Concordance Between Mothers' and Children's Reports of Somatic and Emotional Symptoms in Patients with Recurrent Abdominal Pain or Emotional Disorders

Mother–child concordance regarding children's somatic and emotional symptoms was assessed in children with recurrent abdominal pain (n = 88), emotional disorders (n = 51), and well children (n = 56). Children between 6 and 18 years of age and their mothers completed questionnaires assessing the children's somatic symptoms, functional disability, and depression. Mothers of children with recurrent abdominal pain reported more child somatic and depressive symptoms than did their children, and mothers of children with emotional disorders reported more child depressive symptoms than did their children. Higher levels of maternal distress were associated with greater mother-child discordance in the direction of mothers reporting more child symptoms than did their children. No significant child age or sex differences were found in concordance patterns.     

A Social Dilemma Analysis of Commuting Preferences: The Roles of Social Value Orientation and Trust1

The current research advances a social dilemma analysis of commuting, examining the roles of preexisting personality differences in social value orientation (i.e., prosocial vs. proself orientation) and trust (i.e., a general belief in the honesty and cooperative intentions of others) in determining preferences for collectively desirable commuting options: preferences for commuting by public transportation (Study 1) and carpooling (Study 2). Consistent with predictions, both studies revealed that, relative to p of prosocials, preferences of proselfs were more strongly associated with beliefs about the relative efficiency of cars (i.e., an outcome affecting personal well-being). Also, greater preferences for collectively desirable actions were observed among prosocials with high trust—relative to prosocials with low trust and proselfs with high or low trust—providing support for the claim that 2 conditions (i.e., prosocial goals and trust in others) must be met to obtain collectively desirable commuting preferences.     

Predicting Adolescents' Initiation of Intercourse and Contraceptive Use

This paper examines whether variables consistent with problem behavior theory predict grade of onset of first intercourse and adoption of effective contraception. A total sample of 3,419 Wisconsin adolescents in Grades 7, 9, and 11 participated in a survey of health-related behaviors administered 3 times across a 6-year period. The sample is 87% White. Multiple regression methods generated different models for onset of sexual intercourse vs. contraceptive adoption. Consistent with problem behavior theory, sexual onset is predicted by the adolescent's behavioral system, perceived peer substance use/abuse, importance of friends, and extent to which the adolescent felt harried and believed it was okay to break laws. Contraceptive adoption is predicted by family structure, socioeconomic variables, and self-esteem. Age and gender model differences emerged.     

Gender and aggression II: Personal aggressiveness

To investigate how gender, ethnicity, age and education influence aggressiveness, we surveyed 115 male and female college students (56% male; 50% Anglo and 26% Hispanic) and 79 persons (72% male; 92% Anglo) working on a military base. Participants were administered the Buss-Perry Aggression Questionnaire and asked about their own aggressive behaviors. In both samples, men scored significantly higher than women on the Physical Aggression scale of the Aggression Questionnaire but not on the other scales. In the military sample, men indicated that they expected to behave more aggressively than women. Positive correlations among different aspects of aggressiveness were found for both men and women. Increasing age and education were associated with lower aggressiveness in both genders, suggesting that aggressiveness may be susceptible to modification over the course of one's life.We would like to thank Angela Bennett, Gail Bliss, Kayleigh Carabajal, Julie Depree, Carmen Gonzales, Deborah Good, Scott Griffin, Gladys Herrera, George Selix, Ruth Tangman, and Jon Woodland for their assistance with the development, distribution, and coding of the questionnaire.     

An investigation of the validity of the SPSI and SPSI-R in differentiating high-suicidal from depressed,low-suicidal college students

The present study examined the validity of the Social Problem-Solving Inventory (SPSI) and SPSI—Revised in differentiating 65 high-suicidal from 63 depressed, low-suicidal college students. Results from multivariate analyses indicated overall differences in problem-solving between these two groups as measured by the SPSI but not by the SPSI-R. Further examination of these differences revealed the high-suicidal group was different in problem-solving orientation, rather than problem-solving skills, compared to the depressed, low-suicidal group. However, when depression was statistically controlled in hierarchical regression analyses, none of the problem-solving measures predicted group membership. The superiority of the SPSI to the SPSI-R in differentiating these two groups appears to be accounted for by the elimination of 28 items in the revised version, many of which measure orientation to problem-solving. Also explored was the possibility that objective measures of problem-solving provide a better prediction of adjustment than do self-report measures.     

THE VISUAL SYSTEM'S MEASUREMENT OF INVARIANTS NEED NOT ITSELF BE INVARIANT

Abstract— When two shapes that differ in orientation or size have to be compared or objects have to be recognized from different viewpoints, the response time and error rate art systematically affected by the size of the geometric difference. In this report, we argue that these effects are not necessarily solid evidence for the use of mental transformations and against the use of invariants by the visual system. We report an experiment in which observers were asked to give affine-invariant coordinates of a point located in an affine frame defined by three other points. The angle subtended by the coordinate axes and the ratio of the lengths of their unit vectors systematically affected the measurement errors. This finding demonstrates that the visual system's measurement of invariants need not itself be invariant.     

Pre-screening education in multiple marker screening programs: The effect on patient anxiety and knowledge

Previous studies have shown that unexplained deviations in maternal serum multiple marker screening (MMS) generate considerable anxiety during the remainder of pregnancy. While the role of education in decreasing anxiety is documented, to date there has been no prospective evaluation of which educational practices might minimize this emotional stress. In a pilot study, we prospectively examined the effects on anxiety and knowledge by providing information about MMS (1) by genetic counselor, (2) by pamphlet, and (3) by primary physician. Women randomized to one of these three modalities were administered the Spielberger State- Trait Anxiety Inventory [STAI] and knowledge questionnaires at their initial obstetrics visit, at their second visit after educational intervention and 1–2 weeks after MMS results were provided to patients. Education resulted in an increase in knowledge and post-education knowledge was different between educational modalities. Anxiety declined in patients educated through genetic counseling or a pamphlet.     

Philosophy of medicine in the Netherlands

This report explores the relationship between philosophy and medicine in the Netherlands. In Section 1 we outline the ups and downs of medico-philosophical research in our country: pre-war flourishing, post-war decline, and modern renaissance. In Section 2 we review recent Dutch literature in the philosophy of medicine. The topics dealt with include methodology of medical science, alternative medicine, the basic concepts of medicine, anthropological medicine, medicalization, medicine and culture, and health care ethics.