent care.     

Selective cardiovascular effects of stress and cigarette smoking in young women

In an earlier study, we found that men who smoked a cigarette and then engaged in a mildly stressful activity (video game) evidenced pronounced increases in heart rate and blood pressure, which were approximately equal to the sum of the effects produced by either smoking alone or stress alone. In the present study, a 2 (smoke vs. sham smoke) X 2 (stress vs. no stress) factorial design was used to evaluate the impact of stress and smoking on the cardiovascular responses of young women. The results revealed that the combination of stress and cigarette smoking produced blood pressure and heart rate responses that were larger than the additive effects of smoking and stress taken separately.     

Co-occurrent use of cigarettes, alcohol, and coffee in healthy, community-living men and women

Previous studies have examined intra-individual aggregation in the use of cigarettes, alcohol, and coffee by examining the co-occurrent use of any pair of these three substances. A recent literature review failed to find a single investigation that studied use of all three in the same sample. In the present study, co-occurrent use of all three of these substances was examined in crossvalidated subsamples of 226 male and 245 female healthy, community-living, middle-class Americans. A log-linear analysis was used to compare the proportion of smokers, ex-smokers, and nonsmokers categorized as users of more or less amounts of coffee and alcohol. Although most of the intercorrelations were not strong, the results indicate that for both sexes, smokers and ex-smokers were more likely than nonsmokers to drink greater amounts of alcohol and coffee. Furthermore, for smokers, ex-smokers, and nonsmokers, a majority of individuals who reported drinking more alcohol also reported drinking more coffee. Interestingly, the coffee and alcohol consumption levels of ex-smokers resembled those of smokers more than those of nonsmokers. Also, ex-smokers reported drinking more wine and decaffeinated coffee than either smokers or nonsmokers. Finally, the number of cigarettes smoked per day (daily quantity) was positively related to total alcohol and coffee consumption in men, but not in women. Further studies are recommended to examine the role of individual differences in the development, maintenance, and modification of these three appetitive habits and their co-occurrence.     

The roles of stimulus repetition and hemispheric activation in visual half-field asymmetries

Hardyck, Tzeng, and Wang (1978, Brain and Language, 5, 56–71) hypothesized that ample repetition of a small number of stimuli is required in order to obtain VHF differences in tachistoscopic tasks. Four experiments, with varied levels of repetition, were conducted to test this hypothesis. Three experiments utilized the general task of object-picture naming and one utilized a word-naming task. Naming latencies constituted the dependent measure. The results demonstrate that for the object-naming paradigm repetition is required for RVF superiority to emerge. Repetition was found to be unnecessary for RVF superiority in the word-naming paradigm, with repetition actually reducing RVF superiority. Experiment I suggested the possibility that RVF superiority developed for the second half of the trials as a function of practice or hemispheric activation, regardless of repetition level. Subsequent experiments, better designed to assess this possibility, clearly refuted it. It was concluded that the effect of repetition depends on the processing requirements of the task. We propose that, for tasks which can be processed efficiently by one hemisphere, the effect of repetition will be to reduce VHF asymmetries; but tasks requiring substantial processing by both hemispheres will show shifts to RVF superiority as a function of repetition.     

Neuroticism,life stress and concern about eating,body weight and apperance in a non-clinical population

Studies with clinical populations have shown a high level of neuroticism amongst those with an eating disorder. It is unclear however whether the elevated neuroticism is a function of the disorder, or if it is an aetiological factor in the disorder's development. The present survey of a non-clinical female population revealed that those high in neuroticism gave higher—but not abnormally high—scores on a measure of concern about eating. The high-N group also reported a significantly greater number of undesirable life events; a greater familiarity with ‘diet literature’; increased dieting; but no difference in body weight from those in the middle and lower ranges on the N scale. On the basis of these findings it is suggested that neuroticism is an aetiological factor in disordered eating, at least with secondary if not primary disorders. It is propesed that neuroticism is one mediating psychological factor in a triadic relationship between personal environment contingencies, socio-cultural pressures for thinness and psychological variables. Suggestions are made for future investigation of the role of neuroticism in eating disturbance, with note of potential therapeutic application of such knowledge.     

Intelligence and fertility in the United States: 1912-1982

Results are presented for the 1st analysis of the relationship between IQ and completed fertility using a large, representative sample of the US population. Correlations are predominantly negative for cohorts born between 1894 and 1964 but are significantly more positive for cohorts whose fertility was concentrated in the baby boom years. Previous studies reporting slightly positive correlations appear to have been biased in their restriction of samples to atypical cohorts. The National Opinion Research Center (NORC), a nonprofit research organization affiliated with the University of Chicago, conducted the General Social Survey (GSS) in the US each year from 1972 to 1982, except for 1979. A combination of block quota and full probability sampling was employed. Hour-long interviews were completed with 12,120 respondents who were English-speaking, noninstitutionalized adults (18 years or older) living within the continental US. Such questions as age, place of birth, income and occupation, were asked in each interview. Other questions about attitudes on various social, political, and moral issues were rotated in different years. The unique opportunity this data set affords is an overview of the relationship between intelligence and fertility for a nationally representative sample of Americans whose major reproductive years fell between 1912 and 1982. Data were consolidated from the 4 surveys in which the vocabulary test was given (1974, 1976, 1978, and 1982). Respondents were divided into 15 birth cohorts of 5-year intervals ranging from before 1894 to 1964. Correlations between vocabulary scores and number of siblings are markedly negative across all 15 cohorts. Vocabulary sibling correlations are more negative in every cohort than vocabulary offspring correlations. Previous reports of a neutral or slightly eugenic relationship appear to be due to the nature of the samples used, in part because the cohorts chosen were atypical, and in part because they did not include nonwhites. Childless respondents averaged slightly higher scores than did those with 1 or more children, indicating that the automatic exclusion of the childless from sibling-IQ studies has not spuriously inflated negative correlations.     

Chimpanzee (Pan troglodytes) spatial problem solving with the use of mirrors and televised equivalents of mirrors

Two adult male chimpanzees reached through a hole in the wall of their home cage and, by tracking the images of their hands and of an otherwise hidden target object in a mirror or closed-circuit television picture, moved their hands in whichever direction was necessary to make contact with the target object. They discriminated between live video images and tapes and performed effectively when the target objects were presented in novel locations and when the video picture was presented at random in different orientations. There was thus no consistent relation between the location of images on the monitor and the location of their real-world counterparts. Comparable performances in monkeys and nonprimates seem unlikely.