Efficacy of behavioral management and patient education on vascular access cleansing compliance in hemodialysis patients

Compared four treatment conditions to test their ability to enhance compliance with vascular access cleansing (VAC) procedures in a group of 56 hemodialysis patients. The conditions were patient education, behavioral management with monetary incentive, patient education/behavioral management, and attention control. Behavioral observers rated VAC behavior at pretreatment, posttreatment 1-month follow-up, and 1-year follow-up. Knowledge of VAC procedures was also assessed via a questionnaire at pretreatment and posttreatment. Data were analyzed using repeated-measures multivariate analyses of variance. Results indicated that the patients in the education/behavioral, behavioral, and education groups gave significantly more correct answers on our VAC knowledge questionnaires at posttreatment than did patients in the attention control group. Further, patients in the education/behavioral and behavioral groups completed significantly more VAC steps at posttreatment and 1-month follow-up than did patients in the education group and in the attention control group. Differences were not maintained at 1-year follow-up, although more than 50% of the patients were lost to follow-up. Implications of the present findings for behavioral and educational interventions are discussed.     

Sex roles and friendship patterns

The purpose of this study is to examine the relationships among sex, sex role orientation, and friendship. Based on the Bem Sex Role Inventory, 164 participants were categorized as either androgynous (17 males; 29 females), traditional (36 males; 39 females), or undifferentiated (26 males; 17 females) in their sex role orientation. Participants reported the number of close male and female friends, and responded to several questionnaires: interpersonal trust of male and female friends, communal and exchange orientations, affective and activity attributes associated with male and female friends, loneliness, and friendship satisfaction. Results indicate that close friends tended to be same sex, even though females had more close friends overall than did the males. Androgyny was related to characteristics that enhance the development and maintenance of close friendships, such as a communal orientation and positive conceptions of friends, while the undifferentiated orientation was related to less relationship enhancing orientations and a less rewarding interpersonal milieu. The study confirms that sex and sex role orientation are important factors in both quantitative and qualitative aspects of friendship during young adulthood.Portions of this paper were presented at the annual convention of the Southwestern Psychological Association, Houston, Texas, April 13, 1989. We appreciate the extensive help of an anonymous reviewer on earlier versions of this paper.     

Computational and reasoning abilities in arithmetic: Cross-generational change in China and the United States

A Chinese advantage over Americans was found for economically relevant computational and reasoning abilities in arithmetic for groups of 6th- and 12th-grade students matched or equated on general intelligence. No cross-national difference for computational or reasoning abilities was found for samples of older (60- to 80-year-old) Chinese and American adults equated on general intelligence. The pattern of change in arithmetical competencies across cohorts suggests that the Chinese advantage in 6th and 12th grade is due to a cross-generational decline in competencies in the United States and a cross-generational improvement in China.     

The Future of Psychology in Medicaid's Health Delivery System for People with Disabilities

State Medicaid programs are rapidly converting fee-for-service health delivery systems to managed care for people with disabilities. In theory, managed care models of health delivery will substantially improve the quality of care for people with disabilities, but in reality, few successful models exist. This period of transition holds both opportunities and challenges for psychologists in medical settings. Because Medicaid reforms for people with disabilities may herald similar reforms for both the public and the private sectors, psychology's response will determine its role in the future of health care delivery for this population. Changes in training and increased attention to outcomes research, innovations in practice, and advocacy will be the keys to success.     

Perceived Overqualification, Emotional Support, and Health

In the present study, we examined the effects of perceived overqualification on health and the moderating effect of emotional support. Exploratory and confirmatory factor analyses found 2 indicators of perceived overqualification: "mismatch" and "no-grow." Perceived mismatch had a significant negative effect on health but perceived no-grow did not. The main effect revealed that the greater the perceived emotional support, the greater the health. The significant interaction of perceived emotional support and mismatch, and perceived emotional support and no-grow on health indicates that the negative effects of overqualification on health was greater for those perceiving low emotional support than for those perceiving high emotional support. The significance of social support in illuminating the relationship between perceived overqualification and health are discussed.     

Personality and charismatic experience among adult christians

A sample of 368 committed Christian adults completed the Index of Charismatic Experience together with the short form Revised Eysenck Personality Questionnaire and the Myers Briggs Type Indicator (MBTI). The data demonstrate that, according to the MBTI typology, Christians who prefer “thinking” are likely to score higher on the Index of Charismatic Experience than Christians who prefer “feeling”. According to the Eysenckian dimensional model of personality, the charismatic experience is associated with stable extraversion.     

Unification,Reduction, and Non-Ideal Explanations

Kitcher's unification theory of explanation seems to suggest that only the most reductive accounts can legitimately be termed explanatory. This is not what we find in actual scientific practice. In this paper, I attempt to reconcile these ideas. I claim that Kitcher's theory picks out ideal explanations, but that our term explanation is used to cover other accounts that have a certain relationship with the ideal accounts. At times, versions and portions of ideal explanations can also be considered explanatory.     

The Patient Self-Determination Act and Advance Directives: Snapshots of Activities in a Tertiary Health Care Center

This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs.     

“Are False Memories Permanent?”: An Investigation of the Long-Term Effects of Source Misattributions

With growing concerns over children's suggestibility and how it may impact their reliability as witnesses, there is increasing interest in determining the long-term effects of induced memories. The goal of the present research was to learn whether source misattributions found by Ceci, Huffman, Smith, and Loftus (1994) caused permanent memory alterations in the subjects tested. When 22 children from the original study were reinterviewed 2 years later, they recalled 77% of all true events. However, they only consented to 13% of all false events, compared to the 22% false consent rate (among the same subset of children) found by Ceci et al. (1994). Additionally, while children remained accurate in their recall of true events (they maintained assents 78% of the time), they “recanted” their earlier false consents 77% of the time, after the 2-year delay. Implications of these findings for child witnesses and the legal system are discussed.     

Gender and Self-Reported Sexual Arousal in Response to Sexual Stimuli: A Meta-Analytic Review

Social constructionist theories and sociobiological perspectives have led to increased interest in gender differences in sexual behavior. This study involved a meta-analysis of gender differences in sexual arousal in response to sexual stimuli. Forty-six studies in which participants were presented with a sexual stimulus depicting males and females and in which participants responded using a self-report measure of arousal were compiled, and 62 independent effect sizes were aggregated. An overall effect size of d = .31 showed a small to moderate-sized gender difference in sexual arousal with men reporting more arousal than women across all studies. There was significant variation in the effect sizes, though, which was only partially explained by variables coded from the studies. It was found that the gender difference was slightly larger for studies using pornographic vs. erotic stimuli, was larger for studies where participants were tested in a private setting or small group compared to a large group, and was much larger for college age participants compared to those who were older than college age. Generally, the pattern of results provided more support for predictions from social influence theories compared to sociobiological theory.