Development of a new fear of hypoglycemia scale: FH-15

Hypoglycemia is the most common adverse event associated with insulin treatment in diabetes. The consequences of hypoglycemia can be quite aversive and potentially life threatening. The physical sequelae provide ample reason for patients to fear hypoglycemia and avoid episodes. For these reasons, our purpose in this study was to develop a new measure that explores specific fear of hypoglycemia (FH) in adult patients with type 1 diabetes and to examine its psychometric properties. The instrument developed to assess FH was initially made up of 20 items, of which 18 were negative and 2 were positive, assessed on a 5-point Likert scale (1-5). This scale was completed by 229 patients with type 1 diabetes. Additionally, a structured interview and a closed question called subjective fear of hypoglycemia were included as diagnostic criteria. A factor analysis employing the principal-components method and promax rotation was carried out, resulting in a new scale composed of 15 items. Three factors (fear, avoidance, and interference) were obtained and explained 58.27% of the variance. The scale showed good internal consistency (Cronbach's α = .891) and test-retest reliability (r = .908, p < .001), as well as adequate concurrent and predictive validity. The cutoff score that provided the highest overall sensitivity and specificity was set at 28 points. The Fear of Hypoglycemia 15-item scale (FH-15) demonstrated good reliability and validity. This study suggests that the new instrument may serve as a valuable measure of specific FH for use in research and clinical practice.     

Eating habits, physical activity, consumption of substances and eating disorders in adolescents

The aim of this study was to evaluate the differences between adolescents with a high or low risk of developing an eating disorder (ED) in different health behaviors (eating habits, physical activity and the consumption of substances) per gender. The EAT-40 and the Inventory of Behavioral Health in Scholars were applied to 2142 middle school students from Alicante (Spain), of whom 52.8% were girls and 47.2% were boys, with an average age of 13.92 years old (Sd = 1.34). Results indicated that girls with a high risk of developing an ED consumed fewer meals, ate fewer unhealthy foods, followed more diets and paid more attention to nutritional components. Furthermore, they also performed more physical activity with the objective of losing weight, and consumed more tobacco, alcohol and medicines. Boys at high risk of developing an ED followed more diets and paid more attention to nutritional components. For boys, no more differences were found. These results suggest that any program directed at the prevention of ED should not only include nutritional education, but should also seek to promote regular physical activity with objectives other than weight loss or the burning of calories.     

Avoidance and activation as keys to depression: adaptation of the Behavioral Activation for Depression Scale in a Spanish sample

In this paper we present the adaptation of the Behavioral Activation for Depression Scale (BADS), developed by Kanter, Mulick, Busch, Berlin, and Martell (2007), in a Spanish sample. The psychometric properties were tested in a sample of 263 participants (124 clinical and 139 non-clinical). The results show that, just as in the original English version, the Spanish BADS is a valid and internally consistent scale. Construct validity was examined by correlation with the BDI-II, AAQ, ATQ, MCQ-30, STAI and EROS. Factor analysis justified the four-dimensions of the original instrument (Activation, Avoidance/Rumination, Work/School Impairment and Social Impairment), although with some differences in the factor loadings of the items. Further considerations about the usefulness of the BADS in the clinical treatment of depressed patients are also suggested.     

Use of the "Mental Health Inventory - 5" with Portuguese 10-15 years old

The present study describes the psychometric properties of the Portuguese version of the Mental Health Inventory-5 for use with young adolescents. A sample of 367 Portuguese students (aged 10-15 years) completed the Portuguese-language versions of Mental Health Inventory-5 (MHI-5; Berwick et al., 1991), Children's Hope Scale (CHS; Snyder et al., 1997), Students' Life Satisfaction Scale (SLSS; Huebner, 1991a), and Global Self-Worth Sub-scale (Harter, 1985). Analysis of readability, reliability (internal consistency and 1-year stability), factor structure, and criterion-related validity suggested that the MHI-5 can be appropriately used in this age group. Implications of the findings are discussed.     

Epistemic authority of professors and researchers: differential perceptions by students from two cultural-educational systems

Teachers and researchers are considered epistemic authorities that provide reliable information if that information is relevant to their discipline. Students differentiate between relevant and irrelevant disciplines when assessing teachers’ expertise. In this paper, it is investigated whether students’ cultural-educational background plays a role in this differentiation between relevant and irrelevant disciplines. In large power distance cultures such as France, students learn to respect and obey their teacher, whereas in smaller power distance cultures such as the Netherlands, the relationships between students and teachers are more informal. Therefore, French students may be less sensitive to the actual discipline when assessing a source’s expertise. In an experiment, it was empirically tested whether French students perceived smaller differences than Dutch students between fictitious professors and researchers who put forward information that was or was not related to their own discipline. Results showed that the French participants indeed differentiated to a much lesser degree between professors and researchers with a relevant and an irrelevant discipline than did the Dutch participants. Further analyses indicated that students’ obedience partially mediated this effect of nationality on the difference between relevant and irrelevant disciplines. This study underlines the role that cultural-educational background can play in the assessments of epistemic authorities.     

Modulating Fitts's Law: perceiving targets at the last placeholder

Fitts's Law predicts increasing movement times (MTs) with increasing movement amplitudes; however, when targets are placed in a structured perceptual array containing placeholders, MTs to targets in the last position are shorter than predicted. We conducted three experiments to determine if this modulation has a perceptual cause. Experiment 1, which used extremely diminished (three pixel) placeholders, showed that the modulation is not due to perceptual interference from neighboring placeholders. Experiment 2, which measured reaction times using a target detection task, showed that the modulation does not result from speeded perceptual processing at the last position of the array. Experiment 3, which measured accuracy using a masked letter-discrimination task, showed that the modulation does not result from the increased quality of perceptual representation at the last position of the array. Overall, these findings suggest that the changes in effectiveness of visual processing (less interference, speeded processing, and increased quality) at the last position in the perceptual array do not drive the modulation. Thus, while the locus of the Fitts's Law modulation appears to be in the movement planning stage, it is likely not due to perceptual mechanisms.     

Simplicity and Typical Rank Results for Three-Way Arrays

Matrices can be diagonalized by singular vectors or, when they are symmetric, by eigenvectors. Pairs of square matrices often admit simultaneous diagonalization, and always admit block wise simultaneous diagonalization. Generalizing these possibilities to more than two (non-square) matrices leads to methods of simplifying three-way arrays by nonsingular transformations. Such transformations have direct applications in Tucker PCA for three-way arrays, where transforming the core array to simplicity is allowed without loss of fit. Simplifying arrays also facilitates the study of array rank. The typical rank of a three-way array is the smallest number of rank-one arrays that have the array as their sum, when the array is generated by random sampling from a continuous distribution. In some applications, the core array of Tucker PCA is constrained to have a vast majority of zero elements. Both simplicity and typical rank results can be applied to distinguish constrained Tucker PCA models from tautologies. An update of typical rank results over the real number field is given in the form of two tables.     

Effect of first ball possession on partial and final scores in 2003, 2005, and 2007 Water Polo World Championships

The purpose was to analyze the influence of winning the first ball possession on the partial and final score in male and female water polo. The 288 matches disputed by the teams participating in the 2003, 2005, and 2007 Water Polo World Championship were recorded. The results reflect statistically significant differences for the influence of gaining the first ball possession on the partial and final scoreboard of each period and for the influence between the total number of first possessions obtained and the final result.     

On the construction of thinking

In this study the author attempts to widen our understanding of language and thought construction by using Chinese ideograms as a model. This allows us to understand how concrete internal objects can coalesce to form abstract internal objects, e.g. concepts, ideas, symbols, and metaphors. One can establish a pictorial language that antedates verbal language. This is the case in the dream work that we routinely study. Thus, this study delves into the physiology of the alpha function. To this end the author not only relies on psychoanalytic concepts but also on concepts from philosophy and from language itself. The author presents the ideograms not only for discussion but also for their visual impact. If we really want to understand pictorial images, they must be seen and not just discussed from a theoretical point of view. Based on this understanding the author advances a proposal for the technique used in treating patients who cannot establish mental representations for their affect. And the technical proposal is illustrated in two clinical cases.