Somatic response to stress, physical symptoms and health service use: The role of current stress

The study examined physical symptoms and health service utilization of subjects high or low on a measure of the tendency to experience stress somatically and high or low on a measure of current stress. High somatic responders reported greater numbers of symptoms than low somatic responders regardless of stress level. However, high somatic responders who were experiencing high levels of current stress reported significantly more symptoms than high somatic responders who were experiencing low levels of stress. These findings indicate that somatic response to stress reflects both a general tendency to focus on physical symptoms, and a specific tendency to focus more on physical symptoms when under stress. Analysis of health service records indicated that high somatic responders had more visits prompted by symptoms than low somatic responders, but did not differ in frequency of health service visits designed to maintain health. The findings further clarify the relationship between somatic response to stress, physical symptoms and health service use.     

Sensitivity to tonality across the pitch range

Striking changes in sensitivity to tonality across the pitch range are reported. Participants were presented a key-defining context (do-mi-do-sol) followed by one of the 12 chromatic tones of the octave, and rated the goodness of fit of the probe tone to the context. The set of ratings, called the probe-tone profile, was compared to an established standardised profile for the Western tonal hierarchy. The presentation of context and probe tones at low and high pitch registers resulted in significantly reduced sensitivity to tonality. Sensitivity was especially poor for presentations in the lowest octaves where inharmonicity levels were substantially above the threshold for detection. We propose that sensitivity to tonality may be influenced by pitch salience (or a co-varying factor such as exposure to pitch distributional information) as well as suprathreshold inharmonicity.     

The United States Revised Uniform Anatomical Gift Act (2006): New challenges to balancing patient rights and physician responsibilities

Advance health care directives and informed consent remain the cornerstones of patients' right to self-determination regarding medical care and preferences at the end-of-life. However, the effectiveness and clinical applicability of advance health care directives to decision-making on the use of life support systems at the end-of-life is questionable. The Uniform Anatomical Gift Act (UAGA) has been revised in 2006 to permit the use of life support systems at or near death for the purpose of maximizing procurement opportunities of organs medically suitable for transplantation. Some states have enacted the Revised UAGA (2006) and a few of those have included amendments while attempting to preserve the uniformity of the revised Act. Other states have introduced the Revised UAGA (2006) for legislation and remaining states are likely to follow soon.     

Vocal frequency and person perception: Effects of perceptual salience and nonverbal sensitivity

Previous research has demonstrated that changes in vocal frequency (pitch) influence judgments made about a speaker, although there is some question as to the relative importance of frequency to message content in person perception. Moreover, these studies have failed to examine the possible joint effect of frequency and individual differences in nonverbal sensitivity on person perception. The purpose of the present investigation was to examine the independent and joint effects of vocal frequency, perceptual salience, and nonverbal sensitivity (assessed by the Profile of Nonverbal Sensitivity) on person perception. Participants were assigned to one of nine experimental conditions and were asked to rate two male and two female speakers on seven unipolar adjective scales. The nine conditions were produced by factorially combining three levels each of salience (content, voice, control) and vocal frequency (decreased, increased, unmanipulated). The results of hierarchical multiple regression analyses indicated that variations in frequency did influence evaluative judgments of the speakers (competent, honest, persuasive), but that the magnitude of the influence varied as a function of the participants' levels of nonverbal sensitivity. The analyses, however, yielded no significant effects for participants' affective judgments, nor any significant effects involving perceptual salience.     

A Developmental Trajectory in Implicit Memory is Revealed by Picture Fragment Completion

Dissociations between performance on implicit and explicit tasks have often been taken as evidence that different neural structures subserve the two types of memory. One such dissociation involves developmental differences that emerge in explicit tasks, but which appear to be absent in implicit tasks. Such findings are consistent with the idea that implicit memory is subserved by a more primitive system that evolves earlier at both phylogenetic and ontogenetic levels. The present paper reviews previous studies that claimed to find evidence that implicit memory is fully developed in very young children. Issues of measurement error, ceiling effects, and insufficient power brought up questions about those studies with respect to the developmental issue. The present study compares performance on implicit (picture fragment completion) and explicit (free recall and recognition) memory tasks with groups ranging in age from 5–28 years. We find a reliable developmental trend in both implicit and explicit performance in which the former cannot be attributed to the operation ofexplicit memory processes. Thus, we conclude that implicit memory, like explicit memory, develops with age.     

Brief treatment with alprazolam and behavioral guidance in panic disorder

Abstract

Thirty-two patients with panic disorder, with or without agoraphobic limitations, were treated with alprazolam (mean dose 3.5 mg/d) plus brief behavioral guidance in an open study during eight weeks. The sample had a notorious severity in the frequency of panics and phobic avoidance but was only mildly depressed. Before starting treatment the presence of demoralized mood and extensive avoidance were significant indicators of clinical severity, whereas the presence of dizziness as a relevant somatic complaint was not related to higher severity. After eight weeks of treatment a clinical improvement equal to or exceeding 80% of change was obtained in all cases (29) who completed treatment. Ninety-two percent of the patients were panic free at the end of treatment. There were significant reductions in all the scales with comparable declines in the subgroups formed according to the presence or absence of agoraphobic avoidance and demoralization. The data suggested that moderate doses of alprazolam could be a quick and effective treatment for panic-agoraphobic patients in the short term. The behavioral guidance probably helped in reducing agoraphobic avoidance and in obtaining global good effectiveness although this awaits controlled tests. Finally, the similarity in the response to treatment regardless of the presence of extensive avoidance or demoralized mood argues in favor of not considering the different variants of panic-agoraphobic syndrome differently, at least in samples with similar severity to the present one.