The usefulness of the story recall test in patients with mild cognitive impairment and Alzheimer's disease

ABSTRACT

Background: The story recall test (SRT) is one of the most reliable neuropsychological assessments for evaluating verbal memory function in order to distinguish between individuals with normal aging, mild cognitive impairment (MCI), and Alzheimer's disease (AD). The SRT is analogous to the logical memory test in Wechsler Memory Scale-III, which has recently been developed and standardized to apply to older adults in Korea. The purpose of this study was to examine the usefulness of the SRT and its ability to discriminate between normal cognitive aging and patients with MCI or AD. Methods: One hundred and twelve patients with MCI, 97 patients with AD, and 53 healthy elderly adults participated in this study. The SRT was compared with the Clinical Dementia Rating (CDR), Global Deterioration Scale (GDS), Korean version of the Mini Mental State Examination (K-MMSE), and the Korean version of the Hopkins Verbal Learning Test (K-HVLT). Results: The SRT was well-correlated with the dementia rating scales and the K-HVLT. However, the sensitivity and specificity of the SRT was greatly influenced by the level of education of the subjects. Conclusions: The SRT is a sensitive measurement of verbal memory function that can be used in clinical settings to discriminate between normal memory functioning and the very early and moderate stages of AD in a Korean population. Moreover, it is important to recognize that the SRT is more appropriate for subjects with a high level of education rather than a low level of education to differentiate normal cognitive aging from MCI or AD.     

Cognitive,Affective, and Behavioral Responses to Ingroup’s Devalued Social Status: a Field Study at a Public University

In this study based on an actual event, we examined how group members cognitively, affectively, and behaviorally respond to devaluation of ingroup’s social status. Integrating predictions from Social Identity Theory (SIT; Tajfel and Turner 1986) and Intergroup Emotions Theory (IET; Smith et al. Journal of Personality and Social Psychology, 93(3), 431–446 (2007)), we explored how appraisals about ingroup’s perceived decrease in status (i.e., stability and legitimacy of status change and permeability of group boundaries) are associated with discrete group-level emotions (e.g., anger, shame), and how those emotions in turn predict different coping strategies Blanz et al. European Journal of Social Psychology, 28(5), 697–729 (1998). Analyses of the results showed that: First, preference for each coping strategy varied according to appraisals of ingroup status, and the patterns were largely consistent with what SIT predicts. Second, different group-level emotions were reported according to appraisals of ingroup status. Third, inclusion of group-level emotions as mediators of associations between ingroup status appraisals and coping strategies significantly increased the explanatory power of the path models. In sum, this study demonstrated how the two theories on intergroup relations can be used together to offer a more detailed account of group identity management. For future direction, experimental or longitudinal designs as well as cross-cultural comparisons were suggested.     

Supportive Coparenting,Parenting Stress,Harsh Parenting,and Child Behavior Problems in Nonmarital Families

Supportive coparenting is an identified protective factor for child development and behavioral outcomes. What is less known is how supportive coparenting dynamically links with other aspects of parenting and parent well‐being, particularly in multi‐stressed nonmarital families. This study used data from the Fragile Families and Child Wellbeing study, analyzed within a structural equation model, to explore how mothers’ experience of maternal depression, maternal age, father education, and SES interacted with their parenting stress and supportive coparenting to impact child behavioral problems and harsh parenting practices. Among the findings, more supportive coparenting was found to be significantly associated with fewer child behavioral problems and less harsh parenting. Transmitted through supportive coparenting and parenting stress acting as mediator, maternal depressive symptoms were indirectly and positively related to harsh parenting practices and child behavior problems. These findings are discussed within the context of the broader literature and next steps for research are discussed.     

Pathways of Influence: Marital Relationships and Their Association with Parenting Styles and Sibling Relationship Quality

We investigated the associations among marital relationship quality, mothers’ parenting styles, and young children’s sibling relationship quality drawing on the principles of family systems theory. Survey data were collected from 130 mothers who had a target child (mean age = 4.6 years) with a sibling close in age. The sample consisted of participants who self-identified as Mexican-American (49%), European-American (20%), and Taiwanese in Taiwan (24%). Structural equation modeling was used to test the direct and indirect effects of marital relationships on children’s sibling relationship quality through parenting styles and the reciprocal association between sibling relationship quality and parenting styles. The findings revealed evidence of a direct effect of marital relationships on sibling relationship quality and bidirectional relations between sibling relationships and parenting styles. The importance of research on bidirectional associations between sibling relations and parenting styles is discussed.     

An Investigation of Relationships among Genetic Counselors’ Supervision Skills and Multicultural Counseling Competence

As racial and ethnic diversity increase in the U.S., genetic counselor multicultural competence is growing in importance. In mental health counseling, supervisor multicultural competence has been shown to promote supervisees’ multicultural competence. Moreover, developmentally-advanced supervisors tend to be more effective. This study was designed to investigate relationships among genetic counselor supervisors’ perceived multicultural counseling competence and development as supervisors, and their ability to evaluate a supervisee’s multicultural skills. One hundred twenty-two supervisors completed an online survey of demographics, the Multicultural Counseling Knowledge and Awareness Scale, the Supervisor Development Scale, and a hypothetical vignette in which they evaluated a supervisee’s multicultural skills and provided written feedback. Stepwise multiple regression yielded five significant predictors accounting for 31% of the variance in accuracy of supervisor evaluations of the student: multicultural awareness, multicultural knowledge, age, supervision experience, and supervisor development. Six feedback themes were identified from written responses. Practice and research suggestions are provided.     

Medical Education for Social Justice: Paulo Freire Revisited

Although social justice is an integral component of medical professionalism, there is little discussion in medical education about how to teach it to future physicians. Using adult learning theory and the work of Brazilian educator Paulo Freire, medical educators can teach a socially-conscious professionalism through educational content and teaching strategies. Such teaching can model non-hierarchical relationships to learners, which can translate to their clinical interactions with patients. Freirian teaching can additionally foster professionalism in both teachers and learners by ensuring that they are involved citizens in their local, national and international communities.     

The Role of Personal Centrality of Ingroup Victimhood in Intergroup Relations and Political Agenda in Northern Ireland

Even though the violent conflicts during the Troubles officially ended decades ago, the memories of violence and division between Catholics and Protestants linger in Northern Ireland. We argue that the personal centrality of collective victimhood, which is formed by the memory and perception of past and ongoing victimization, may play an important role in people's attitudes in postconflict societies. The current study investigated both the antecedents and outcomes of the personal centrality of ingroup victimhood in Northern Ireland and examined the vital role it plays in the aftermath of a violent intergroup conflict among Catholics and Protestants. The results demonstrated that ongoing experiences of victimization such as personal and group-level discrimination and memories of personal and close others' suffering are strongly related to people's personal centrality of ingroup victimhood. The centrality of ingroup victimhood, in turn, predicted various strategies for intergroup interaction and policy preferences such as collective action, support for nonviolence, and attitudes toward reunification of Ireland, which were moderated by group membership. The findings provide empirical evidence for the role of the centrality of ingroup victimhood as a link between experiences of victimization and intergroup interactions as well as policy preferences.     

Media Multitasking Effects on Cognitive vs. Attitudinal Outcomes: A Meta‐Analysis

Despite the recent proliferation of research on media multitasking, a comprehensive meta‐analytic review of its effects has not been available. Based on a review of 49 media multitasking studies, this meta‐analysis showed that multitasking has negative effects on cognitive outcomes, whereas it has positive effects on attitudinal (or persuasion‐related) outcomes. Moderator analyses suggested that the negative effects of multitasking on cognitive outcomes varied by (a) user control, (b) task relevance, and (c) task contiguity. Specifically, multitasking had greater effects (a) when media users had less control over the media, (b) for tasks that were unrelated, and (c) for tasks that were physically distant. Implications for future multitasking research are further discussed.