Somatization, psychiatric disorder, and stress in utilization of ambulatory medical services

Examined the prediction from Mechanic's (1972) attribution theory of somatization that somatizers who are under stress will overuse ambulatory medical services. Two hundred fourteen volunteer patients from university ambulatory care clinics completed the Diagnostic Interview Schedule and the Life Experiences Inventory. We examined somatization, psychiatric diagnoses, and life stress-and the interaction of these factors-in predicting frequency of medical visits during the preceding year, after controlling for need (active medical problems) and predisposing factors. As hypothesized, life stress interacted with somatization in predicting number of medical visits; somatizers who were under stress made more visits to the clinics than did nonsomatizers or somatizers who were not under stress. Although stress affected somatizers most, stress was predictive of increased medical utilization for all patients. These results suggest that psychological services intended to reduce overutilization of outpatient medical services might best focus on stress reduction and be most beneficial to somatizers.     

Autoranging amplifier expands computer’s A/D sensitivity by two decades

This device accepts an analog signal from 0 to +14 V, automatically changes gain to condition the analog output to the limits of a ±1 V A/D converter, and transmits the gain mode as two digital bits. A computer with a 10-bit A/D converter and two sense lines uses this device to obtain the dynamic range of a 16-bit A/D converter. The relatively simple principle of the circuit may be of interest to expand the voltage sensitivity range of other analog devices for slowly changing signals.     

Holding points of view does not amount to knowledge

I argue that knowing and having points of view are fundamentally different epistemic states if we assume that having justified true beliefs is necessary for knowledge. Knowers necessarily possess justified true beliefs, but persons holding points of view may, for example, lack justification, have false beliefs, or both. I examine these differences and expose other crucial differentiating patterns between the structure of knowledge and points of view that make the latter more likely to lead to disagreements. I hypothesize that these patterns remain invariant in alternative views of knowledge like contextualism as long as we preserve the classical structure. Yet there is much research to be done on the multiple and contrasting properties that emerge if we consider non-classical analyses of knowledge and points of view.     

Who has to act? A qualitative exploration of emerging adults' critical consciousness during the COVID-19 pandemic

The COVID-19 pandemic and violence against people of Color during 2020 brought troubling racial inequities to the forefront of American discourse. In line with the Critical Consciousness (CC) and Social Justice Youth Development (SJYD) frameworks, emerging adults may have developed their capacity for critical reflection, motivation, and action against systemic inequities. We drew from interviews with 27 emerging adults (ages 18–23) across the US, and used thematic analysis to explore differences in their reflections, motivations to act, and actions based on their racial/ethnic identification. We found nuanced variability in their critical reflections based on self, social, or global awareness and experiences of marginalization. White and Asian emerging adults used vague language or expressed feeling their reflections were insufficient. Black and Latinx emerging adults emphasized the importance of education and raising awareness. Although all emerging adults took action based on a sense of duty, few engaged in critical action; decisions to take in-person action varied based on whether they viewed racism or COVID-19 as a greater threat. Findings demonstrate that emerging adults' experiences of racialization may have related to their CC development. We share implications for community psychologists conducting antiracist research addressing White fragility and dismantling racial hierarchy.     

Redemptive processing of impactful COVID-19 experiences predicts well-being among older but not younger adults

People engage in autobiographical reasoning to make sense of major life events. This study examined whether younger and older adults utilized different autobiographical reasoning strategies to make sense of highly emotional and impactful experiences during the COVID-19 pandemic. We hypothesized that older adults would show higher levels of redemptive processing, younger adults would show higher levels of exploratory processing, and that these respective processes would be associated with well-being for each group. Two samples of younger (n = 245; ages 17–22) and older (n = 224; ages 55–83) adults provided written narratives about their most impactful positive and negative experiences from the COVID-19 pandemic and responded to a questionnaire assessing well-being. We found that younger and older adults did not differ in their use of exploratory and redemptive processing. Redemptive processing was uniquely predictive of well-being among older adults, although this relationship disappeared when positive and negative events were considered independently. These results suggest that the ability to positively reframe COVID-related events could be particularly important for the well-being of older adults.     

Acculturation,Language Use,and Demographic Variables as Predictors of the Career Self-Efficacy of Latino Career Counseling Clients

A sample of 95 Latino career counseling clients of a social services agency voluntarily completed a demographic questionnaire, the American-International Relations Scale (Sodowsky & Plake, 1991), and a questionnaire designed to assess career self-efficacy (Bandura, 1977, 1986; Betz & Hackett, 1981). Acculturation and English language use predicted career self-efficacy, unlike years of residence in the United States, age, and educational level (p < .05). The Implications of the results to career counseling for Latinos are discussed.     

Prevention of depression with primary care patients: A randomized controlled trial

The prevention of major depression is an important research goal which deserves increased attention. Depressive symptoms and disorders are particularly common in primary care patients and have a negative impact on functioning and well-being comparable with other major chronic medical conditions. The San Francisco Depression Prevention Research project conducted a randomized, controlled, prevention trial to demonstrate the feasibility of implementing such research in a public sector setting serving low-income, predominantly minority individuals: 150 primary care patients free from depression or other major mental disorders were randomized to an experimental cognitive-behavioral intervention or to a control condition. The experimental intervention group reported a significantly greater reduction in depressive levels. Decline in depressive levels was significantly mediated by decline in the frequency of negative conditions. Group differences in the number of new episodes (incidence) of major depression did not reach significance during the 1-year trial. We conclude that depression prevention trials in public sector primary care settings are feasbile, and that depressive symptoms can be reduced even in low-income, minority populations. To conduct randomized prevention trials that can test effects on incidence with sufficient statistical power, subgroups at greater imminent risk have to be identified.     

Frontal brain asymmetry in depression with comorbid anxiety: a neuropsychological investigation

The approach-withdrawal model posits that depression and anxiety are associated with a relative right asymmetry in frontal brain activity. Most studies have tested this model using measures of cortical brain activity such as electroencephalography. However, neuropsychological tasks that differentially use left versus right frontal cortical regions can also be used to test hypotheses from the model. In two independent samples (Study 1 and 2), the present study investigated the performance of currently depressed individuals with or without a comorbid anxiety disorder and healthy controls on neuropsychological tasks tapping primarily left (verbal fluency) or right (design fluency) frontal brain regions. Across both samples, results indicated that comorbid participants performed more poorly than depressed only and control participants on design fluency, while all groups showed equivalent performance on verbal fluency. Moreover, comorbid participants showed "asymmetrical" performance on these two tasks (i.e., poorer design [right frontal] relative to verbal [left frontal] fluency), whereas depressed only and control participants showed approximately symmetrical profiles of performance. Results from these two samples suggest an abnormal frontal asymmetry in neurocognitive performance driven primarily by right frontal dysfunction among anxious-depressed individuals and highlight the importance of considering comorbid anxiety when examining frontal brain functioning in depression.