DRG-Vergütung und Kosten stationärer integrierter psychosomatischer Behandlung

Ohne ZusammenfassungDie Autoren M. Rose und R. Lohmann zeichnen für den Beitrag als gleichberechtigte Erstautoren.     

"Capacity" reconsidered: interindividual differences in language comprehension and individual alpha frequency

The influence of interindividual differences in cognitive mechanisms on language comprehension remains controversial not only due to conflicting experimental findings, but also in view of the difficulty associated with determining which measure should be used in participant classification. Here, we address the latter problem by proposing that an electrophysiological measure, individual alpha frequency (IAF), may be a suitable means of classifying interindividual differences in sentence processing. Interindividual differences in IAF have been shown to correlate with performance on memory tasks and speed of information processing. In two experiments using event-related brain potentials (ERPs), IAF-based participant groups differed systematically with regard to the processing of ambiguous sentences such that the low-IAF group showed a sustained positivity in the ambiguous region, while the high-IAF group did not. These interindividual differences were independent of whether the ambiguity was syntactic (Experiment 1) or sentence-level semantic (Experiment 2). Moreover, they were reliable only when participants were classified according to IAF, but not in classifications based on reading span, speed of processing (reaction time), or accuracy of processing (error rate).     

A person-fit index for polytomous rasch models,latent class models,and their mixture generalizations

A normally distributed person-fit index is proposed for detecting aberrant response patterns in latent class models and mixture distribution IRT models for dichotomous and polytomous data.This article extends previous work on the null distribution of person-fit indices for the dichotomous Rasch model to a number of models for categorical data. A comparison of two different approaches to handle the skewness of the person-fit index distribution is included.Major parts of this paper were written while the first author worked at the Institute for Science Education, Kiel, Germany. Any opinions expressed in this paper are those of the authors and not necessarily of Educational Testing Service. The results presented in this paper were improved by valuable comments from J. Rost, K. Yamamoto, N.D. Verhelst, E. Bedrick and two anonymous reviewers.     

The social dynamics of a cultural upheaval: social interactions surrounding September 11, 2001

Using the Electronically Activated Recorder (EAR), a new methodology for sampling behavioral data in naturalistic settings, we tracked the social lives of 11 people by recording 30-s snippets of ambient sounds in their environment approximately every 12 min. Participants wore the EAR continuously for 10 days from September 11, 2001. Pre-September 11 baseline data were available for all participants. Analyses of the coded sound information showed that although participants did not change in their overall amount of interactions, they gradually shifted from group conversations to dyadic interactions. Exploratory analyses revealed that a relative increase in dyadic interactions over the first 10 days after September 11 was marginally related to better psychological adjustment at follow-up. The findings have relevance for the understanding of stress and affiliation and normal psychological reactions to emergencies.     

Quality of life before and after lung transplantation in patients with emphysema versus other indications

Whether lung transplantation improves Health-related Quality of Life in patients with emphysema and other end-stage lung diseases before and after lung transplantation was examined. Between 1992 and 1999, 23 patients with emphysema and 19 patients with other indications completed self-administered questionnaires before lung transplantation, and at 4, 7, 13, and 25 mo. after transplantation. The questionnaire included the Nottingham Health Profile, the State-Trait Anxiety Inventory, the Self-rating Depression Scale, the Index of Well-being, the self-report Karnofsky Index, and four respiratory-specific questions. Neither before nor after transplantation were significant differences found on most dimensions of Health-related Quality of Life between patients with emphysema and other indications. Before transplantation, both groups report major restrictions on the dimensions Energy and Mobility of the Nottingham Health Profile, low experienced well-being, depressive symptoms, and high dyspnea. About 4 mo. after transplantation, most Health-related Quality of Life measures improved significantly in both groups. These improvements were maintained in the following 21 mo.     

Circadian phase-shifted rats show normal acquisition but impaired long-term retention of place information in the water task

It is thought that circadian rhythms may influence learning and memory processes. However, research supporting this view does not dissociate a mnemonic impairment from other performance deficits. Furthermore, published reports do not specify the type of memory system influenced by the circadian system. The present study assessed the effects of phase shifting on acquisition and expression of place navigation in the water maze, a task sensitive to hippocampal dysfunction. The results showed that phase-shifting circadian rhythms in rats impaired the expression of place information on a retention test but not initial acquisition or encoding of place information. These results suggest that disruption of circadian rhythms may impair consolidation of previously encoded hippocampal place information.     

Belief in a just world, teacher justice, and bullying behavior

The relation between school students' belief in a just world (BJW) and their bullying behavior was investigated in a questionnaire study. The mediating role of teacher justice was also examined. Data were obtained from a total of N = 458 German and Indian high school students. Regression analyses revealed that the more strongly students believed in a personal just world and the more they evaluated their teachers' behavior toward them personally to be just, the less bullying behavior they reported. Moreover, students with a strong BJW tended to evaluate their teachers' behavior toward them personally to be more just, and the experience of teacher justice mediated the relation between BJW and less bullying perpetration. This pattern of results was as expected and consistent across different cultural contexts. It persisted when neuroticism, sex, and country were controlled. The adaptive functions of BJW and implications for future school research are discussed.     

Screening for Specific Language Impairment in Preschool Children: Evaluating a Screening Procedure Including the Token Test

Specific language impairment (SLI) comprises impairments in receptive and/or expressive language. Aim of this study was to evaluate a screening for SLI. 61 children with SLI (SLI-children, age-range 4–6 years) and 61 matched typically developing controls were tested for receptive language ability (Token Test—TT) and for intelligence (Wechsler Preschool-and-Primary-Scale-of-Intelligence—WPPSI). Group differences were analyzed using t tests, as well as direct and stepwise discriminant analyses. The predictive value of the WPPSI with respect to TT performance was analyzed using regression analyses. SLI-children performed significantly worse on both TT and WPPSI (\(p \le .0001\)). The TT alone yielded an overall classification rate of 79%, the TT and the WPPSI together yielded an overall classification rate of 80%. TT performance was significantly predicted by verbal intelligence in SLI-children and nonverbal intelligence in controls whilst WPPSI subtest arithmetic was predictive in both groups. Without further research, the Token Test cannot be seen as a valid and sufficient tool for the screening of SLI in preschool children but rather as a tool for the assessment of more general intellectual capacities. SLI-children at this age already show impairments typically associated with SLI which indicates the necessity of early developmental support or training. Token Test performance is possibly an indicator for a more general developmental factor rather than an exclusive indicator for language difficulties.     

Who Reads Outcome Research?

To explore patterns of outcome research consumption, we conducted a national survey of 313 family therapists currently practicing in the United States. Participants were asked about their reading practices, as well as about attitudes toward and barriers to reading marriage/couple and family therapy (M/CFT) outcome research. Results suggest that most therapists perceive outcome research as at least somewhat important. However, they spend relatively little time reading it: The average is 1.7?h per month. Therapist-identified barriers to reading outcome research articles include access, applicability, quality of writing, and quality of research. Recommendations for addressing some of these barriers are offered.