Lifestyle interventions in the treatment of childhood overweight: a meta-analytic review of randomized controlled trials.

CONTEXT: Evaluating the efficacy of pediatric weight loss treatments is critical. OBJECTIVE: This is the first meta-analysis of the efficacy of RCTs comparing pediatric lifestyle interventions to no-treatment or information/education-only controls. DATA SOURCES: Medline, PsycINFO, and Cochrane Controlled Trials Register. STUDY SELECTION: Fourteen RCTs targetting change in weight status were eligible, yielding 19 effect sizes. DATA EXTRACTION: Standardized coding was used to extract information on design, participant characteristics, interventions, and results. DATA SYNTHESIS: For trials with no-treatment controls, the mean effect size was 0.75 (k = 9, 95% confidence interval [CI] = 0.52-0.98) at end of treatment and 0.60 (k = 4, CI = 0.27-0.94) at follow-up. For trials with information/education-only controls, the mean ES was 0.48 (k = 4, CI = 0.13-0.82) at end of treatment and 0.91 (k = 2, CI = 0.32-1.50) at follow-up. No moderator effects were identified. CONCLUSIONS: Lifestyle interventions for pediatric overweight are efficacious in the short term with some evidence for extended persistence. Future research is required to identify moderators and mediators and to determine the optimal length and intensity of treatment required to produce enduring changes in weight status.     

Nonword repetition in lexical decision: Support for two opposing processes

We tested and confirmed the hypothesis that the prior presentation of nonwords in lexical decision is the net result of two opposing processes: (1) a relatively fast inhibitory process based on global familiarity; and (2) a relatively slow facilitatory process based on the retrieval of specific episodic information. In three studies, we manipulated speed-stress to influence the balance between the two processes. Experiment 1 showed item-specific improvement for repeated nonwords in a standard “respond-when-ready” lexical decision task. Experiment 2 used a 400-ms deadline procedure and showed performance for nonwords to be unaffected by up to four prior presentations. In Experiment 3 we used a signal-to-respond procedure with variable time intervals and found negative repetition priming for repeated nonwords. These results can be accounted for by dual-process models of lexical decision (e.g., Balota & Chumbley, 1984; Balota & Spieler, 1999).     

The avian hippocampus and short-term memory for spatial and non-spatial information

Three experiments investigated the role of the pigeon hippocampal formation (the hippocampus and area-parahippocampalis) in short-term memory for non-spatial and spatial information. The acquisition of delayed matching-to-sample and the short-term retention of non-spatial visual information, using a small set of sample stimuli, were unaffected by aspiration lesions of the hippocampus or the neostriatum (Experiment 1). Similarly, acquisition and short-term retention of non-spatial information using a successive, trial-unique, delayed non-matching-to-sample procedure were unaffected by hippocampal damage; the same birds had, however, displayed a profound autoshaping impairment (Experiment 2). Acquisition of a spatial delayed matching-to-sample task was unimpaired by hippocampal damage. However, lesioned animals were impaired following the introduction of retention intervals on this procedure (Experiment 3). The correspondence between the behavioural effects of hippocampal lesions in birds and mammals on short-term memory is discussed, and the implications of these results for avian hippocampal function are considered.     

PREFERRING "HOUSEWIVES" TO "FEMINISTS"

Four studies are described outlining the favorability of attitudes toward women. In Study 1, participants indicated their attitudes toward women and men and their construal of the term "women". The results revealed that women were evaluated more favorably than men, but that male right-wing authoritarians (RWAs) who construed women as referring primarily to feminists were least favorable in their attitudes. In Study 2, participants indicated their attitudes toward both "housewives" and "feminists". The results revealed that feminists were evaluated less favorably than housewives, and that the most negative attitudes toward feminists were expressed by authoritarian men. Study 3 revealed that high-RWA males held more negative symbolic beliefs concerning feminists (i.e., beliefs that feminists failed to promote participants'values) and that these beliefs accounted for variation in attitudes among high RWAs and much of the RWA-attitude relation. Finally, Study 4 revealed that high RWAs perceived greater value dissimilarity between them-selves and feminists. The implications of the findings for future research are discussed.     

Self-Affirmation Reduces Biased Processing of Health-Risk Information

An experiment tested whether a positive experience (the endorsement and recall of one's past acts of kindness) would reduce biased processing of self-relevant health-risk information. Women college students (N = 66) who reported high or low levels of daily caffeine use were exposed to both risk-confirming and risk-disconfirming information about the link between caffeine consumption and fibrocystic breast disease (FBD). Participants were randomly assigned to complete an affirmation of their kindness via questionnaire or to a no-affirmation condition. Results indicated that the affirmation manipulation made frequent caffeine drinkers more open, less biased processors of risk-related information. Relative to frequent caffeine drinkers who did not affirm their kindness, frequent caffeine drinkers in the affirmation condition oriented more quickly to the risk-confirming information, rated the risk-confirming information as more convincing than the risk-disconfirming information, and recalled less risk-disconfirming information at a 1-week follow-up. They also reported greater perceived personal control over reducing their level of caffeine consumption. Although frequent caffeine drinkers in the affirmation condition initially reported lower intentions to reduce their caffeine consumption, there was no evidence that they were less likely to decrease their caffeine consumption at the follow-up. The possibility that positive beliefs and experiences function as self-regulatory resources among people confronting threats to health and well-being is discussed.     

Representativeness reasoning and the search for the origins of stuttering: A return to basic observations

In this paper, we present our views on theories of the distal and proximal causes of stuttering. We suggest that the search for the etiology of stuttering has been hampered by the inappropriate use of the representativeness heuristic, a method of reasoning which proposes that the effects of a disorder reflect its causes. We encourage a return to the ideas of Froeschels and Bluemel so that the representativeness heuristic might properly be employed in investigations into the proximal, mechanical causes of stuttering and into the etiological implications of the repetitions of early stuttering.     

Prospective remembering: Perceptually driven or conceptually driven processes?

Converging experimental operations and several prospective memory tasks were used across three experiments to determine the extent to which prospective remembering is supported by datadriven versus conceptually driven processes. In all experiments, subjects were asked to perform an action when a target item later occurred. When the semantic context changed from encoding to test, prospective memory significantly declined (Experiment 1). When the target event (the item, which in its subsequent appearance in the experiment was the signal to perform the action) was presented as a word (relative to picture presentation, Experiment 2) or was encoded nonsemantically (relative to semantic encoding, Experiment 3), there was a decline in prospective memory performance. Dividing attention during prospective memory retrieval substantially reduced prospective memory performance (Experiment 3). The results of this research indicated that prospective memory is largely conceptually driven, and it behaves more similarly to direct rather than indirect conceptual tests. We suggest that prospective remembering of the type studied here is mediated by a reflexive episodic associative memory system as proposed by Moscovitch (1994).