Health Outcome Measures for Diabetes Mellitus: A Review

To review selective health outcome measures for diabetes mellitus focussing on psychometric properties. Systematic literature search was carried out to identify the instruments using electronic databases and manual search from relevant journals. Health outcome measures were assessed with predefined inclusion and exclusion criteria. Each instrument was assessed for patient related information, instrument content, reliability, validity and responsiveness to change. The electronic and manual search generated 317 relevant references. Twenty seven instruments that met the inclusion criteria were included in the study. Among the 27 instruments, 20 were in English language. Out of these, 14 instruments were developed in USA and the majority of the remaining in UK. The time taken to complete the questionnaires varied from 3-40 minutes. Appraisal of Diabetes Scale and Audit of Diabetes-Dependent Quality of Life are single index instruments and the remaining instruments have dimension in a range of three to nine. Appraisal of Diabetes Scale and Diabetes Treatment Satisfaction Questionnaire are the shortest questionnaire whereas Diabetes Care Profile is the longest. The Diabetes Treatment Satisfaction Questionnaire has more translations followed by Diabetes Medication Satisfaction, Audit of Diabetes-Dependent Quality of Life, Diabetes Health profile, Problem area in diabetes scale and Insulin Treatment Appraisal Scale. All the instruments were assessed for psychometric properties. The Diabetes Care Profile, Diabetes-39, Diabetes Quality of life measure, Diabetes specific Quality of life scale, Diabetes Treatment Satisfaction Questionnaire, Diabetes symptom checklist-Revised and Diabetes Medication Satisfaction instruments have good psychometric properties and may be useful for the researcher interested in diabetes care. Most of the instruments were lacking in responsiveness evaluation and were developed and evaluated mainly in developed countries. There is a need, therefore, to focus future research on health outcome measures on the evaluation of responsiveness.     

Dream rebound of suppressed emotional thoughts: the influence of cognitive load

Initial evidence suggests that suppressing a thought prior to sleep results in subsequent dreaming of that thought. The present research examined the influence of cognitive load on dreaming following suppression. In Experiment 1, 100 participants received either a suppression instruction or no instruction for an intrusive thought prior to sleep, and subsequently completed a dream diary. Participants instructed to suppress reported dreaming about the target thought more than controls; dream rebound was predicted by poorer performance on a working memory task. In Experiment 2, 126 participants received either a suppression instruction or no instruction for an intrusive thought prior to sleep, and half of participants also had cognitive load of learning a 9-digit number. Participants receiving the suppression instruction under cognitive load reported greater dream rebound than other participants. These findings indicate that thought suppression prior to sleep leads to dream rebound, and this effect is enhanced by cognitive load.     

Developing the couple perspective in parenting support: evaluation of a service initiative for vulnerable families

The importance of the relationship between parents is frequently underestimated by those designing and developing services to support parents in bringing up their children. Instead, the primary focus of recent family support initiatives in the United Kingdom has been on improving parenting skills. This article describes the outcomes of a project designed to maximize the effectiveness of parenting support to vulnerable families through sensitizing the workforce of a community‐based adult mental health agency to take account of the parental couple in providing postnatal support groups, parenting workshops and relationship counselling. Evaluating outcomes from these services suggests that a couple orientation adds significant value to the effectiveness of parenting support.     

Identity in Action: Predictors of Feminist Self-Identification and Collective Action

The present study sought to explore how women's life experiences influenced their beliefs, and how those beliefs in turn influenced feminist self-identification. Additionally, we sought to determine whether feminist self-identification led to increased collective action on behalf of women. Female participants (N?=?282) from two US college campuses and online listservs completed an online survey assessing feminist self-identification, collective action, and life experiences. Conservative, liberal, and radical beliefs were assessed as were evaluations of feminists. A structural equation model was used to explore these relationships; life experiences were found to influence women's beliefs, which in turn influenced feminist self-identification, which influenced collective action. We found that life experiences may serve as a catalyst for both feminist self-identification and collective action.     

Psychologists' and social workers' self-descriptions using DSM-IV psychopathology

There is limited information on mental health of psychologists and social workers despite their rendering mental health services, so their subjective perception of mental disorder was explored via a self-evaluation survey in which they self-diagnosed the presence of DSM-IV disorders within themselves. The sample of 128 professionals included 63 psychologists and 65 social workers. The presence of Axis I traits was reported by 81.2%, the three most frequent traits being mood, obsessive-compulsive disorder, and eating disorder. Axis II traits were reported by 73.4% of subjects, the three most frequent conditions being narcissistic, avoidant, and obsessive-compulsive personality traits. While a high percentage of subjects reported the presence of either an Axis I or Axis II disorder, the average severity reported was low. More psychologists reported on mood, social phobia, and eating problems than social workers, while the latter reported more on psychotic problems. Psychologists reported more Axis II traits, especially paranoid, narcissistic, and avoidant subtypes. More women than men reported eating problems, while more men reported schizoid and avoidant personality traits. In conclusion, manifestations of subthreshold psychiatric conditions were prominently reported. These findings suggest encouraging mental health care professionals to explore treatment for problems if present.     

Thinking of Others: Feminist Identification and the Perception of Others’ Beliefs

Previous research has shown that most women in the United States support feminist goals but do not label themselves as feminists. Concern over other people’s opinions of feminists may predict rejection of the feminist label. In the present study we predicted that feminists would be more likely than non-feminists to believe that other people view feminists favorably. One hundred seventy-one female participants completed the Berryman-Fink Semantic Differential Scale twice, once to indicate how they view feminists and again to indicate how they believe others view feminists. Contrary to our hypothesis, all women, regardless of feminist identification, believed that others view feminists negatively and as more likely to be homosexual than heterosexual. Relationships between participants’ own views of feminists and their perceptions of others’ views of feminists were explored. Transformative experiences that may lead a feminist to ignore their perception of society’s views are discussed.     

Neural events in the reinforcement contingency

When neural events are analyzed as stimuli and responses, functional relations among them and among overt stimuli and responses can be unveiled. The integration of neuroscience and the experimental analysis of behavior is beginning to provide empirical evidence of involvement of neural events in the three-term contingency relating discriminative stimuli, responses, and consequences. This paper is aimed at highlighting exemplar instances in the development of this issue. It has long been known that the electrical stimulation of certain cerebral areas can have a reinforcing function. Extraordinary technological advances in recent years show that neural activity can be selected by consequences. For example, the activity of in vitro isolated neurons that receive dopamine as a reinforcer functions as a cellular analogue of operant conditioning. The in vivo activity of populations of neurons of rats and monkeys can be recorded on an instant-to-instant basis and can then be used to move mechanical arms or track a target as a function of consequences. Neural stimulation acts as a discriminative stimulus for operant responses that are in turn maintained by neural consequences. Together with investigations on the molecular basis of classical conditioning, those studies are examples of possibilities that are being created for the study of behavior-environment interactions within the organism. More important, they show that, as an element in the three-term contingency, neural activity follows the same laws as other events.     

Children do show negative priming: further evidence for early development of an intact selective control mechanism

Reactions to stimuli that were shortly before presented as distractors are usually slowed down; this phenomenon is known as negative priming. Negative priming is an accepted index for tapping into selective control mechanisms. Although this effect is well established for adults, it has been claimed that children do not show negative priming. Recently, however, V. E. Pritchard and E. Neumann challenged this view and concluded that selective control mechanisms are already fully developed in young children. The authors of the present study analyzed differences between older studies, in which no negative priming had been observed, and the Pritchard and Neumann (2004) study. In sum, the present study yielded further evidence for an intact selective control mechanism in young children. The authors also linked this empirical finding to the broader literature on negative priming by a direct comparison with an adult sample.     

Improving self‐regulated learning of preschool children: Evaluation of training for kindergarten teachers

Background In the context of lifelong learning, self‐regulated learning is an important competence. Children between 4 and 6 years of age are at a crucial step in their life to develop self‐regulatory competence. That is why their kindergarten teachers play an important role as instructors as well as role models. Aim This study tested the effects of self‐regulation training for kindergarten teachers concerning their own self‐regulation and methods to foster self‐regulation in children at preschool age whom they were teaching. Sample In this study, 35 German kindergarten teachers and 97 children participated. All adult participants were graduated kindergarten teachers. Method The kindergarten teachers were tested with a questionnaire 2 weeks before and after the training. At the same time, the preschoolers were interviewed. A waiting control group design was applied. Results and conclusions The results obtained by means of analyses of variance show that the self‐regulation of the kindergarten teachers as well as the self‐regulated learning of preschoolers whose kindergarten teachers took part in the training improved significantly. The results indicate that it is possible to improve self‐regulated learning of preschool children by a training programme for kindergarten teachers.