Stress in telephone helpline nurses is associated with failures of concentration,attention and memory,and with more conservative referral decisions

Nurses working for telephone‐based medical helplines must maintain attentional focus while quickly and accurately processing information given by callers to make safe and appropriate treatment decisions. In this study, both higher levels of general occupational stress and elevated stress levels on particular shifts were associated with more frequent failures of attention, memory, and concentration in telephone nurses. Exposure to a stressful shift was also associated with a measurable increase in objectively assessed information‐processing errors. Nurses who experienced more frequent cognitive failures at work made more conservative decisions, tending to refer patients on to other health professionals more often than other nurses. As stress is associated with cognitive performance decrements in telephone nursing, stress‐reduction interventions could improve the quality and safety of care that callers to medical helplines receive.     

Children's conceptions of mental illness: A naïve theory approach

This paper reports two studies that investigated children's conceptions of mental illness using a naïve theory approach, drawing upon a conceptual framework for analysing illness representations which distinguishes between the identity, causes, consequences, curability, and timeline of an illness. The studies utilized semi‐structured interviewing and card selection tasks to assess 6‐ to 11‐year‐old children's conceptions of the causes and consequences (Study 1) and the curability and timeline (Study 2) of different mental and physical illnesses/ailments. The studies revealed that, at all ages, the children held coherent causal–explanatory ideas about the causes, consequences, curability, and timeline of both mental and physical illnesses/ailments. However, while younger children tended to rely on their knowledge of common physical illnesses when thinking about mental illnesses, providing contagion and contamination explanations of cause, older children demonstrated differences in their thinking about mental and physical illnesses. No substantial gender differences were found in the children's thinking. It is argued that children hold coherent conceptions of mental illness at all ages, but that mental illness only emerges as an ontologically distinct conceptual domain by the end of middle childhood.     

Towards an evidence‐base for student wellbeing and mental health: Definitions,developmental transitions and data sets

Against a background of huge changes in the world of university and college students since the turn of the millennium, together with a multitude of reports on student mental health/wellbeing, this article argues that the field of student mental health is hampered by the imprecise use of terms, a rush to action by universities in the absence of a robust evidence‐base, and a lack of overall coordination and collaboration in the collection and use of data. In response, we argue for clearer and more consistent use of definitions of, as well as differentiations between, student wellbeing and mental health, for a longitudinal approach to the student body that captures their developmental transitions to and through university, and a strategic and systematic approach to the use of bona fide measures in the collection of data on wellbeing and on the process of outcomes in embedded university counselling services. Such a coordinated approach will provide the necessary evidence‐base upon which to develop and deliver appropriate support and interventions to underpin and enhance the quality of students’ lives and learning while at university or college.     

Over‐selective Responding in a Diagnostic Judgment Task

Medical diagnoses are often made on the basis of the presence of multiple symptoms. However, little is known about how the presence of multiple simultaneous symptoms may influence a bias in determining which symptoms are identified, in part due to a lack of an experimental analogue of this process. The current article presents a laboratory analogue of this process and explores whether over‐selectivity influences the ability to identify symptoms indicative of particular illnesses. In two experiments, participants completed a diagnosis task that required them to rate the degree to which symptoms predicted illnesses, with predictor symptoms being presented either singly or in compound. In both experiments, over‐selectivity was observed; one symptom of the compound received lower ratings, compared to the other element of the compound and the single predictor, while the other component received comparable ratings with the element. These findings are discussed in relation to associative accounts of over‐selectivity and as a procedure to study biases in medical decision making.Copyright © 2017 John Wiley & Sons, Ltd.     

National identifications and attitudes to national ingroups and outgroups amongst children living in the Basque country

This study investigated the development of national identification in children growing up in the Basque Country. The sample consisted of 246 children aged 6, 9, 12 and 15 years old who belonged to three linguistic subgroups: children who spoke only Basque with their parents in their home, children who spoke only Spanish in their home, and children who spoke both Basque and Spanish in their home. It was found that national identifications differed in the three linguistic subgroups. Furthermore, the three subgroups exhibited different evaluations of, and feelings towards, the national ingroup and a number of national outgroups. The positive and affective distinctiveness ascribed to the Basque and Spanish national groups was correlated with the strength of identification with the Basque and Spanish groups, respectively. The attitudes towards national outgroups which were exhibited by these children did not show any changes as a function of age. It is argued that the cognitive‐developmental account of the development of national attitudes is unable to explain the patterns of findings which were obtained, but that social identity theory can explain the correlation between the strength of national identification and the positive and affective distinctiveness which was ascribed to the ingroup. Copyright © 2003 John Wiley & Sons, Ltd.