Concordance Between Measures of Anxiety and Physiological Arousal Following Treatment of Panic Disorder in Adolescence

This study examined the concordance (or synchrony/desynchrony) between adolescents' self-reports of anxiety and physiological measures of arousal (heart rate) both prior to and after treatment for panic disorder. Results indicated a decline in reported subjective units of distress (SUDS) for the treatment group only at the post-treatment measurement for two of three tasks. Within the treatment group, heart rate changes during the Behavioral Approach Test (BAT) were observed following treatment for one task only. Implications of this apparent desynchrony between self-report and physiological measures in adolescent panic disorder are discussed, with cognitive changes in participants' perception of anxiety after treatment suggested as an important factor in recovery.     

Reinforcement sensitivity theory predicts positive and negative affect in daily life

Laboratory studies of Reinforcement Sensitivity Theory have associated sensitivity to punishment (SP) with negative affect and sensitivity to reward (SR) with positive affect. However, few studies have examined the expression of these systems and their response to cues of reward in daily life. The current study employed experience sampling methodology (ESM) to assess the association of SP and SR with affect and perceptions of situations in daily life. SP was positively associated with negative affect and negatively associated with positive affect in daily life, whereas SR was associated with positive affect and one aspect of negative affect, irritability/anger. Furthermore, high SP participants experienced smaller increases in positive affect and smaller decreases in negative affect in some situations that were perceived as positive, in comparison to low SP participants. In contrast, high SR participants experienced greater decreases in negative affect in some situations that were perceived as positive, in comparison to low SR participants.     

A Terror Management Perspective on the Role of Death-Related Anxiety in Psychological Dysfunction

Building on previous existential theorizing, terror management theory provides a unique approach to conceptualizing the development, maintenance, and impact of psychological disorders. The theory suggests that awareness of mortality creates the potential for anxiety, which is managed by an anxiety-buffering system consisting of one's cultural worldview, self-esteem, and interpersonal attachments. The pursuit of meaning, personal value, and interpersonal connections that motivates much human behavior is driven, in part, by the need to control this potential for death-related anxiety. This article provides an overview of terror management theory and a discussion of its implications for understanding clinical conditions, along with a review of research exploring the roles of death-related anxiety and the anxiety-buffering system in anxiety disorders, posttraumatic stress disorder, and depression.     

PTSD Symptom Severity and Family Adjustment Among Female Vietnam Veterans

This study examined relations between posttraumatic stress disorder (PTSD) symptom severity and several family adjustment variables among a sample of 89 female Vietnam veterans and their male relationship partners. Findings revealed associations between PTSD symptom severity and measures of marital adjustment, family adaptability, family cohesion, parenting satisfaction, and psychological abuse. Results suggest that the presence of PTSD symptomatology may have important implications with regard to the family life of female Vietnam veterans.     

Teachers’ Use of and Attitudes Toward Informational Text in K–5 Classrooms

The purposes of this research were (a) to understand the frequency with which K–5 teachers use informational text in their routine classroom instruction, (b) to understand the percentage of informational text in classroom libraries, and (c) to explore teachers’ attitudes about informational text. Survey data of 318 participants indicated that K–5 teachers used an average of 31.55 minutes (SD = 22.24) of informational text per day and that classroom libraries consisted of an average of 32.77% (SD = 14.16) of informational text. Participants were overwhelmingly positive about the instructional value of informational text but also reported that a lack of time, a lack of resources, and curricular limitations restricted their use of informational text. Implications on how to increase the use of informational text in K–5 classrooms are provided.     

The relational self revealed: integrative conceptualization and implications for interpersonal life

The authors offer a new, integrative conceptualization of the relational self based on a synthesis of recent approaches to the self and significant others. This conceptualization provides a sharper and fuller definition of the relational self than does any existing approach alone and a common framework to interpret findings from separate literatures. The authors then present 5 propositions and evidence to support the thesis that relational selves exert a pervasive influence on interpersonal life. Specifically, relational selves (a) shape a wide range of psychological processes and outcomes, (b) exert their influence automatically, (c) serve basic orientation and meaning functions, (d) provide continuity and context-specific variability in personality, and (e) carry implications for psychological well-being. Discussion focuses on remaining issues and implications for future research.     

Song perception during the sensitive period of song learning in zebra finches (Taeniopygia guttata)

The sensitive period is a special time for auditory learning in songbirds. However, little is known about perception and discrimination of song during this period of development. The authors used a go/no-go operant task to compare discrimination of conspecific song from reversed song in juvenile and adult zebra finches (Taeniopygia guttata), and to test for possible developmental changes in perception of syllable structure and syllable syntax. In Experiment 1, there were no age or sex differences in the ability to learn the discrimination, and the birds discriminated the forward from reversed song primarily on the basis of local syllable structure. Similar results were found in Experiment 2 with juvenile birds reared in isolation from song. Experiment 3 found that juvenile zebra finches could discriminate songs on the basis of syllable order alone, although this discrimination was more difficult than one based on syllable structure. The results reveal well-developed song discrimination and song perception in juvenile zebra finches, even in birds with little experience with song.     

Risk-Reduction Surgery Decisions in High-Risk Women Seen for Genetic Counseling

Women at greatest risk for hereditary breast and ovarian cancer may consider prophylactic removal of breasts or ovaries as a risk-reduction measure. This report describes uptake of risk-reduction mastectomy (RRM), risk-reduction oophorectomy (RRO), and related factors in 62 high-risk women who received genetic counseling. Seven (11%) participants underwent RRM and 13 (21%) underwent RRO. Of these women, 37% did not have BRCA testing, suggesting other factors influence decisions to undergo surgery. Women who had indicated (pre-genetic counseling) their intent not to have surgery chose not to have surgery. Information received during genetic counseling that women perceived as being most important for influencing risk-reduction surgery decisions was BRCA test result (positive or negative), followed by discussion of family cancer history. Reasons for indecision about risk-reduction surgery included genetic testing results, concerns about surgery, timing in life, and early menopause. The findings enhance our understanding of information that is helpful to women considering this surgery.     

Medical education in a community model of care: The future of medical education in a large academic community hospital

Profound changes in the practice of medicine have led to new demands on the profession and on the process of medical education. In recognition of the expanded role of a physician as a professional responsible for the welfare of individuals, Lehigh Valley Hospital has developed an ambitious, innovative Strategic Plan for Education. The plan entitled, Medical Education in a Community Model of Care, emphasizes the organizational importance of education in the hospital's achievement of its mission of community service. The Strategic Plan for Education is community focused. In addition to its primary role of serving its local community, the plan is intended as a educational model for organizations in other parts of the country.Preparation of this paper was supported by a grant from the Dorothy Rider Pool Health Care Trust.