Quality of life in transplant patients, compared to other stressful health situations in pulmonary patients

Transplantation may imply severe biopsychosocial impairments. In order to know the quality of life of patients one year after transplantation, 58 subjects were compared to three different groups of patients (stabilized and acute COPD patients, and lung cancer patients in a surgery unit). Patients filled in two questionnaires: EORTC QLQ-C30 (quality of life) and HAD (anxiety and depression). The quality of life dimensions with inter-group differences were physical, role, emotional and cognitive functioning, global health status, and a number of symptoms (fatigue, dyspnea, insomnia and appetite loss). There were differences in depression, and but not in anxiety. Transplant and surgical patients showed better quality of life and affective status than chronic pulmonary patients. Discriminant analysis showed that the transplant group was the best described group. We conclude that patients, one year after transplantation, show similar quality of life as asymptomatic hospitalised patients, somewhat better than chronic patients in a stabilized stage of the disease, and much better than severe chronic patients.     

Strategies of clinical hypothesis testing

This research examines whether Psychology students, when they test clinical hypotheses, follow either confirmatory or disconfirmatory reasoning strategies. Two hundred and six psychology students, divided in four groups, participated. One group received information about the probability that the hypothesis was correct by means of verbal labels, and another group, by means of numerical expressions. An additional group received the information that getting a precise diagnosis was clinically important. In a last group, diagnostic tests allowed them to increase certainty about the hypothesis. Results show a partial use of confirmatory strategies because, although participants did not seek confirming information, they indeed avoided collecting disconfirming information. When the information increased certainty about the hypothesis, confirmatory strategies became more likely. Neither the increase in the task importance nor the numerical expression of the likelihood that the hypothesis was correct seemed to affect the testing strategy used.     

Pattern of perceived stress and anxiety in pregnancy predicts preterm birth.

OBJECTIVE: To determine whether the pattern of prenatal stress, as compared to prenatal stress assessed at a single gestational time point, predicts preterm delivery (PTD). DESIGN: Perceived stress and anxiety were assessed in 415 pregnant women at 18-20 and 30-32 weeks' gestation. MAIN OUTCOME MEASURES: Gestational length was determined by last menstrual period and confirmed by early pregnancy ultrasound. Births were categorized as preterm (< 37 weeks) or term. RESULTS: At neither assessment did levels of anxiety or perceived stress predict PTD. However, patterns of anxiety and stress were associated with gestational length. Although the majority of women who delivered at term exhibited declines in stress and anxiety, those who delivered preterm exhibited increases. The elevated risk for PTD associated with an increase in stress or anxiety persisted when adjusting statistically for obstetric risk, pregnancy-related anxiety, ethnicity, parity, and prenatal life events. CONCLUSIONS: These data suggest that the pattern of prenatal stress is an important predictor of PTD. More generally, the findings support the possibility that a decline in stress responses during pregnancy may help to protect mother and fetus from adverse influences associated with PTD.     

Self-objectification and Well-being: The Impact of Self-objectification on Women’s Overall Sense of Self-worth and Life Satisfaction

Research on objectification theory (Fredrickson and Roberts in Psychology of Women Quarterly 21:173–206, 1997) has demonstrated relations among self-objectification, body shame, and negative health outcomes. Less research has focused on the relation of self-objectification to indicators of well-being. We examined associations among self-objectification, body shame, and two indicators of well-being (i.e., self-esteem and satisfaction with life) in a path analytic model. We also tested explicitly whether body shame mediated the relation between self-objectification and self-esteem and whether self-esteem mediated the relation between body shame and life satisfaction. Female undergraduates (N = 227) from the United States completed questionnaires assessing the constructs of interest. Results indicated that the proposed model fit the data and that body shame and self-esteem mediated as predicted. Implications of these findings are discussed.     

Ontological Proofs of Existence and Non-Existence

Caramuels’ proof of non-existence of God is compared with Gödel’s proof of existence.     

A test of the peak-end rule with extended autobiographical events

Forty-nine students went on vacation for an average of 7 days and sent daily text messages about the happiness they had experienced over the previous 24 h. After their vacation, they were questioned on the overall happiness they had experienced and were asked to recall the daily record of their happiness. The duration of the vacation had no effect on the subsequent evaluations, and participants were not able to recall the detail of their day-to-day changes in happiness. A number of summary measures provided reasonable prediction of the recalled overall happiness of the vacation. The peak-end rule was not an outstandingly good predictor. Overall, the results indicate much reconstruction of the affective states.     

Differential Genetic and Environmental Influences on Reactive and Proactive Aggression in Children

While significant heritability for childhood aggression has been claimed, it is not known whether there are differential genetic and environmental contributions to proactive and reactive forms of aggression in children. This study quantifies genetic and environmental contributions to these two forms of aggression in an ethnically diverse urban sample of 9–10 year old twins (N = 1219), and compares results across different informants (child self-report, mother, and teacher ratings) using the Reactive–Proactive Aggression Questionnaire (RPQ). Confirmatory factor analysis of RPQ items indicated a significant and strong fit for a two-factor proactive–reactive model which was significantly superior to a one-factor model and which replicated across gender as well as the three informant sources. Males scored significantly higher than females on both self-report reactive and proactive aggression, findings that replicated on mother and teacher versions of the RPQ. Asian–Americans scored lower than most ethnic groups on reactive aggression yet were equivalent to Caucasians on proactive aggression. African–Americans scored higher than other ethnic groups on all measures of aggression except caregiver reports. Heritable influences were found for both forms of aggression across informants, but while boys’ self-reports revealed genetic influences on proactive (50%) and reactive (38%) aggression, shared and non-shared environmental influences almost entirely accounted for girls’ self-report reactive and proactive aggression. Although genetic correlations between reactive and proactive aggression were significant across informants, there was evidence that the genetic correlation was less than unity in boys self reported aggression, indicating that genetic factors differ for proactive and reactive aggression. These findings provide the first evidence for varying genetic and environmental etiologies for reactive and proactive aggression across gender, and provide additional support for distinction between these two forms of aggression.     

Evidence for the activation of sensorimotor information during visual word recognition: the body-object interaction effect

We examined the effects of sensorimotor experience in two visual word recognition tasks. Body-object interaction (BOI) ratings were collected for a large set of words. These ratings assess perceptions of the ease with which a human body can physically interact with a word's referent. A set of high BOI words (e.g., mask) and a set of low BOI words (e.g., ship) were created, matched on imageability and concreteness. Facilitatory BOI effects were observed in lexical decision and phonological lexical decision tasks: responses were faster for high BOI words than for low BOI words. We discuss how our findings may be accounted for by (a) semantic feedback within the visual word recognition system, and (b) an embodied view of cognition (e.g., Barsalou's perceptual symbol systems theory), which proposes that semantic knowledge is grounded in sensorimotor interactions with the environment.     

An exploratory analysis of task-interspersal procedures while teaching object labels to children with autism

Research has demonstrated that interspersing mastered tasks with new tasks facilitates learning under certain conditions; however, little is known about factors that influence the effectiveness of this treatment strategy. The initial purpose of the current investigation was to evaluate the effects of similar versus dissimilar interspersed tasks while teaching object labels to children diagnosed with autism or developmental delays. We then conducted a series of exploratory analyses involving the type of reinforcer delivered for correct responses on trials with unknown or known object labels. Performance was enhanced under the interspersal condition only when either brief praise was delivered for all correct responses or presumably more preferred reinforcers were provided for performance on known trials rather than on unknown trials.