Implicit attitudes and the improvement of exercise capacity during pulmonary rehabilitation

The aim of this study was to examine the role of explicit and implicit attitudes in the improvement of exercise capacity during a 5-week pulmonary rehabilitation (PR). A total of 105 patients performed walking tests at baseline and at the end of PR. Change between performances was computed at the end of PR, and Minimal-Clinically-Important-Difference (MCID) were used to categorize patients as responders (i.e. change above MCID, N = 54) or non-responders (i.e. change below MCID, N = 51). At baseline, implicit attitudes were measured through a physical activity versus sedentary behavior Implicit Association Test; explicit attitudes toward physical activity and sedentary behavior were measured by questionnaires. Only implicit attitudes significantly differed between the two groups (p = .015), responders displaying implicit attitudes significantly more in favor of physical activity (M = .91, SD = .54) than non-responders (M = .60, SD = .71) at baseline. Measuring implicit attitudes in PR could help to accurately estimate patients’ motivation, and design more individualized rehabilitation programs.     

Personality Dysfunction, Coping Styles, and Clinical Symptoms in Younger and Older Adults

This study examined age-related differences in personality disorders, dispositional coping strategies, and clinical symptoms between younger (n = 79; age range = 18–29; M age = 21.2 years) and older (n = 79; age range = 55–89; M age = 65.5 years) persons (matched on gender and ethnicity). Participants completed the Coolidge Axis II Inventory (CATI), Coping Orientations to Problems Experienced Scale (COPE), and Brief Symptom Inventory (BSI). Personality results (t tests) based on the CATI revealed that older persons were significantly more obsessive–compulsive and schizoid than younger adults but significantly lower on 7 scales, including antisocial, borderline, histrionic, and sadistic. As assessed by the COPE, older adults reported lower levels of dysfunctional coping strategies than younger adults. Specifically, older persons were less likely to use mental disengagement, venting of emotions, and alcohol/drugs to cope with problems. BSI results for clinical symptoms revealed that younger adults were significantly higher on 5 of 9 scales, including anxiety, depression, and hostility. Results suggest that younger adults experience higher levels of personality and clinical symptoms and use more dysfunctional coping strategies than older adults, dispelling the myth that old age is associated with inevitable psychological impairment. Theoretical considerations, clinical implications, and future research ideas are discussed.     

Recruiting Anxious Older Adults for a Psychotherapy Outcome Study

Although anxiety is a serious problem among the elderly, very little research has been conducted with anxious older adults. One reason is that although anxiety disorders overall are more common than depression in older community samples, many specific anxiety disorders are relatively rare. Furthermore, anxious older adults often do not seek treatment or otherwise come to the attention of mental health researchers. This paper describes the first year of recruitment efforts for a treatment outcome study of psychotherapy for generalized anxiety disorder in adults at least 55 years old. Successful methods included collaborations with hospital-based health education programs and senior centers, as well as notices in local and senior newspapers. Less successful methods included radio public service announcements and mailings to residential facilities, churches and synagogues, and physicians. Recommendations for recruitment of anxious older adults into research projects are discussed.     

The representations of the arithmetic operations include functional relationships

Current theories of mathematical problem solving propose that people select a mathematical operation as the solution to a problem on the basis of a structure mapping between their problem representation and the representation of the mathematical operations. The structure-mapping hypothesis requires that the problem and the mathematical representations contain analogous relations. Past research has demonstrated that the problem representation consists of functional relationships, or principles. The present study tested whether people represent analogous principles for each arithmetic operation (i.e., addition, subtraction, multiplication, and division). For each operation, college (Experiments 1 and 2) and 8th grade (Experiment 2) participants were asked to rate the degree to which a set of completed problems was a good attempt at the operation. The pattern of presented answers either violated one of four principles or did not violate any principles. The distance of the presented answers from the correct answers was independently manipulated. Consistent with the hypothesis that people represent the principles, (1) violations of the principles were rated as poorer attempts at the operation, (2) operations that are learned first (e.g., addition) had more extensive principle representations than did operations learned later (multiplication), and (3) principles that are more frequently in evidence developed more quickly. In Experiment 3, college participants rated the degree to which statements were indicative of each operation. The statements were either consistent or inconsistent with one of two principles. The participants' ratings showed that operations with longer developmental histories had strong principle representations. The implications for a structure-mapping approach to mathematical problem solving are discussed.     

Naturalistic Decision-Making Task Processes in Multiprofessional Assessment of Disability

Evaluation of preschool children with complex disabilities is regarded as a group decision-making process. This process was studied in two tertiary-level multiprofessional groups in London, UK: one based in a neurodisability center and one organized by a school psychological service. The assessment discussions about two preschool children at each site were audio recorded. Each assessment was carried out over half a day by all the professionals simultaneously with the family. Postassessment interviews were held with each professional and family. Verbal protocol analysis captured the structure of each assessment through six TASK decision-making processes applied at three levels of reasoning and decision making. Sequential application of processes was found to be influenced by the occurrence of a series of three cycles of decision making within each assessment and the decomposition of the assessment task into distinct subproblems.     

A pediatric screening instrument to detect problematic infant–parent interactions: Initial reliability and validity in a sample of high‐ and low‐risk infants

The purpose of this study was to determine the initial reliability and validity of a screening instrument developed to detect problematic interactions between infants and parents as part of a pediatric well‐baby exam. Participants included 117 infant–mother dyads (57 preterms and 60 full terms) assessed when infants were 6 to 9 months old. Mothers and infants were observed playing an interactional game such as peek‐a‐boo during the course of the pediatric exam. The game was scored for degree of interactional reciprocity using the Pediatric Infant Parent Exam (PIPE). Acceptable levels of interrater reliability were achieved. As predicted, higher risk infants and their mothers exhibited more problematic interactions than lower risk infants and their mothers. Results indicated that the PIPE was a reliable means of screening for interactional difficulties, that was sensitive to, but not synonymous with, neonatal health indices. ©2001 Michigan Association for Infant Mental Health.     

Religious Identity Status as a Model to Understand,Assess, and Interact With Client Spirituality

Spirituality and religion are important concerns for many people; consequently, counselors must possess the knowledge and skills required for assisting clients with these issues. This article offers a conceptual framework, based on E. H. Erikson's (1980) notion of identity formation, for understanding, assessing, and discussing spirituality and religion. Religion can play a significant role in the structure of identity and can be categorized into four statuses: Diffusion, Foreclosure, Moratorium, and Achievement. Religious identity status can provide direction and guidance for counselors who wish to integrate spirituality and religion into counseling.     

Profiling key purchase influencers: Those perceived as consumer savvy

The concept of consumer intelligence or consumer savvy is defined and the way in which this can be measured is examined with a view to determining if and how being perceived to be savvy affects decision‐making influence in a family setting in the UK. A sample of 524 matched pairs (mother and her child) drawn from the TNS postal panel responded to a questionnaire that determined the mother's perception of how savvy her child is with regard to shopping in general and with regard to two product categories (casual clothes for the child and a summer holiday). The child's reported influence on decision making in these categories as well as their money management is also explored. The children perceived to be more savvy were female and older. Mothers in lower socio‐economic groups were also more likely to perceive their children as ‘savvy’. The more savvy children were more involved in the purchase decision process. Implications and future research avenues are presented. Copyright © 2011 John Wiley & Sons, Ltd.     

Attention doesn’t slide: spatiotopic updating after eye movements instantiates a new, discrete attentional locus

During natural vision, eye movements can drastically alter the retinotopic (eye-centered) coordinates of locations and objects, yet the spatiotopic (world-centered) percept remains stable. Maintaining visuospatial attention in spatiotopic coordinates requires updating of attentional representations following each eye movement. However, this updating is not instantaneous; attentional facilitation temporarily lingers at the previous retinotopic location after a saccade, a phenomenon known as the retinotopic attentional trace. At various times after a saccade, we probed attention at an intermediate location between the retinotopic and spatiotopic locations to determine whether a single locus of attentional facilitation slides progressively from the previous retinotopic location to the appropriate spatiotopic location, or whether retinotopic facilitation decays while a new, independent spatiotopic locus concurrently becomes active. Facilitation at the intermediate location was not significant at any time, suggesting that top-down attention can result in enhancement of discrete retinotopic and spatiotopic locations without passing through intermediate locations.     

The effects of bilingualism on toddlers' executive functioning

Bilingual children have been shown to outperform monolingual children on tasks measuring executive functioning skills. This advantage is usually attributed to bilinguals’ extensive practice in exercising selective attention and cognitive flexibility during language use because both languages are active when one of them is being used. We examined whether this advantage is observed in 24-month-olds who have had much less experience in language production. A battery of executive functioning tasks and the cognitive scale of the Bayley test were administered to 63 monolingual and bilingual children. Native bilingual children performed significantly better than monolingual children on the Stroop task, with no difference between groups on the other tasks, confirming the specificity of bilingual effects to conflict tasks reported in older children. These results demonstrate that bilingual advantages in executive control emerge at an age not previously shown.