Trauma Exposure in Anxious Primary Care Patients

The present study examined rates of trauma exposure, clinical characteristics associated with trauma exposure, and the effect of trauma exposure on treatment outcome in a large sample of primary care patients without posttraumatic stress disorder (PTSD). Individuals without PTSD (N?=?1,263) treated as part of the CALM program (Roy-Byrne et al., Journal of the American Medical Association 303(19)1921–1928, 2010) were assessed for presence of trauma exposure. Those with and without trauma exposure were compared on baseline demographic and diagnostic information, symptom severity, and responder status six months after beginning treatment. Trauma-exposed individuals (N?=?662, 53 %) were more likely to meet diagnostic criteria for Obsessive Compulsive Disorder and had higher levels of somatic symptoms at baseline. Individuals with and without trauma exposure did not differ significantly on severity of anxiety, depression, or mental health functioning at baseline. Trauma exposure did not significantly impact treatment response. Findings suggest that adverse effects of trauma exposure in those without PTSD may include OCD and somatic anxiety symptoms. Treatment did not appear to be adversely impacted by trauma exposure. Thus, although trauma exposure is prevalent in primary care samples, results suggest that treatment of the presenting anxiety disorder is effective irrespective of trauma history.     

Recognition of Affective Speech Prosody and Facial Affect in Deaf Children with Unilateral Right Cochlear Implants

Cochlear implant (CI) devices provide the opportunity for children who are deaf to perceive sound by electrical stimulation of the auditory nerve, with the goal of optimizing oral communication. One part of oral communication concerns meaning, while another part concerns emotion: affective speech prosody, in the auditory domain, and facial affect, in the visual domain. It is not known whether childhood CI users can identify emotion in speech and faces, so we investigated speech prosody and facial affect in children who had been deaf from infancy and experienced CI users. METHOD: Study participants were 18 CI users (ages 7–13 years) who received right unilateral CIs and 18 age- and gender-matched controls. Emotion recognition in speech prosody and faces was measured by the Diagnostic Analysis of Nonverbal Accuracy. RESULTS: Compared to controls, children with right CIs could identify facial affect but not affective speech prosody. Age at test and time since CI activation were uncorrelated with overall outcome measures. CONCLUSION: Children with right CIs recognize emotion in faces but have limited perception of affective speech prosody.     

Porn,Peers, and Performing Oral Sex: The Mediating Role of Peer Norms on Pornography’s Influence Regarding Oral Sex

ABSTRACT

The goal of this study was to offer insights into how pornography use might be linked to young adults’ sexual experiences via the mediating role of peer norms (i.e., their perceptions of what same-sex peers do sexually). We focused on oral sex behavior, as it is common in pornography and among young people. Young adults (N = 349; ages 19–30; 54% female) were recruited through a crowdsourcing website. Participants completed an anonymous online survey about the frequency that they observed various sexual behaviors in online pornography, the frequency that they engaged in these behaviors, and their perceptions of the frequency that their peers engaged in these behaviors. Frequency of viewing cunnilingus (men) or fellatio (women) in pornography predicted how often they engaged in oral sex, and this association was mediated by their perceptions of how frequently their peers engaged in oral sex. Peer norms did not mediate how frequently they received oral sex. Findings are discussed in terms of implications for understanding how pornography may relate to young people’s social norms surrounding oral sex and their performance of sexual behaviors, as well as for understanding generally how media consumption relates to adoption of media behaviors through suggesting a social norm.     

Artifacts as Conventional Objects

What underlies children's understanding of artifacts? Studies suggest that beginning around age 7, people reason about artifacts in terms of the inventor's purpose—termed the design stance. Our two studies emphasize another component of artifact understanding—the cultural nature of artifacts—by demonstrating people's sensitivity to an artifact's conventional use. In past studies participants were shown a novel artifact and told that someone invented it for a certain purpose and that later another person used it for a different purpose. Here we demonstrate that if participants are told that many people, as opposed to just one person, use an artifact differently, 5-year-olds, 7-year-olds, and adults do not strictly judge the artifact in terms of its invented purpose. We conclude that people's conceptions of artifacts are more complex and dynamic than has been suggested.     

Quest Religion and the Problem of Limited Compassion

Is the religious questing orientation an unprejudiced orientation that shows tolerance for people to a degree that suggests universal, rather than circumscribed, compassion? To answer this question, 90 undergraduates were given the opportunity to help either of two peers win a monetary prize. The identity of one of the peers was manipulated across two conditions: he or she was presented as holding a religious fundamentalist belief style or belief style unspecified. The purpose of the monetary prize was also varied across two conditions: an activity that either would or would not promote religious fundamentalist behavior. Participants scoring high in religious questing helped the discloser who held a religious fundamentalist belief style less than the discloser who did not, irrespective of whether they promoted religious fundamentalist behavior or not. These results suggest that the questing orientation is associated with prejudice toward the value‐violating person when the salient person value violates the open‐minded belief style of the questing orientation.     

Sources of variability in sequelae of very low birth weight.

Few investigations have examined the specificity of sequelae of very low birth weight (VLBW, <1500 g) or sources of variability in outcome. To better understand the nature and determinants of outcome, we assessed neuropsychological and achievement skills at mean age 11 years in 62 children with <750 g birth weight, 54 with 750-1499 g birth weight, and 66 term-born controls. Distinct cognitive constructs were identified by factor analysis, and the three birthweight groups were compared on these constructs and on composite measures of achievement. Although the group with <750 g birth weight performed less well on all tests than term-born controls, group differences in a perceptual planning factor and in mathematics remained even when IQ was controlled, and deficits were more pronounced in mathematics than in reading. Results from structural equation modeling were consistent with the hypothesis that neuropsychological skills mediated the relationship between birth weight and achievement. The findings confirm the differential deficit hypothesis, support the need to consider multiple sources of variability in VLBW outcomes, and highlight the importance of neuropsychological constructs in developing an explanatory framework.     

Mapping Attitude Formation as a Function of Information Input: Online Processing Models of Attitude Formation

Consistent with calls for a dynamical social psychology (Jacoby et al., 1987; Nowak, Lewenstein, & Vallacher, 1994), attitude formation was studied using a recently developed, computer‐based simulation technique termed Higher Order Cognitive Tracing (see Jacoby et al., 1994). Participants’ attitudes toward 12 different products in 3 product categories were investigated as a function of incremental information input. As opposed to traditional memory‐based models of attitude formation, the study explored online processing models. Results indicate that the impact of information tends to decrease the later in the sequence that information is accessed. In addition, new information that is affectively inconsistent with prior information tends to have a greater impact on attitudes than information that is affectively redundant. This effect is more pronounced earlier rather than later in the sequence of information acquisition. Implications and suggestions for future research are discussed.     

Stress and Student Job Design: Satisfaction, Well-Being, and Performance in University Students

It is imperative that the university environment be supportive and capable of nurturing optimal learning and performance in students. Using job design and work stress theories, the study assessed relationships between psychosocial work characteristics, well-being and satisfaction, and performance in a random sample survey of Australian university students (N = 176). Methodological improvements were a time lag between survey and performance measures, an objective measure of performance, and LISREL structural equation modeling. Results showed high levels of psychological distress and low levels of satisfaction, both linked to high demands combined with low control. In accord with the happy-productive student hypothesis, satisfaction mediated the impact of the work environment on performance. Reengineering the design of the student work environment may therefore improve performance outcomes (student grades) through enhancing satisfaction.     

Evaluation of the Responding in Peaceful and Positive Ways (RIPP) Seventh Grade Violence Prevention Curriculum

We evaluated the impact of RIPP-7, a seventh grade violence prevention curriculum designed to strengthen and extend the effects of the sixth grade RIPP-6 curriculum. Classes of seventh graders at two urban middle schools serving predominantly African-American youth where RIPP-6 had been implemented the preceding school year were randomized to intervention (N = 239) and control groups (N = 237). Compared to students in the control group, students who participated in RIPP-7 had fewer disciplinary code violations for violent offenses during the following school year. A limited number of main effects were found on self-report outcome measures and measures of attitudes. Although significant main effects were not found on self-report measures of physical aggression, drug use, or anxiety, analyses of interactions with pretest scores indicated that intervention effects were significantly moderated by pretest scores for several outcome measures. Students most likely to benefit from the intervention were those who reported higher pretest rates of problem behaviors including violent behavior, nonphysical aggression, and delinquent behavior.     

Social inequality and the reduction of ideological dissonance on behalf of the system: evidence of enhanced system justification among the disadvantaged

According to system justification theory, people are motivated to preserve the belief that existing social arrangements are fair, legitimate, justifiable, and necessary. The strongest form of this hypothesis, which draws on the logic of cognitive dissonance theory, holds that people who are most disadvantaged by the status quo would have the greatest psychological need to reduce ideological dissonance and would therefore be most likely to support, defend, and justify existing social systems, authorities, and outcomes. Variations on this hypothesis were tested in five US national survey studies. We found that (a) low‐income respondents and African Americans were more likely than others to support limitations on the rights of citizens and media representatives to criticize the government; (b) low‐income Latinos were more likely to trust in US government officials and to believe that ‘the government is run for the benefit of all’ than were high‐income Latinos; (c) low‐income respondents were more likely than high‐income respondents to believe that large differences in pay are necessary to foster motivation and effort; (d) Southerners in the USA were more likely to endorse meritocratic belief systems than were Northerners and poor and Southern African Americans were more likely to subscribe to meritocratic ideologies than were African Americans who were more affluent and from the North; (e) low‐income respondents and African Americans were more likely than others to believe that economic inequality is legitimate and necessary; and (f) stronger endorsement of meritocratic ideology was associated with greater satisfaction with one's own economic situation. Taken together, these findings are consistent with the dissonance‐based argument that people who suffer the most from a given state of affairs are paradoxically the least likely to question, challenge, reject, or change it. Implications for theories of system justification, cognitive dissonance, and social change are also discussed. Copyright © 2002 John Wiley & Sons, Ltd.