Depression in Older Adults

The purpose of this article is to address selected aspects of depression in older adults. Specifically, symptoms, risk factors, diagnosis, and interventions for depression in older adults are reviewed.     

A cross-sectional study of the acquisition of grammatical morphemes in child speech

Speech samples were taken from 21 children aged 16–40 months covering a wide range of mean utterance length. Presence or absence of 14 grammatical morphemes in linguistic and nonlinguistic obligatory contexts was scored. Order of acquisition of the morphemes was determined using two different criteria. The rank-orderings obtained correlated very highly with a previously determined order of acquisition for three children studied longitudinally. Age did not add to the predictiveness of mean length of utterance alone for grammatical development in terms of which morphemes were correctly used. The approximately invariant order of acquisition for the fourteen morphemes is discussed in terms of three possible determinants of this order. Frequency of use in parental speech showed no correlation with order of acquisition, but grammatical and semantic complexity both correlated highly with acquisition order.This research was supported in part by PHS grant HD-02908 from the National Institute of Child Health and Development.     

The development of morphosyntactic ability in atypical populations: The acquisition of tag questions in children with early focal lesions and children with specific-language impairment

We examined the development of some features of morphosyntactic ability, specifically the acquisition of auxiliaries and use of agreement marking, along with sentence processing capacity. We used a conceptually simple task called the Tags Question Task, which is a method for evaluating a number of language processes in the production of a commonly used, familiar linguistic device. We compared the performance of children with early focal lesions (N=21), children with specific-language impairment (N=24), and typically developing children (N=24) matched in age and nonverbal ability; additional analyses involved comparisons of children matched on performance level. The data converge to support a "delayed" development of language behavior in our clinical groups, as overall patterns of performance and age-related changes on individual tag features and tag questions were strikingly similar in all three groups across a number of methods of comparison. Implications for theories of the development of brain-language relationships as they pertain to early focal brain damage, specific-language impairment, and the language acquisition process in typically developing children are discussed.     

The Lived Experience of Religiosity and Stress among Middle-Aged Vietnamese American Catholic Immigrants

Pastoral Psychology - Based on findings from an interpretative phenomenological study, this article reports the lived experiences of religiosity and stress among six middle-aged Vietnamese-born...     

Applicability and attachment findings of the Strange Situation Paradigm in infants with visual impairment

Attachment studies with diverse populations enrich the understanding of infants’ socioemotional development by documenting both universal and idiosyncratic aspects of attachment. Given the effects of attachment in children's socioemotional outcomes, such studies are necessary to investigate the impact of children's sensory impairments on attachment development. Yet, very little attachment research has focused on infants with visual impairment (VI infants), a population in which infant–caregiver emotional exchanges through visual means are reduced/absent. We investigated the applicability of the Strange Situation Paradigm (SSP), with added instructions to compensate for degraded visual input, in 20 VI infants (with no additional disabilities and who were receiving developmental counseling). In all but 1 of the SSPs coded, VI infants displayed observable attachment behavior that was classifiable. Nineteen VI infants showed attachment by 12 months of age. Across the ages tested (fractional age range = 0.9–2.33 months), most VI infants’ attachment patterns were classified as secure and organized.     

Subjective and Objective Risks of Carrying a BRCA1/2 Mutation in Individuals of Ashkenazi Jewish Descent

This repeated measures study examines (1) the change in subjective risk of mutations pre- to postcounseling, (2) the accuracy of BRCAPRO estimates of mutations, and (3) the discrepancy between subjective risk and BRCAPRO estimates of mutations before and after genetic counseling. Ninety-nine Ashkenazi Jewish individuals pursued testing for BRCA1/2 mutations. Most had a personal cancer history (N = 51; family only: N = 48); and received uninformative negative results (N = 66; positives: N = 23; informative negative: N = 10). The coping strategy of defensive pessimism predicts that individuals will believe the worst case scenario to better cope with a potential negative outcome. Consistent with this, most felt they would have a mutation, if not mutations in both genes. The BRCAPRO model appeared to overestimate risk of having a mutation in this sample (p < .001). BRCAPRO overestimates notwithstanding, genetic counseling increased accuracy of subjective risk (p < .01). Individuals with a family-only cancer history had the least accurate estimates of risk (p < .05) and may need further intervention to either manage anxiety or improve knowledge.     

Elevated self‐esteem 12 months following a 10‐day developmental voyage

The following article examined elevated self‐esteem as a function of a 10‐day developmental voyage. Two studies were conducted. Study 1 demonstrated that participants who completed the voyage experienced elevated self‐esteem. Study 2 replicated and extended these results insofar as it revealed that (a) elevated self‐esteem was maintained 12 months following the voyage; and (b) increasing levels of perceived self‐efficacy and belonging (as assessed on the last day of the voyage), but not social support, each made a unique contribution to these effects. Together, these findings provide converging evidence to suggest that a 10‐day developmental voyage upon the Spirit of New Zealand promotes elevated self‐esteem that is maintained over time, and that perceived self‐efficacy and belonging contribute to this outcome.     

The Effects of Cognitive Ability and Conscientiousness on Performance Over Time: A Censored Latent Growth Model

This study examined the extent to which cognitive ability and conscientiousness predicted initial academic performance (i.e., grade point average) and changes in performance over the course of college students' careers. A censored latent growth model that controlled for initial performance was used. Results showed positive effects of cognitive ability and conscientiousness on initial performance, but only positive effects of conscientiousness on performance change. However, because initial performance negatively affected performance change, cognitive ability and conscientiousness negatively indirectly affected performance change through initial performance. In addition, results revealed cognitive ability accounted for more variance in initial performance than conscientiousness, and conscientiousness accounted for more variance in performance change than cognitive ability. Finally, results show that, beyond the third semester, conscientiousness is a better predictor of student performance than cognitive ability.     

Stability of older adults' preferences for life-sustaining medical treatment.

The use of instructional advance directives assumes that preferences for life-sustaining medical treatment remain stable over time and across changes in life condition. A sample of 332 older adults recorded their preferences for 4 life-sustaining treatments in 9 illness scenarios. These preferences were elicited again 1 and 2 years after the original interview. Overall, preferences for life-sustaining treatment were moderately stable over time, but stability varied significantly across judgments. Preferences were most stable for illness scenarios that were most and least serious and for decisions to refuse treatment. Age, gender, education, and prior completion of an advance directive were all related to preference stability, and evidence indicated that declines in physical or psychological functioning resulted in decreased interest in life-sustaining treatment.