Evaluation of communicative and linguistic development using the Spanish version of the MacArthur-Bates inventories

The MacArthur-Bates Inventories are a valid and reliable method for assessing communicative and linguistic skills in infants (8-15 months) and young children (16-30 months), and have been adapted to many languages. This paper presents their adaptation to Spanish. Structure, innovations included in the Spanish version, and the standardisation process are described, and some results obtained from the analysis of a sample of 1150 children are presented. The advantages and limitations of the use of parental report inventories are highlighted. For children before three years of age, there are very few assessment tools of language and communicative development with sufficient guarantees produced and edited in Spain. The Spanish version of the MacArthur-Bates Inventories represents an important contribution for early identification of language delays or disorders, and for follow-up of these cases.     

Effect of incentives on retention in an outpatient treatment for cocaine addicts

The high drop-out rate in treatment programs is one of the most important problems in the area of drug addictions. This study evaluated the effect of the use of incentives on retention in an outpatient program for cocaine addicts. The effect of individual variables on program drop-out was also analysed. Participants were 66 subjects who were randomly assigned to one of three treatment groups: standard treatment, treatment with incentives I, and treatment with incentives II. The patients of these two groups received incentives contingent on cocaine abstinence with two different magnitudes. Retention rate at six months was 35% in the standard treatment, 78.6% in the treatment with incentives I, and 53.3% in the treatment with incentives II. The global prognostic capacity of the individual variables (sociodemographic, history and consumption pattern, psychopathological variables, and EuropASI scores) was 85.7%, with the psychopathological variables being more closely related to retention. These results suggest that the use of incentives may be an effective strategy to improve retention in outpatient treatments for cocaine addiction.     

An attenuation of the 'normal' category effect in patients with Alzheimer's disease: a review and bootstrap analysis

There is a consensus that Alzheimer's disease (AD) impairs semantic information, with one of the first markers being anomia i.e. an impaired ability to name items. Doubts remain, however, about whether this naming impairment differentially affects items from the living and nonliving knowledge domains. Most studies have reported an impairment for naming living things (e.g. animals or plants), a minority have found an impairment for nonliving things (e.g. tools or vehicles), and some have found no category-specific effect. A survey of the literature reveals that this lack of agreement may reflect a failure to control for intrinsic variables (such as familiarity) and the problems associated with ceiling effects in the control data. Investigating picture naming in 32 AD patients and 34 elderly controls, we used bootstrap techniques to deal with the abnormal distributions in both groups. Our analyses revealed the previously reported impairment for naming living things in AD patients and that this persisted even when intrinsic variables were covaried; however, covarying control performance eliminated the significant category effect. Indeed, the within-group comparison of living and nonliving naming revealed a larger effect size for controls than patients. We conclude that the category effect in Alzheimer's disease is no larger than is expected in the healthy brain and may even represent a small diminution of the normal profile.     

Benevolent Sexism Toward Men and Women: Justification of the Traditional System and Conventional Gender Roles in Spain

The present study aimed to explore sexist attitudes in young people and to investigate the role of these ideologies in the contribution of boys and girls to housework. For this purpose, 139 Spanish high school students (67 females and 72 males) responded to the ASI and AMI scales (Glick and Fiske in Journal of Personality and Social Psychology 70:491–512, 1996, Psychology of Women Quarterly 23:519–536, 1999) and assessed their contribution to housework in tasks considered traditionally done by women (highly gender-typed) or more neutral tasks (sex-neutral). Results showed that girls contributed significantly more to housework than boys. In addition, correlation analyses showed that benevolent sexism toward women, men and hostility toward men were significant related to highly gender typed tasks only in the female sample. This result shows the relevance of sexist ideologies in maintaining established differences between genders.     

History of the Hospital Real y General de Nuestra Señora de Gracia in Saragossa: Occupational Therapy Pioneer in Neurology and Psychiatry in Spain

In this article the authors describe the program of the Hospital Real y General de Nuestra Señora de Gracia in Saragossa (Spain) and its importance in the history of occupational therapy. It is believed to be the first hospital in the world to use occupations as therapy for psychiatric patients. Pinel knew about this new trend through a report by Iberti and wrote about it in his book Medico-Philosophical Treatise on Mental Alienation.     

Gender and Leadership in Spain: a Systematic Review of Some Key Aspects

As Spain experienced rapid societal and gender equality changes after the end of the dictatorship in 1975, the development of gender equality in Spain has differed from other European countries and the United States. Therefore, the results of Spanish studies conducted on gender and leadership might differ from those conducted in countries with other historical backgrounds such as other European countries or the United States. We systematically reviewed the current theoretical and empirical literature on gender and leadership with a special emphasis on this comparison. Thereby, we focused on four essential aspects: (a) the underlying mechanism of gender inequality (e.g., traditional gender roles), (b) gender and leadership behavior, (c) the relation of female representation in top management and on boards with organizational performance, and d) female representation and non-performance-related organizational outcomes. Further, Spain is currently experiencing a severe economic crisis. On the one hand, such a crisis might provide a chance for gender equality development; on the other hand, it might trigger a regression toward traditional gender roles in society. Thus, in our discussion, we relate the results of our comparison to these two different but possible consequences of the crisis. To conclude, we outline directions for future research that we hope will provide answers to important questions in this area of research.     

Evaluation of a Heredofamilial Cancer Unit in Increasing Family History Collection and Genetic Counseling Referrals Among Spanish Oncologists at a University Hospital

A comprehensive family history is essential to identify patients at risk for hereditary cancer who could benefit from genetic counseling (GC). In a previous study, we observed a low occurrence of family history record (FHR) collection rate and GC referral among oncologists at our institution. The present work analyzes whether the implementation of a heredofamilial cancer unit (HFCU) would improve these parameters. We retrospectively compared the FHR rate in clinical records, National Cancer Institute (NCI) general criteria for hereditary cancer suspicion, GC referrals and FHR quality in two cohorts: cohort 1 (patients diagnosed before HFCU creation) and cohort 2 (after HFCU creation). Of 1,175 patients (590 cohort 1 and 585 cohort 2), FHRs were consigned in 27.3 % and 52.5 % of patients, respectively (p?<?0.001). The GC referral of patients with any NCI criterion was 13.6 % xin cohort 1 vs. 40.5 % in cohort 2 (p?<?0.001). FHR quality improved in terms of the total number of relatives (164 vs. 314, p?=?0.1, N.S.) and number of healthy relatives consigned (80 vs. 191, p?<?0.01). Nine mutations (6 BRCA, 1 MEN1, 2 Lynch), 4 unknown significance variants (all in BRCA) and 2 with no mutation were identified among patients referred from cohort 2. We conclude that the creation of a heredofamilial cancer unit has changed both FHR and GC referrals among oncologists at our institution, although continuous educational efforts are required.     

Personalized Genomic Results: Analysis of Informational Needs

Use of genomic information in healthcare is increasing; however data on the needs of consumers of genomic information is limited. The Coriell Personalized Medicine Collaborative (CPMC) is a longitudinal study investigating the utility of personalized medicine. Participants receive results reflecting risk of common complex conditions and drug—gene pairs deemed actionable by an external review board. To explore the needs of individuals receiving genomic information we reviewed all genetic counseling sessions with CPMC participants. A retrospective qualitative review of notes from 157 genetic counseling inquiries was conducted. Notes were coded for salient themes. Five primary themes; “understanding risk”, “basic genetics”, “complex disease genetics”, “what do I do now?” and “other” were identified. Further review revealed that participants had difficulty with basic genetic concepts, confused relative and absolute risks, and attributed too high a risk burden to individual single nucleotide polymorphisms (SNPs). Despite these hurdles, counseled participants recognized that behavior changes could potentially mitigate risk and there were few comments alluding to an overly deterministic or fatalistic interpretation of results. Participants appeared to recognize the multifactorial nature of the diseases for which results were provided; however education to understand the complexities of genomic risk information was often needed.     

Temperament and Personal Wellbeing in a Sample of 12 to 16 Year-Old Adolescents

Working on the basis that temperament – understood as the root from which personality traits emerge – is related to subjective wellbeing, a study was conducted on a sample of 1.483 students in compulsory secondary education aged between 12 and 16, half of whom attended schools in a rural or semiurban area and half in an urban setting. The aims of the study were as follows: a) to determine the level of personal wellbeing in a sample of 12 to 16 year-old adolescents measured using scores obtained from the Personal Wellbeing Index (PWI), and b) to analyse the relationship between temperament, measured using the Early Adolescent Temperament Questionnaire (EATQ-R), and personal wellbeing. Results indicate, among other things, that those temperament dimensions which best predict a high level of personal wellbeing are activity level, affiliation, shyness (with a negative weight), inhibitory control and activation control.