Sleep in Alzheimer's disease and other dementing disorders

It is estimated that up to 10% of the elderly population have clinically significant cognitive deficits. The neuronal pathologies that underlie the dementing disorders cause both cognitive dysfunction and disturbances in normal sleep/wake patterns. Here we report the changes in sleep/wake patterns seen with increasing severity of Alzheimer's disease, probably the most common dementing disorder. In addition, studies examining sleep/wake patterns in a number of other dementing disorders are reviewed.     

What children can tell us about living in danger

Developmental challenges faced by children growing up in situations of chronic danger linked to community violence and communal conflict are reviewed. The concept of post-traumatic stress disorder is expanded to include situations of chronic and on-going traumatic stress associated with dangerous environments--war zones and inner city neighborhoods plagued by violence and crime. Of particular importance is the impact of chronic stress and danger on the child's world view, the child's social map, and the child's moral development. On the basis of field work in 5 war zones, the article points to the importance of adult-led "processing" of the young child's experience to his or her psychological coping and moral development. Some of the contradictions operating in such environments are explored--for example, that "fanatical" ideology may provide short-term support for adults and children but also may serve to prolong communal conflict, impede the necessary processing of experience, and increase vulnerability in the long run.     

A Social Learning Approach to Increasing Blood Donations1

A field experiment conducted in high schools throughout the country was aimed at increasing the number of high school students who donate blood. Special interventions that emphasized psychological or educational approaches to heightening motivation to donate, as well as a combined intervention, were compared with the usual approach taken at blood drives. Psychological interventions in which social learning principles (modeling, perceptions of social norms) played important roles either alone or in combination with an educational (informational) approach were more successful in stimulating blood donations than either an educational approach alone or the approaches traditionally followed by the participating local blood centers. The results demonstrated that use of social learning principles in designing interventions to strengthen socially relevant altruistic behavior could be valuable both practically and theoretically.     

Adolescent Smoking Behavior and the Recognition of Cigarette Advertisements1

In a study designed to assess the relationship between smoking status and correct identification of cigarette brands, junior high school students from two schools viewed cigarette and automobile advertisements with brand and model identification deleted. Results showed that adolescents with higher ad recognition scores were more likely to smoke cigarettes. In addition, a relationship was found between age and correct identification of cigarette advertisements, with older students identifying more ads correctly than younger students. No significant effects emerged for identification of automobile advertisements except for sex, with boys identifying more advertisements than girls. Additional findings indicated that even “experimental” smokers, who smoked as little as once per year, recognized significantly more cigarette advertisements than nonsmokers. These and other results are discussed in terms of their implications for prevention and policy issues. It is argued that society's allowance of printed cigarette advertising overlooks adolescents' heightened vulnerability to the kinds of appeals used in cigarette advertisements. Present policy also overlooks adolescents' relative unresponsiveness to the health risk information required in cigarette advertisements.     

The Predictors of Post-Sterilization Regret in Married Women1

We interviewed a sample of 317 married women prior to a tubal sterilization (195) or a husband's vasectomy (122) and then reinterviewed them yearly for 5 years. Using these women's responses to six questions about their feelings and desires following sterilization, we fitted a latent-variable model of post-sterilization regret to the data by means of a linear structural equation analysis. The results confirmed our view that post-sterilization regret was not a simple psychological state but rather was a complex process with different, causally linked manifestations. This process began with a renewed interest in having a baby, proceeded to the development of negative feeling about the three decisions that lead to sterilization, and concluded with a desire to reverse the surgery. This sequence was affected by the negative, post-sterilization effects of the sterilization and by the Occurrence of divorce. Next, we identified the pre-sterilization predictors of six regret variables from our model by means of a series of linear regression analyses. The major pre-sterilization predictors of the regret process included being relatively young, ambivalence about future childbearing, negative attitudes toward sterilization, dominance of the decision making by the woman's husband, and conflict with her husband during decision making. Finally, we divided the sample into quintiles on the basis of their scores on a Pre-Sterilization Predictor Scale and assessed the performance of our predictor variables as indicators of risk of regret by determining the level of negative feelings toward sterilization in each quintile. The results confirm the discriminatory power of our predictors. The overall findings indicate a number of psychological and marital issues, the exploration of which might help counselors provide anticipatory and preventative services to couples seeking sterilization.     

TEACHING SELF-ADMINISTRATION OF SUCTIONING TO CHILDREN WITH TRACHEOSTOMIES

We examined the effectiveness of using dolls to teach young children with tracheostomies to self-administer a suctioning procedure. Four children between the ages of 5 and 8 years, who had had tracheostomies for 6 months or longer, participated. After skills were taught via doll-centered simulations, in vivo skills were evaluated. All of the training and probe sessions were conducted in the participants' classrooms or homes. Results of a multiple baseline design across subjects and skill components indicated that the performance of all children improved as a function of training. Skill maintenance was demonstrated by all participants during follow-up assessments conducted 2 to 6 weeks posttraining. Results of a questionnaire completed by caregivers and interviews with the children revealed high levels of satisfaction with the training procedures and outcomes.     

Prevocational Experience and Postentry Behavior: Occupational Influences on Job Attitudes and Turnover

The effect of prevocational contact on postentry behavior was studied using a sample of staff nurses. The results indicated that those nurses who had prevocational contact with the nursing occupation had different conceptions of the nursing role and more positive work attitudes than those who did not have prevocational contact with the profession. The groups. however, did not differ with respect to turnover.     

COMMUNITY INTERVENTION TO DETER ILLEGAL PARKING IN SPACES RESERVED FOR THE PHYSICALLY DISABLED

Illegal use of reserved parking spaces represents a major obstacle to the independence and mobility of people with physical disabilities. Using an ABACACA reversal design, the daily rates of illegal parking in four reserved spaces were examined across three types of sign displays: (a) a vertical sign alone or in combination with (b) a message sign that announced the possibility of public surveillance or (c) a message dispenser device that announced community involvement and dispensed politely worded reminder notes. The average rate of illegal parking dropped from 51.3% during the initial vertical sign phase to 37.3% under the message sign condition, followed by an increase to 50.4% when the message was removed. Illegal parking decreased to 24.5% when the message dispensers were first used (followed by an increase to 57.0% when they were removed) and to 23.7% when the message dispenser condition was repeated. Illegal parking in the final vertical sign condition failed to return to previous levels (M = 37.3%).     

Does object modeling elicit imitative-like gestures from young infants?

One interpretation of the evidence for early imitative-like matching of facial gestures is that the acts are elicited by stimulus properties, rather than constructed by the infant. Verification of this possibility requires presentation of object models to determine whether infants reliably respond to them with movement-matching gestures. Two object models, one simulating tongue movements and the other mouth opening/closing, were presented to younger infants (median age = 5 weeks) and to older ones (median age = 12 weeks) under systematically varied movement conditions. Additionally, a live model presented tongue protrusion and mouth opening gestures to the same infants. Findings of two studies were similar. At neither age was there reliable elicitation of facial gestures by either object model, which suggests that most infants were not imitating the object movements or responding to them in a way that verifies elicitation of facial matches by object presentation. Live modeling of tongue extensions, however, did increase the incidence of partial tongue protrusions among infants at 5 weeks, which supports previous research.     

The Effects of Measurement Strategy on Attributions for Marital Problems and Behaviors1

The present study examined the relation of attributions for spouse behaviors, attributions for global conjugal conflict, and marital adjustment. The sample consisted of 74 French-Canadian couples who completed the Marital Attribution Style Questionnaire, the Conflict Rating Scale, and the Dyadic Adjustment Scale. Results showed that the relation between attribution and marital satisfaction is stable across culture. In addition, specific and general attribution measures were low to moderately correlated. However, multiple regression analyses demonstrated that attributions for global conjugal conflict entered the regression equations more often than attributions for hypothetical spouse behaviors. These findings suggest that the comparability of marital attribution measures should not be taken for granted. The need to develop standardized measures is underlined.