Personality Changes Associated with Localized Brain Injury in Elderly Populations

Emotional disturbances following brain damage have been frequently reported in the literature. However, systematic investigation of these disorders and their specific causes were not common until the last 30 years. However, the number of research studies into this area remains slight compared to the voluminous literature on the cognitive effects of brain injury. The completed research has fallen into 3 major areas: (1) The study of clients with localized brain injuries to evaluate whether the site of the injury predicts the emotional reactions; (2) the effect of time poststroke on personality changes; and (3) the relation of neuropsychological deficits to emotional changes. This paper provides a comprehensive review of the research that has been completed in this area with elderly subjects along with an analysis of the current state of the knowledge in this area. Future directions for research to further our understanding are discussed.     

Effect of family environment and donor source on patient quality of life following renal transplantation.

The authors examined the degree to which the supportiveness of a patient's family environment predicts change in quality of life following renal transplantation. The sample consisted of 95 patients receiving renal grafts from either a living donor or a cadaveric donor. Patients were initially assessed prior to transplantation with follow-up assessment occurring an average of 5.5 months after transplantation. Among patients receiving a living-donor kidney, those reporting a more supportive family environment exhibited reduced depression, improved mobility, and improved social functioning. However, those living-donor recipients reporting less family support exhibited increased depression and diminished mobility and social functioning after transplantation. Patients receiving a kidney from a cadaveric donor showed modest improvements in quality of life regardless of the degree of family support.     

Navigating the Road Ahead: Public Health Challenges and the Interactive Systems Framework for Dissemination and Implementation

Public health is currently faced with an array of critical challenges and disconnects. Research and evaluation have identified a number of evidence‐based strategies for effecting behavior change at individual, group, organizational, and environmental levels, all of which hold promise for leading to substantial reductions in morbidity and mortality, and increased quality of life. Unfortunately, there is huge variability across the public health system in awareness of the value of using evidence to inform decision making, let alone in capacity to locate, assess, compare, select, justify, adapt, implement, and evaluate evidence‐based strategies, or to participate in building the evidence base for practice‐based innovations. As a result, many communities may not be benefitting from research‐tested and practice‐based strategies that could help them to meet their public health goals more efficiently and effectively. CDC's Interactive Systems Framework for Dissemination and Implementation (ISF), released in 2008, was designed to help close this gap between research and practice. This commentary identifies the ways in which the ISF framework is useful in addressing the research practice gap; revisits the elements of the framework that have continued to guide research and practice in fruitful ways; and highlights areas that need further development to meet current public health challenges. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

Habit strength moderates the strength of within-person relations between weekly self-reported and objectively-assessed physical activity

ObjectivesPhysical activity (PA) habit strength influences how people control their PA and may also influence how people encode, store, or recall their PA. This study evaluated whether individual differences in PA habit strength moderated the magnitude of within-person associations between weekly self-reported PA and step counts.DesignLongitudinal.MethodAfter an initial assessment of PA habit strength, university students wore pedometers for four weeks and completed four self-reports of weekly mild, moderate, and strenuous PA.ResultsOn average, people's weekly step counts and self-reported PA across time were weakly-to-moderately associated, but there was substantial variability in the magnitude of these associations across people. People with strong PA habits had weaker within-person associations between deviations from their average self-reported PA and step counts than those with weak PA habits.ConclusionsThese results may indicate that PA habit strength influences the sensitivity of self-report PA measures to change in objectively-measured PA.     

Reading Proficiency and Comparability of Mathematics and Science Scores for Students From English and Non-English Backgrounds: An International Perspective

The purpose of this research is to examine the comparability of mathematics and science scores for students from English language backgrounds (ELB) and non-English language backgrounds (NELB). We examine the relationship between English reading proficiency and performance on mathematics and science assessments in Australia, Canada, the United Kingdom, and the United States. The findings indicate a strong relationship with reading proficiency accounting for up to 43% of the variance in mathematics and up to 79% in science. In all comparisons, ELB students either outperformed NELB students or performed at the same level. However, when statistical adjustments were made for reading proficiency, in both mathematics and science, the score gap between the groups became statistically non-significant in three out of the four countries. These findings point to differences in score meaning in mathematics and science assessments and limitations in comparing performances of ELB and NELB.     

Exploring Normative Creativity: Testing the Relationship Between Cognitive Flexibility and Sexual Identity

Brown (1989) proposed that lesbian, gay, and bisexual individuals possess greater “normative creativity” and flexibility than heterosexuals because they have fewer norms for living in heterosexually dominated society. In this article we explore one possible individual difference between heterosexuals and nonheterosexuals in the domain of normative creativity by examining the relationship between cognitive flexibility and sexual identity among 358 university students. Participants with sexual identities not directed toward one gender exclusively (e.g., bisexual, biaffectionate, or queer) scored significantly higher on a measure of cognitive flexibility than did heterosexual and gay/lesbian participants; the latter two groups did not differ from each other. These results suggest that it is having a nonexclusive sexual identity, rather than a lesbian or gay identity, that is related to greater cognitive flexibility.     

In Search of Looks, Status, or Something Else? Partner Preferences Among Butch and Femme Lesbians and Heterosexual Men and Women

Previous research posited that butch lesbians are physiologically similar to heterosexual men, and by implication, femme lesbians physiologically resemble heterosexual women. The current study sought to compare partner preferences among butch and femme lesbians, as well as heterosexual women and men. More than 600 personal advertisements from newspapers and websites across the United States were examined. Forty-seven percent of advertisers indicated their race; of those, 60% were White and 29% Black. Testing competing hypotheses, support was found for a unique constellation of partner preferences for lesbians that is not fully explained by social exchange theory or evolutionary psychology theories.     

Sexual identity development in the context of compulsory heterosexuality

This study analyzed the implications of sexual identity development for global, political, religious, and occupational identity development in 358 college students. Participants completed a written survey packet including the Extended Objective Measure of Ego Identity Status (EOM-EIS) and measures of sexual identity, physical/sexual preference, and emotional/affective preference. Data from the EOM-EIS suggest that having a sexual minority identity (lesbian, gay, bisexual, or "other" nonheterosexual identity) and reporting strong same-sex sexual or physical preferences are linked with more advanced global, political, religious, and occupational identity development. Heterosexual-identified participants were more likely to score high on identity foreclosure, moratorium, and diffusion, while sexual-minority-identified individuals scored higher on identity achievement. Individuals with strong same-sex physical/sexual preferences showed a pattern of results similar to those of sexual-minority-identified participants. Themes coded from a free-response question highlighted the finding that sexual-minority-identified participants more often viewed their sexual identity as salient and involving an effortful process. These individuals also stressed the importance of having support or modeling for their sexual identity.     

Family Coping During Hospitalization of Children with Chronic Illnesses

Information about family coping when a child with a chronic illness is hospitalized for procedures related to his or her illness is needed. The current research presents the results of two pilot studies designed to assess family resilience and coping, during a hospitalization for medical procedures for a child with a chronic condition. Sixty-one parents participated in the first study and reported on their child’s hospital experiences and completed a survey designed to assess family coping. Twelve mothers and one grandmother completed interviews examining their perceptions of their coping, siblings’ coping, and coping of the child with an illness for study two. Results of Study 1 indicated parents’ perceived the family as resilient. Cognitive strategies were used to see the hospital stay as positive for the child or to accept what had to occur as having the possibility of improving the child’s life. Some of the mothers mentioned financial stress as being difficult for the family. Results of Study 2 also supported resilient functioning for mothers, siblings, and children with illnesses. Mothers reported they stayed strong for their child. Siblings could serve as protectors, helpers, and companions and were described as adapting well. Children with illnesses used distraction (e.g., play, art, music) to facilitate their coping. Findings of this study indicated parents perceived the family as coping well and supporting the child with an illness. Future research will need to assess perceptions of siblings and fathers and assess family members’ perspectives at different times over the course of children’s illnesses.     

Examining Estimates of Effect Using Non-Overlap of All Pairs in Multiple Baseline Studies of Academic Intervention

The inclusion of single-case design (SCD) studies in meta-analytic research is an important consideration in identifying effective evidence-based practices. Various SCD effect sizes have been previously suggested; non-overlap of all pairs (NAP) is a recently introduced effect size. Preliminary field tests investigating the adequacy of NAP are promising, but no analyses have been conducted using only multiple baseline designs (MBDs). This preliminary study investigated typical values of NAP in MBDs, investigated agreement with visual analysis, and suggested cut scores for interpreting a NAP effect size. Typical values of NAP in MBDs were larger compared to a previous meta-analysis of studies using AB, MBD, or ABAB withdrawal designs, and agreement of suggested cut scores and visual analysis was moderate.