Childhood experience of illness as a risk factor for medically unexplained symptoms

Clinical experience suggests that a high proportion of patients with medically unexplained symptoms or somatoform disorders give histories of adverse childhood experiences. Previous work has reported that both personal and family experience of illness may be associated with later unexplained symptoms in the individual. Most of this research is subject to recall bias. This review explores data from the UK Medical Research Council National Survey of Health and Development, a population-based birth cohort study. The main finding of this work is that childhood experience of illness in parents is an independent risk factor for later unexplained symptoms. Personal experience of illness has a more complicated relationship. There is no evidence that severe physical disease in childhood is associated with later unexplained symptoms, but common childhood unexplained symptoms are predictors of symptoms in adulthood.     

Battered women's coping strategies and psychological distress: differences by immigration status

People are rarely passive, and battered women are no exception. This study investigated the types of coping strategies women of Japanese descent (both Japan-born and U.S.-born) chose and their perceived effectiveness in dealing with their partners' violence. Japan-born respondents were significantly less likely to use active strategies and perceived them to be less effective than did U.S.-born respondents. For the Japan-born, the more effective they perceived active strategies, the higher their psychological distress, whereas the more effective they perceived passive strategies, the lower their psychological distress. In contrast, for the U.S.-born, the higher the perceived effectiveness of active strategies, the lower their psychological distress, and the perceived effectiveness of passive strategies had little effect on their psychological distress. The complex relationship between individuals' country of birth, the choice and perceived effectiveness of coping strategies, and psychological distress calls for increased attention to the role of culture in studies of coping and domestic violence.     

What did mummy say? Dyadic interactions between young "hard to manage" children and their mothers

Thirty preschoolers rated as hard to manage on Goodman's (R. Goodman, 1997) Strengths and Difficulties Questionnaire (SDQ), and a group of matched control children were observed and recorded on audiotape at home, interacting with their mothers (Time 1). At the 18-month follow-up home visits (Time 2), the children and mothers were filmed across 4 observation settings. Mother–child interactions were rated on affect, control, responsiveness and connectedness of communication. At Time 1, mothers of the hard to manage group used more negative control and engaged in fewer connected conversations than did mothers in the control group. At Time 2, mothers of the hard to manage group displayed higher levels of negative control and lower levels of positive control. These results are discussed in terms of the importance of examining connected communication and different observation contexts when examining dyadic mother–child interactions.     

Nonspatial attentional shifts between audition and vision

This study investigated nonspatial shifts of attention between visual and auditory modalities. The authors provide evidence that the modality of a stimulus (S1) affected the processing of a subsequent stimulus (S2) depending on whether they shared the same modality. For both vision and audition, the onset of S1 summoned attention exogenously to its modality, causing a delay in processing S2 in a different modality. That undermines the notion that auditory stimuli have a stronger and more automatic alerting effect than visual stimuli (M. I. Posner, M. J. Nissen, & R. M. Klein, 1976). The results are consistent with other recent studies showing cross-modal attentional limitation. The authors suggest that such cross-modal limitation can be produced by simply presenting S1 and S2 in different modalities and that central processing mechanisms are also, at least partially, modality dependent.     

Intraadministration associations: conditional hyperalgesia elicited by morphine onset cues

There is evidence that exteroceptive cues associated with drug administration elicit conditional compensatory responding (e.g., hyperalgesia in organisms with a history of morphine administration). Recently it has become apparent that, within each administration, interoceptive early-drug onset cues (DOCs) may become associated with the later, larger drug effect (intraadministration associations). The present experiments evaluated DOC-elicited conditional hyperalgesia in rats intravenously infused with morphine. The results indicated that DOC-elicited hyperalgesia contributes to tolerance to the analgesic effect of morphine, and such DOC-elicited hyperalgesia is an associative phenomenon, rather than a sensitized response to the opiate. The findings suggest that associative analyses of tolerance should acknowledge the conditional responding elicited by DOCs, and extinction-based addiction treatments should incorporate extinction of DOC-elicited conditional responding.     

Acquired equivalence and distinctiveness of cues: II. Neural manipulations and their implications

Neural manipulations were used to examine the mechanisms that underlie the acquired equivalence and distinctiveness of cues in rats. Control rats and those with excitotoxic lesions of either the hippocampus (HPC) or entorhinal cortex (EC) acquired the following conditional discrimination: In Contexts A and B, Stimulus X-->food and Stimulus Y-->no food, and in Contexts C and D, Y-->food and X-->no food. Rats then received many food pellets in A but not in C. After this treatment, control rats showed more magazine activity in B than in D--an acquired equivalence-distinctiveness effect. This effect was also evident in HPC rats but not in EC rats. These results indicate that changes in stimulus distinctiveness are dissociable from the process of conditional learning.     

Regularities of source recognition: ROC analysis

Source memory has become the focus of a growing number of investigations in a variety of fields. An appropriate model for source memory is, therefore, of increasing importance. A simple 2-dimensional signal-detection model of source recognition is presented. The receiver operating characteristics (ROCs) obtained from 3 experiments are then used to test the model. The data demonstrate 3 regularities: convex ROCs, z-ROCs with linear slopes of 1.00, and slightly concave z-ROCs. Two of these regularities support the model. The 3rd requires a revision of the model. This revised model is fitted to the data. The implications of these regularities for other theories are also discussed.     

Simplified learning in complex situations: knowledge partitioning in function learning

The authors explored the phenomenon that knowledge is not always integrated and consistent but may be partitioned into independent parcels that may contain mutually contradictory information. In 4 experiments, using a function learning paradigm, a binary context variable was paired with the continuous stimulus variable of a to-be-learned function. In the first 2 experiments, when context predicted the slope of a quadratic function, generalization was context specific. Because context did not predict function values, it is suggested that people use context to gate separate learning of simpler partial functions. The 3rd experiment showed that partitioning also occurs with a decreasing linear function, whereas the 4th study showed that partitioning is absent for a linearly increasing function. The results support the notion that people simplify complex learning tasks by acquiring independent parcels of knowledge.     

Aphasia type and aging in Hindi-speaking stroke patients

In this study, the clinical profile of Hindi-speaking stroke patients with aphasia from northern India has been investigated. We examined the interactional effect between age and gender with aphasia type in 97 Hindi-speaking right-handed individuals, the majority of them with a confirmed diagnosis of a cerebrovascular accident. The subjects included in the study ranged from 3 weeks to two years post-onset with a diagnosis of a common classical aphasia (Broca's, Wernicke's, anomic, global, conduction, and transcortical) types involving both males and females. Also examined was the interaction between literacy and aphasia type since the subjects had varied exposures to education (total illiteracy to professional/university education). While the data reported here about Hindi-speaking aphasics are relatively in agreement with the age-aphasia type patterns discussed in western countries, nonetheless some differences were also observed. The mean age of Indian patients with aphasia was significantly lower. Also, in addition to some gender and literacy related differences, an outstanding difference was that many clinical symptoms that are known to co-occur with aphasia were not readily reported by subjects with stroke.     

Epistemological beliefs and thinking about everyday controversial issues

The authors investigated the relationship between individuals' beliefs about the nature of knowledge and the nature of learning (epistemological beliefs) and their thinking about everyday controversial issues. Adults (N = 174) ranging in age from 17 to 71 years old with a mean age of 38 completed the Schommer Epistemological Questionnaire (M. Schommer, 1990), which assessed their beliefs in the certainty and organization of knowledge and the speed and control of learning. After they had completed the questionnaire, they responded to a series of questions about two controversial issues that had been discussed in the local newspaper. Regression analyses indicated that the more the participants believed in complex and tentative knowledge, the more likely they were to take on multiple perspectives, be willing to modify their thinking, withhold ultimate decisions until all information was available, and acknowledge the complex, tentative nature of everyday issues. Epistemological beliefs that are heavily influenced by a higher level of education appear to relate to thinking beyond the classroom, and introducing controversial issues into the curriculum may reciprocally foster the development of epistemological beliefs.