Psychological Distress and Help Seeking in Rural America

The implications of exposure to acute and chronic stressors, and seeking mental health care, for increased psychological distress are examined. Research on economic stress, psychological distress, and rural agrarian values each point to increasing variability within rural areas. Using data from a panel study of 1,487 adults, a model predicting changes in depressive symptoms was specified and tested. Results show effects by size of place for men but not for women. Men living in rural villages of under 2,500 or in small towns of 2,500 to 9,999 people had significantly greater increases in depressive symptoms than men living in the country or in larger towns or cities. Size of place was also related to level of stigma toward mental health care. Persons living in the most rural environments were more likely to hold stigmatized attitudes toward mental health care and these views were strongly predictive of willingness to seek care. The combination of increased risk and less willingness to seek assistance places men living in small towns and villages in particular jeopardy for continuing problems involving depressed mood.     

The Structure of Personal Commitments

ABSTRACT This article examines the structure of personal commitments across several dimensions ot commitment experience and across multiple samples In Sample 1, one hundred ninety-seven subjects rated 41 commitment items along the dimensions of importance, expectancy to achieve, effort, and distress, in Sample 2, two hundred five subjects rated the same items along the dimensions of importance, current commitment, and visibility Principal components analyses produced six component solutions within each of the rating dimensions Using a multitrait-multimethod format, comparisons of the component solutions suggested that the six components ( a ) represented independent groupings within each solution and ( b ) remained consistent across the different dimensions of commitment experience The six components of commitment were identified as Affiliation, Power/Achievement, Personal Growth, Altruism, Stress Avoidance, and Sensation-Seeking     

Developmental differences in the use of retrieval cues to describe episodic information in memory

In four experiments, this study examined some reasons why second and fourth grade children use cues relatively ineffectively to retrieve episodic information in memory. Retrieval success was conceptualized as using a cue to describe episodic information in memory. The experiments manipulated factors hypothesized to affect the discriminability and constructability of compatible encodings of context cue information at retrieval. In general, the effects were accomplished by varying the specificity of cue-target information at acquisition, and similar or different samplings of cue information alone at retrieval by means of orienting questions. Experiment 1 varied the encoding of item specific or categorical information. Experiment 2 varied the encoding of supercategorical or subcategorical information. Experiment 3 used two acquisition trials, crossing Categorical × Item Specific encoding and repeating identical encoding experiences. Experiment 4 varied Separate and Interactive Imagery encoding instructions. The results showed that problems of both discriminability and constructability contribute to developmental differences in the use of retrieval cues.     

Adolescent Nonsmokers,Triers, and Regular Smokers' Estimates of Cigarette Smoking Prevalence: When Do Overestimations Occur and by Whom?1

The present study tested three assumptions often made by smoking prevention researchers and practitioners regarding the nature and causes of smoking prevalence estimates. Specifically, it is often assumed that (a) adolescent prevalence estimates of all levels of smoking are inflated, (b) youths at different stages of smoking onset all overestimate smoking prevalence, and (c) the predictors of these estimates are the same for youths at different stages of smoking onset. Measures of smoking behavior based on self-reports using a bogus pipeline procedure, estimates of cigarette smoking prevalence (trying behavior and weekly use), and reports of smoking in significant others were obtained by the same youths when they were in eighth and ninth grades. Results indicated that, taken over all youths, estimates of trying cigarettes were accurate, whereas estimates of weekly use were inflated. When responders were defined by their stage of smoking onset, either as a nonsmoker, trier, or regular smoker, analyses revealed that triers were accurate regarding prevalence estimates of trying, whereas non-smokers made gross underestimations and regular smokers made overestimations of trying. All groups of youths overestimated prevalence of weekly smoking. Analyses of variance revealed that both youths' smoking status and interpersonal smoking environment additively predicted prevalence estimates, and estimates of smoking prevalence were relatively higher in youths who began to smoke, or increased their levels of smoking, within the next year. Thus, previous assumptions were partially confirmed. Future research and prevention programming should focus more on regular smoking as the focus of normative smoking distortion effects and correction efforts.     

MOVEMENT AND DISTORTION IN VISUAL PATTERNS DURING PROLONGED FIXATION

H onisett , J., and O ldfield , R. C. Movement and distortion in visual patterns during prolonged fixation. Scand. J. Psychol ., 1960, 2 , 49–55.—Observations are reported from which it appears that if fixation upon a single point in a complex visual field is maintained for periods of half a minute or more a proportion of normal individuals experience movement of the whole field or of parts of it. Changing distortions of form and pattern can result. Some types of this movement are, it is thought, improbably due to intrinsic or extrinsic ocular changes, and more resemble the autokinetic phenomenon. It is suggested that eye-movements and their visual consequences are indispensable to the maintenance of a stable coordinate system in the visual world.     

Psychosocial Predictors of Young Adolescent Cigarette Smoking: A Sixteen-Month,Three-Wave Longitudinal Study1

Understanding the psychosocial factors that predict cigarette smoking onset in young people is of crucial importance for prevention efforts. The present study examined prospective psychosocial predictors of smoking in a three-wave longitudinal data set. Similar in design to an earlier study by Chassin, Presson, Sherman, Corty, and Olshavsky (1984), the present study replicated their work, and extended it by (a) using composite predictors derived from exploratory factor analysis, (b) including prior behavior as a predictor, (c) using a design extended over three waves of data collection, and (d) using a sample composed primarily of urban teenagers. Subjects were 3295 7th-grade students at the beginning of the study. The subjects completed a questionnaire containing items tapping cigarette smoking behavior and psychosocial items that have previously been shown to predict smoking behavior. Forty-one psychosocial items on the Wave 1 (initial) questionnaire were factor analyzed, and five factors were retained. Subscale scores were constructed based on these factors and were used as predictors. Regression analyses were performed using the subscales and pretest smoking frequency to predict a continuous measure of smoking, and discriminant analyses were performed to predict transitions between qualitative levels of smoking. Prior smoking behavior was the most important predictor of future smoking. Four of the subscales, Social Disapproval, Risk Taking/Rebelliousness, Perceived Smoking Prevalence, and Motivation to Comply, were significant predictors. One subscale, Physical Consequences from Smoking, was not predictive of smoking in any of the analyses. The effect sizes cross-validated well. It is suggested that an integrative model of smoking initiation developed by Flay, d'Avernas, Best, Kersell, and Ryan (1983) best summarizes the results of the present study.     

Perceived Risk of AIDS: Assessing the Behavioral and Psychosocial Consequences in a Cohort of Gay Men1

Longitudinal analyses reported here explored the relationship between a perceived sense of being at risk for AIDS and a variety of behavioral, social, and psychological consequences. Data were obtained from a cohort of 637 homosexual men living in Chicago, who are participating in a psychosocial study and have completed two waves of data collection. Their perceptions of risk were quantified using both an absolute and a comparative measure; these were combined into a risk index, scored from one to nine (x?= 3.91; SD= 1.64). Univariate analyses demonstrated that level of risk was related to several measures of subsequent behavioral risk reduction. However, after adjustment for sociodemographic variables, initial behavior, and other components of a model predicting behavior change, this was no longer true. Of the 12 behavioral outcomes assessed, only one was related to risk after appropriate adjustment, and this relationship was negative. Other longitudinal analyses examined the impact of a sense of risk on measures of psychosocial functioning which have been theoretically linked to health behaviors and to measures of psychological/ social distress. These demonstrated a range of potentially adverse consequences for those who perceived themselves to be at greater risk for AIDS, including increased barriers to behavioral change, obsessive/compulsive behavior, social role impairment, and more intrusive worries and concerns about AIDS. Taken together, these results suggest that there is little or no observable benefit to an increased sense of risk, but that such a sense subsequently leads to distress and dysfunction in a variety of realms. The implications of these findings for development of policy concerning antibody testing of at-risk populations is discussed.