Psychoeducational Interventions with Pediatric Cancer Patients: Part I. Patient Information and Knowledge

We present a systematic review of published research on psychoeducational interventions for children with cancer. The current lack of an organizational model for this literature makes it difficult to form a coherent picture of the scattered literature and draw nomothetic conclusions. A model is described that is based on functional concepts from the literature on learning and instructional design. It is argued that it makes sense conceptually to analyze psychoeducational interventions in terms of psychoeducational principles, especially if the purpose is to illuminate the learning processes involved. Three categories of intervention are distinguished and the first of these, informational interventions to influence patient knowledge, is considered in this paper, and the other two categories will be reviewed in a subsequent paper. This review is organized by categories of information needs, intervention modes, and major types of independent variables. We concluded that the research supports few generalizable conclusions at this time, except that development of health-related knowledge in children is best accomplished by information transfer methods that are highly interactive and individualized. Interactive multimedia formats such as video games are seen as having the best potential, but further research is required.     

Subjective Happiness and Emotional Responsiveness to Food Stimuli

Through three studies, this study aims to investigate the relationship between subjective happiness and responsiveness to eating and to foods. In Study 1, 299 Japanese undergraduates completed the Japanese subjective happiness scale and self-report questionnaires for attitudes toward eating and food. Study 1 revealed that in daily life, people with higher happiness levels show a stronger tendency to feel pleasure by eating than those with lower happiness levels. In Study 2, 26 Japanese undergraduates performed impression assessments for foods when looking at pictures of them. In Study 3, 22 Japanese undergraduates performed the same assessments when looking at real foods and eating them using a comparison with the data from pictures of non-food items as a control condition. The results of the study indicate that people with higher happiness levels show a stronger emotional response (happy and glad) to food stimuli than those with lower happiness levels. Even images of food were effective. No such group differences were observed for appetitive responses. It was also shown that emotional responses to the pictures of non-food items’ condition in the two groups did not differ. The present studies provided empirical evidence that subjective happiness has relevance to daily eating behavior and attitudes. Further studies should investigate the possibility that subjective happiness is related to a wide range of behavior and cognition in our daily life.     

Effectiveness of Group Positive Parenting Program (Triple P) in Changing Child Behavior,Parenting Style,and Parental Adjustment: An Intervention Study in Japan

The purpose of this study is to investigate the effectiveness of a group-based family intervention program known as the Group Positive Parenting Program (Triple P), with families in Japan. Reductions in children’s behavioral problems, changes in dysfunctional parenting practices, and affects on parenting adjustment were examined. Participants of both the intervention and control groups (N = 91 and N = 24, respectively) were recruited from mothers visiting health clinics in Kawasaki City, Kanagawa. Intervention and control groups were assessed in terms of child behavior (Strength and Difficulty Questionnaire, SDQ), parenting style (Parenting Scale, PS), and parenting adjustment (Depression-Anxiety-Stress Scale, DASS; and Parenting Experience Survey, PES), both pre- and postintervention. A repeated measures multivariate analysis of variance was used to determine the intervention’s effects. The SDQ score for the conduct problems subscale indicated a significant intervention effect. In addition, the postintervention scores for all subscales of the PS, the DASS depression subscale and total scores, as well as ratings for perceived difficulty of parenting in the PES, were significantly reduced in the intervention group alone. The PES also revealed that confidence in parenting significantly increased only in the intervention group. Group Triple P is effective in decreasing child conduct problems, dysfunctional parenting practices, depression, anxiety, stress, and the perceived level of parenting difficulty, as well as in improving parenting confidence, among Japanese families.     

Referred sensations induced by a mirror box in healthy subjects

Twenty-one healthy subjects were instructed to observe the mirror image of the tactile stimulation of their own hand (control condition) or an assistant’s hand (experimental condition) while being queried about the referred sensation (RS) in their own masked hand behind the mirror. The rated intensity of the RS under the experimental condition was significantly stronger than that under the control condition. In a second experiment, the experimental condition was replaced with the tactile stimulation of a prosthetic (rubber) hand, and was compared with the tactile stimulation of the subject’s own hand (control condition). In both of the experiments, the rated intensity of RS was significantly stronger under the experimental condition than under the control condition. The qualitative characteristics of the induced RS on the mirror image hand—including the location, sense of ownership, and various subjective feelings—were also found to vary among subjects. In conclusion, an RS could be induced in healthy subjects on the mirror image of the hand by tactile stimulations, although this effect differed substantially among individuals.     

Effects of transcranial magnetic stimulation to the reciprocal Ia inhibitory interneurones in the human wrist

In humans, which neural volleys strongly activate the reciprocal Ia inhibitory interneurones have not been clarified via the corticospinal tract or from the muscle spindles. We examined the inhibition from the corticospinal tract and antagonist group Ia fibres to alpha motoneurone pools using the combined method of transcranial magnetic stimulation (TMS) and the standard H-reflex technique. The test stimulus for the forearm H-reflex and the conditioning stimulus to antagonist muscle afferents were applied to the median and radial nerves, respectively. The transcranial magnetic stimulation was applied noninvasively over the left motor cortex. The radial nerve conditioning strongly suppressed the H-reflex rather than the transcranial magnetic stimulation. Transcranial magnetic stimulation-induced inhibition was disinhibited by the conditioning stimulus applied to the median nerve. To estimate the subliminal inhibition produced by the transcranial magnetic stimulation, we used the following method: the radial nerve conditioning was altered among several different intensities, while transcranial magnetic stimulation intensity was fixed at that for which transcranial magnetic stimulation-induced inhibition was observable. A minor subliminal inhibition was observed. These results suggest that the corticospinal excitatory inputs to reciprocal Ia inhibitory interneurones in the human wrist are very weak relative to those of the originating group I muscle afferents.     

Response preparation and stimulus-response congruence to fractionating reaction time of upper and lower limbs

We measured the fractionating reaction time for upper and lower limbs of 18 young men, using an electromyogram to clarify the interaction of response preparation and stimulus-response congruence on premotor and motor time. The reaction time was divided into two periods with respect to the onset of the electromyogram, premotor and motor components. Manipulating the probability of the Go versus NoGo signals varied three different amounts of response preparation. Prior to the imperative stimulus, precue information about the position of a stimulus was presented. In the stimulus-response congruent task, subjects were required to release a key on the same side of the body using either an upper or lower limb in response to an imperative Go stimulus. In the stimulus-response incongruent task, subjects were required to act in a reverse manner. Subjects were not supposed to respond to the NoGo stimulus. The premotor time of the upper and lower limb responses was affected by the respective effects of response preparation and stimulus-response congruence. The motor time of the upper and lower limb responses increased as the probability of the Go signal decreased but not in relation to stimulus-response congruence. These results suggest that response preparation affects not only information processing time but also peripheral motor activity due to motor programming, and that the stimulus-response congruence effect on motor time disappears when information about the position of the imperative stimulus is precued.     

Thinking about “why” eliminates retrieval‐induced forgetting: Levels of construal affect retrieval dynamics

The present study examined how levels of construal affect retrieval‐induced forgetting. Higher‐level construal is associated with the focus on the similarities among stimuli, suggesting that high‐level construal promotes relational processing. Based on this fact, retrieval‐induced forgetting may be reduced or eliminated under high‐level construal condition because of the effect of relational processing. Two experiments were conducted using a retrieval‐practice paradigm with different stimuli while priming the level of construal. A meta‐analysis synthesizing the results showed that retrieval‐induced forgetting occurred under the low‐level construal condition, whereas forgetting did not occur under the high‐level construal condition. These results suggest that abstract thinking can eliminate retrieval‐induced forgetting because of relational processing, demonstrating the role of the levels of construal on memory inhibition.     

Postural movement pattern and muscle action sequence associated with self-paced bilateral arm flexion during standing

Investigated were postural movement pattern and action sequence of postural muscles while subjects rapidly flexed both arms during standing. The arm movement was started at the subject's own pace. Subjects were healthy individuals; 48 men and 53 women. Postural movement pattern was classified based on the movement angles of foot-leg (ankle joint) and leg-trunk (hip joint). Electromyograms were recorded from the anterior deltoid, biceps femoris, and erector spinae. The time difference between action onsets of the latter two muscles and the anterior deltoid was analyzed. Movement angles of the ankle and hip for both sexes were distributed on a similar linear regression line (y = -2.092x - 2.552 (r = -.71). The postural movement pattern was categorized based on the distribution into three types: hip flexion (in the 2nd quadrant), backward leaning (the 3rd), and hip extension (the 4th). The proportion of subjects was 26% in the hip flexion type, 55% in backward leaning type, and 19% in hip extension type. The action of biceps femoris and erector spinae significantly preceded that of anterior deltoid in the backward leaning and hip extension types but did not in the hip flexion type.     

Who participates in which health promotion programs? A meta-analysis of motivations underlying enrollment and retention in HIV-prevention interventions

This meta-analysis examines whether exposure to HIV-prevention interventions follows self-validation or risk-reduction motives. The dependent measures used in the study were enrolling in an HIV-prevention program and completing the program. Results indicated that first samples with low prior condom use were less likely to enroll than samples with high prior condom use. Second, samples with high knowledge were less likely to stay in an intervention than were those with low knowledge. Third, samples with medium levels of motivation to use condoms and condom use were more likely to complete an intervention than were those with low or high levels. Importantly, those patterns were sensitive to the interventions' inclusions of information-, motivation-, and behavioral-skills strategies. The influence of characteristics of participants, the intervention, and the recruit procedure are reported.