Effectiveness of primiparae and multiparae at soothing their newborn infants

To examine the effectiveness of new parents at soothing their infants, the authors filmed primiparae (20 mothers, 20 fathers) and, for comparison, multiparae (25 mothers, 25 fathers) during an interaction with their crying 2- to 3-day-old infants. Data were derived from loudness ratings of the infants' distress signals and by measuring the time it took parents to quiet their infants. In addition, specific parental behaviors were coded by microanalysis. From these data, measures of soothing effectiveness and behavioral profiles were derived. Data analyses showed that most primiparae were effective at soothing their infants' cries and that there were no parity effects on measures of soothing effectiveness. However, mothers, regardless of parity, were more effective at quieting their infants than were fathers, and there were significant differences in mothers' and fathers' caregiving behaviors. These data suggest that primiparae are effective at quickly soothing their newborns and that their skill, as measured, does not depend on parenting experience. Moreover, the data point to significant differences in mothers' and fathers' competence at quieting their newborns whether or not they are experienced at parenting.     

The dimensions of change in therapeutic community treatment instrument

In this article, the authors describe the refinement and preliminary evaluation of the Dimensions of Change in Therapeutic Community Treatment Instrument (DCI), a measure of treatment process. In Study 1, a 99-item DCI, administered to a cross-sectional sample of substance abuse clients (N = 990), was shortened to 54 items on the basis of results from confirmatory factor analyses and item response theory invariance tests. In Study 2, confirmatory factor analyses of the 54-item DCI, completed by a longitudinal cohort of 993 clients, established and validated an 8-factor solution across 2 subpopulations (adults and adolescents) and 2 time points (treatment entry and 30-days postentry). The results of the 2 studies are encouraging and support use of the 54-item DCI as a tool to measure treatment process.     

The meaning and suitability of various effect sizes for structured Rater x Ratee designs

Four types of analysis are commonly applied to data from structured Rater x Ratee designs. These types are characterized by the unit of analysis, which is either raters or ratees, and by the design used, which is either between-units or within-unit design. The 4 types of analysis are quite different, and therefore they give rise to effect sizes that differ in their substantive interpretations. In most cases, effect sizes based on between-ratee analysis have the least ambiguous meaning and will best serve the aims of meta-analysts and primary researchers. Effect sizes that arise from within-unit designs confound the strength of an effect with its homogeneity. Nonetheless, the authors identify how a range of effect-size types such as these serve the aims of meta-analysis appropriately.     

Spiritual Beliefs and Barriers Among Managed Care Practitioners

Purpose: Ninety percent of American adults believe in God and 82% pray weekly. A majority wants their physicians to address spirituality during their health care visit. However, clinicians incorporate spiritual discussion in less than 20% of visits. Our objectives were to measure clinician beliefs and identify perceived barriers to integrating spirituality into patient care in a statewide, primary care, managed care group. Methods: Practitioners completed a 30-item survey including demographics and religious involvement (DUREL), spirituality in patient care (SPC), and barriers (BAR). We analyzed data using frequencies, means, standard deviations, and ANOVA. Findings: Clinicians had a range of religious denominations (67% Christian, 14% Jewish, 11% Muslim, Hindu or Buddhist, 8% agnostic), were 57% female and 24% had training in spirituality. Sixty-six percent reported experiencing the divine. Ninety-five percent felt that a patients spiritual outlook was important to handling health difficulties and 68% percent agreed that addressing spirituality was part of the physicians role. Ninety-five percent of our managed care group noted 8lack of time as an important barrier, lack of training was indicated by 69%, and 21% cited fear of response from administration. Conclusions: Managed care practitioners in a time constrained setting were spiritual themselves and believed this to be important to patients. Respondents indicated barriers of time and training to implementing these beliefs. Comparing responses from our group to those in other published surveys on clinician spirituality, we find similar concerns. Clinician education may overcome these barriers and improve ability to more fully meet their patients expressed needs regarding spirituality and beliefs.*This material has previously been presented as an abstract at the Culture and End of Life Conference, Association of Medical Colleges Spirituality, Kansas City, MO, September 12–14, 2002.Project supported by the Foundation for Spirituality in Medicine, Baltimore, MD     

Awareness of the continuously visible: information acquisition during preview

What can we learn about a scene while we stare at it, but before we know what we will be looking for? Three experiments were performed to investigate whether previewing a search array prior to knowing the target allows search to operate more quickly (lower reaction time [RT]), more efficiently (reduced set size slope), and/or by consulting abstract mental representations. Experiment 1 compared RTs for previewed and nonpreviewed arrays, some of which were highly degraded with visual noise. Preview reduced RTs for the noisy displays but did not affect search efficiency. Limited interactions of visual quality and preview suggested that prior exposure allowed the extraction and maintenance of about three abstract identities. If the target was one of those items, the observer responded without searching; if not, the observer searched the remaining items as if there had been no preview. Experiment 2 replicated these findings with less extreme noise. In Experiment 3, subjects previewed 0-6 items of a 12-item display. RTs decreased linearly as the number of previewed items increased from 0 to 3 and then reached a plateau, confirming that the capacity of the representation was about 3 items. Implications for visual awareness are discussed.     

Physical activity and psychological well-being in advanced age: a meta-analysis of intervention studies

A meta-analysis examined data from 36 studies linking physical activity to well-being in older adults without clinical disorders. The weighted mean-change effect size for treatment groups (d(C). = 0.24) was almost 3 times the mean for control groups (d(C). = 0.09). Aerobic training was most beneficial (d(C). = 0.29), and moderate intensity activity was the most beneficial activity level (d(C). = 0.34). Longer exercise duration was less beneficial for several types of well-being, though findings are inconclusive. Physical activity had the strongest effects on self-efficacy (d(C).= 0.38), and improvements in cardiovascular status, strength, and functional capacity were linked to well-being improvement overall. Social-cognitive theory is used to explain the effect of physical activity on well-being.     

The Effect of Social Context on Gender Self-Concept

In this study we re-examine the role of genderwithin the self-concept and challenge the assumptionthat our gender self-concept is static and consistentacross contexts. We used the Bem Sex Role Inventory (BSRI) to measure masculinity and femininityacross six contexts. These six contexts were interactingwith same sex friends, interacting with other sexfriends, interacting at home, work, and school, and interacting in a social context where one doesnot know many people. Two hundred twenty-three femalesand 52 males from a large public university in theSoutheast participated in the study. A majority of the participants (76%) were Caucasian with 10%being Hispanic, 4% Asian, and 4% African American.Multivariate analyses of variance provided strongevidence for differences across contexts for both males and females. The results indicated that we aredynamic beings and those characteristics associated withgender are dynamic as well.     

Explicit memory in anxiety disorders

Two experiments were conducted to study selective memory bias favoring anxiety-relevant materials in patients with anxiety disorders. In the 1st experiment, 32 patients with generalized anxiety disorder (GAD), 30 with social phobia (speaking anxiety), and 31 control participants incidentally learned GAD-relevant words, speech anxiety-relevant words, strongly pleasant words, and words with a neutral valence. Participants did not show any explicit memory bias for threatening materials. Thirty patients suffering from panic disorder (PD) with agoraphobia and 30 controls took part in the 2nd experiment. The design was similar to the 1st experiment. This time a highly specific selective memory bias for threatening words was found. Words describing symptoms of anxiety were better recalled by PD patients. Results are consistent with previous findings but are inexplicable by existing theories.     

Judgment and grace in the aging process

There is both judgment and grace in the aging process. The resources of Christian theology can be utilized to make aging more of a blessing than a curse. Judgment in aging is experienced as the judgment of time—little time left, loss of opportunity either to complete projects or to amend what has not been done well. The sins of the elderly are largely reactive rather than proactive The shape of guilt for the elders easily takes the form of fear of rejection and ultimate despair rather than longing for restoration and hope of forgiveness because of the cultural climate in which we are aging. To overcome this pastoral care management of resources of hope, acceptance and forgiveness are curcially important in ministry to the elders.Professor Becker is Professor of Pastoral Care at the Lutheran Theological Seminary, 2199 East Main Street, Columbus, Ohio, 43209. His article is based on a lecture presented at the American Lutheran Church Synposium on Aging, Ann Arbor, Michigan, September, 1977, entitled Theological Perspectives on Aging.