Nonadherence in Adolescent Oncology Patients: Preliminary Data on Psychological Risk Factors and Relationships to Outcome

Published nonadherence rates in the adolescent oncology population range from 33 to 60% though little is known about the psychological factors that contribute to adherence and the relationship between outcome and nonadherence. Our study was designed to investigate psychological and family factors related to adherence and the relationship between adherence and survival in this population. We evaluated 44 (27 males, 17 females) patients with cancer (13–17 years) who were at least 6-months postdiagnosis. Adherence with trimethoprim/sulfamethoxazole (TMP/SMX) was determined at one point in time, using serum assay. Twelve of the patients (27%) had no detectable TMP/SMX. Patients without detectable drug had higher levels of depression, lower self-esteem, and higher levels of parent–child incongruence. Survival rates, 6 years after the initiation of the study, were lower in the group of participants categorized as nonadherent. These findings, if confirmed, have implications for the management of nonadherence and mood in this population.     

Cognitively active externalization for situated reflection

This paper offers an explanation of how collaboration leads to abstract and flexible problem solving. We asked the individual and paired subjects to indicate 3/4 of 2/3 of the area of a square sheet of paper and found that (1) they primarily folded or partitioned the paper rather than algorithmically calculating the answer, (2) they strongly tendened to backtrack and confirm their proto‐plans on externalized traces such as creases on the paper, and (3) only the paired subjects shifted to the mathematical strategy in their second trials. Based on these results, we propose that two factors, individuals' activeness in choosing and confirming the initial strategies and the frequent role exchange between task‐doing and monitoring in collaborative situations, interact in collaboration to generate various solutions differing in the degree of abstraction, which are then reflected upon by the participants to lead them to abstraction.     

Attachment anxiety,intra‐group (dis)respect,actual efforts,and group donation

The current study examines attachment‐style differences in responses to inductions of group respect and disrespect. Participants completed a scale assessing attachment anxiety and avoidance, performed group tasks, and received high, average, or low respect feedback from group members. Then we assessed commitment to this group, actual effort expenditure on behalf of the group, and money donation to the group. For participants scoring relatively high on attachment anxiety, high group respect heightened group commitment and effort expenditure on behalf of the group, whereas group disrespect led to lower group commitment but to more money donation to the group and higher effort expenditure. Participants who scored relatively low on attachment anxiety were not significantly affected by group respect or disrespect. The implications of attachment theory for group dynamics were discussed. Copyright © 2008 John Wiley & Sons, Ltd.     

Status protection in high status minority groups

The present study investigated the conditions under which group members try to obtain membership in another group, or are motivated to protect their group membership when they risk losing it. One hundred and twenty-nine high school students participated as subjects in a laboratory experiment. Subjects were divided into two groups, allegedly on the basis of their problem solving style. The relative size (minority/majority) and status position (high/low) of the subject's group, as well as the permeability of group boundaries (permeable/impermeable) were manipulated as independent variables in a 2×2×2 factorial design. The main dependent variables were the extent to which individuals valued their group membership, and identified with their group. The main results are that membership in a group with high status is considered more attractive than membership in a low status group, This differential evaluation of high and low status groups is more extreme in minority groups than in groups of majority size. Furthermore, when group boundaries are permeable, members of high status minorities show relatively strong ingroup identification, indicating a strengthening of ties with their own group when an alternative (majority) group affiliation is possible. However, our expectation that permeable group boundaries would result in diminished ingroup identification in low status minorities was not confirmed. Some additional data suggest that unsatisfactory membership in a low status group is resolved in a different way.     

Mothers' speech to children of four different ages

This study reports analyses, in terms of five different measures, of the speech on two standard tasks of 32 middle-class mothers to their children aged 1 1/2, 2 1/2, 4, and 6 years. Sex and birth order of child were not found to be related to mothers' speech. On four of the measures, both task and age of child had strongly significant effects. In general, with increasing age of child, mothers spoke more, in longer and grammatically more complex utterances, with greater diversity of vocabulary. The differences in speech addressed to 1 1/2-year-olds and that addressed to 2 1/2-year-olds were particularly marked.