An evaluation of the perceived stress scale in two clinical populations

The relation of perceived stress and psychosocial dysfunction was examined in two clinical samples identifying stress as a personal problem. Perceived stress was significantly correlated with self-reported negative affect and physical symptoms. Negative and total major life event scores also were significantly correlated with self-reported negative affect and physical symptoms. However, the perceived stress scale and the life events measures were moderately correlated, indicating that the two scales assess different features of the stress experience. A major finding of this study was that perceived stress scores were significantly correlated with affective and physical symptoms even after the variance associated with life events had been partialed out.     

Development and Evaluation of a Decision Aid About Prenatal Testing for Women of Advanced Maternal Age

Objective: To develop and evaluate a decision aid designed to prepare patients of advanced maternal age for counseling about prenatal diagnostic testing. Setting: A regional genetics center. Design: A before/after study. Interventions: Participants used an audioguided workbook to learn about options and outcomes and to clarify personal risks, values, questions, and predispositions. Subjects: 21 women of advanced maternal age and 17 spouses. Main outcome measures: Knowledge of prenatal testing alternatives, decisional conflict, level of anxiety, and acceptability of the decision aid. Results: After using the decision aid, participants had significantly reduced decisional conflict (uncertainty) and a significant increase in knowledge. There was no effect on state or trait anxiety. More than three-quarters of participants were satisfied with the length, clarity, balance, and acceptability of the decision aid. Conclusions: The decision aid shows promise as a useful aid for preparing couples for counseling.     

A new dynamic systems method for the analysis of early socioemotional development

This study reports on a new dynamic systems method for studying infant socioemotional development, using conventional statistical techniques to portray dynamic systems constructs. State space grids were constructed from two ordinal variables, distress intensity and attention to mother, and hypothetical attractors were identified as grid cells with high cumulative duration of behavior. Attractor and state space characteristics were operationalized and tested, first to assess the utility of the method and second to reconceptualize and extend conventional developmental hypotheses. The basin strength and relaxation time of hypothetical attractors demonstrated their ‘attractiveness’ and predicted consistency in attractor location across sessions. Developmental changes and individual continuities in the organization of behavior were also revealed, in ways that would be inaccessible to conventional research methods.     

Visual acuity improvement following fading and feedback training—II. Relationship to changes in refractive error

The present study evaluated the effects of behavioral training on visual acuity and refractive error in myopic adults. Twenty volunteers were matched on the basis of refractive error and one member of each matched pair was randomly assigned to either Fading and Feedback training or a no-treatment control condition. Visual acuity was measured with both recognition and resolution measures. Refractive error was measured subjectively using the LaserSpec optometer, and objectively by two retinoscopic examinations performed by an ophthalmologist with and without cycloplegia. The results indicated significant increases in recognition visual acuity, but not resolution visual acuity for trained subjects compared to the no-treatment controls. Trained subjects did not show improvement in refractive error on any measure, and refractive error changes were not correlated with changes in either measure of visual acuity. These data suggest that the visual acuity improvements typically found with behavioral training are not associated with changes in refractive error.     

The Hopelessness Scale for Children: Psychometric properties with normal and emotionally disturbed adolescents

The psychometric properties of the Hopelessness Scale for Children (HSC) were evaluated with a sample of 834 normal adolescents and 93 adolescent suicide attempters. Factor analyses studies revealed two factors with both groups. Internal consistency with item-total score correlations were acceptable, while moderate test-retest reliability was found over a 10-week period with the normal sample. Support for the validity of the HSC was provided via studies with the suicide attempter group in which positive correlations with depression and depressive attributional style were found. Predicted differences between the suicide attempters, an outpatient psychiatric sample, and normal controls were also found. However, some items did not appear to discriminate suicide attempters from controls. Results are discussed in terms of the utility of the HSC with adolescents and adolescent suicide attempters and with regard to differences between child and adult samples in hopelessness.     

Detection of missing words in spoken text

Two tests were conducted to examine listeners' detection of missing words in spoken paragraph contexts. Detection was assessed by presenting listeners with normal paragraphs and with paragraphs each containing a single occurrence of a missed word, an inappropriate pause, or a mispronounced word. In the first test, listeners were simply asked whether they detected any abnormalities and to describe them. The results indicated that listeners reported missed words in only 34 to 49% of the paragraphs containing such words. In the second test, a separate group of listeners was given more specific instructions beforehand, indicating the three possible types of abnormality. In this task, the correct detection of missed words rose to 96%. Taken together, the results indicate that listeners do not readily detect occasional missing words under ordinary circumstances but are capable of such detection in a task specifically focused on message abnormalities.This work was supported by NIH Grant NS 20071. We thank Stephen Eady for serving as the speaker for the test recordings and Pamela Mueller for writing paragraphs.     

INCREASING DISTANCE AND INDEPENDENCE OF AMBULATION IN ELDERLY NURSING HOME RESIDENTS

We tested the effectiveness of a prompt-and-praise procedure for increasing walking distance and independence in eight nursing home residents. Walking distance and method of ambulation were observed just prior to mealtimes; in addition, mobility and social interaction were time-sampled in the living areas throughout the day. Treatment was lagged in a multiple baseline design across lunch and dinner meals within subjects, and across subjects within each of three units. In the mealtime setting, two subjects began walking the maximum scored distance during baseline; the other six subjects showed a marked increase in walking beginning with the first meal in which the intervention was applied. Six of the eight subjects also progressed to more independent means of ambulation. Generalization of walking to the second meal was observed in all four of the subjects in whom this could be assessed. Generalization across subjects was not observed nor was generalization to the living areas. Staff successfully implemented the procedures in the mealtime settings and the effects were maintained at the 4-month follow-up.     

On Equal Citizenship and Public Reason: Reply to Critics

In writing Equal Citizenship and Public Reason, we aimed to show that political liberalism is a feminist liberalism. To that end, we develop and defend a particular understanding of the commitments of political liberalism. Then, we argue that certain laws and policies are needed to protect and secure the interests of persons as free and equal citizens. We focus on the laws and policies that we think are necessary for gender justice. In particular, we apply our view to the contexts of prostitution law, family and marriage law, state support for caregivers, and religious exemptions from generally applicable laws. In this article, we consider some of the challenges made by the thoughtful critics who are part of this symposium. In particular, we address: why the collective enterprise view of liberal democracy requires shared reasons for the justification of certain laws and policies; how we understand substantive equality and why our understanding of substantive equality does not commit us to a comprehensive doctrine; how we avoid defending a particular political conception of justice in showing that political liberalism is a feminist liberalism; and how it is that, given justice pluralism, public reasons can provide stability for the right reasons.     

Infant temperament and performance on the Bayley Scales of Infant Development at 4, 8, and 12 months of age

Infants were assessed with the Rothbart Infant Behavior Questionnaire (an objective measure of infant temperament based on maternal reports) and the complete Bayley Scales of Infant Development (BSID) at 4, 8, and 12 months of age. Activity level was related to BSID performance at each age with babies who obtained higher scores rated as more active. Activity level was also related to the infants' behavior during the test administration at 8 and 12 months. A negative relation was found between smiling and laughter and the mental development index at 8 and 12 months. These data suggest that aspects of infant temperament as assessed by maternal report share a small amount of variance with BSID performance and the amount of shared variance increases with age.