Effect of treatments for depression on quality of life: a meta-analysis*

Cognitive-behavioral therapy (CBT) and selective serotonin reuptake inhibitors (SSRIs) are the two first-line treatments for depression, but little is known about their effects on quality of life (QOL). A meta-analysis was conducted to examine changes in QOL in adults with major depressive disorder who received CBT (24 studies examining 1969 patients) or SSRI treatment (13 studies examining 4286 patients) for their depression. Moderate improvements in QOL from pre to post-treatment were observed in both CBT (Hedges’ g = .63) and SSRI (Hedges’ g = .79) treatments. The effect size remained stable over the course of the follow-up period for CBT. No data were available to examine follow-ups in the SSRI group. QOL effect sizes decreased linearly with publication year, and greater improvements in depression were significantly associated with greater improvements in QOL for CBT, but not for SSRIs. CBT and SSRIs for depression were both associated with moderate improvements in QOL, but are possibly caused by different mechanisms.     

Traumatic stress, perceived global stress, and life events: prospectively predicting quality of life in breast cancer patients.

The authors investigated the relationship between stress at initial cancer diagnosis and treatment and subsequent quality of life (QoL). Women (n = 112) randomized to the assessment-only arm of a clinical trial were initially assessed after breast cancer diagnosis and surgery and then reassessed at 4 months (during adjuvant treatment) and 12 months (postadjuvant treatment). There were 3 types of stress measured: number of stressful life events (K. A. Matthews et al., 1997), cancer-related traumatic stress symptoms (M. J. Horowitz, N. Wilner, & W. Alvarez, 1979), and perceived global stress (S. Cohen, T. Kamarck, & R. Mermelstein, 1983). Using hierarchical multiple regressions, the authors found that stress predicted both psychological and physical QoL (J. E. Ware, K. K. Snow, & M. Kosinski, 2000) at the follow-ups (all ps < .03). These findings substantiate the relationship between initial stress and later QoL and underscore the need for timely psychological intervention.     

Application of the testing and spacing effects to name learning

Four experiments investigated the effects of testing and spacing on the learning of face‐name stimulus‐response pairs. Experiments 1a and 1b compared the recall of names following intervening tests versus additional study opportunities and found that testing produced better retention of names. Experiments 2 and 3 explored the effects of repeated tests versus study for massed, uniform, or expanded spacing intervals. Tested names were better retained than studied names, spaced names were better retained than massed names, and memory was best for items tested at spaced intervals. Contrary to past findings, expanded schedules did not yield better memory than uniform schedules in either experiment. Theoretical implications for the testing and spacing effects are discussed, along with effective name‐learning techniques based on these principles. Copyright © 2005 John Wiley & Sons, Ltd.     

Like a Virgin…Again?: Secondary Virginity as an Ongoing Gendered Social Construction

Secondary virginity—a sexually-initiated person’s deliberate decision to refrain from intimate encounters for a set period of time and to refer to that decision as a kind of virginity (rather than “mere” abstinence)—has largely eluded sociological scrutiny, despite its increasing popularity as a concept and practice among American youth. This study explores beliefs and experiences regarding secondary virginity, drawing on qualitative interviews with 61 socially diverse women and men, of whom four were avowed secondary virgins, five likened their experiences to a second virginity/virginity loss, and 16 had phenomenologically similar experiences which they did not frame in terms of virginity. Respondents who endorsed the concept of secondary virginity were disproportionately White conservative Christian women born after 1972. Secondary virginity reveals the social construction of gendered sexuality and the heterosexual imaginary as it reinforces privilege along gender, racial, religious, and sexual dimensions.     

Testing beyond words: Using tests to enhance visuospatial map learning

Psychological research shows that learning can be powerfully enhanced through testing, but this finding has so far been confined to memory tasks requiring verbal responses. We explored whether testing can enhance learning of visuospatial information in maps. Fifty subjects each studied two maps, one through conventional study, and the other through computer-prompted tests. For the tests, the subjects were repeatedly presented with the same map with one feature deleted (e.g., a road or a river), and they tried to covertly recall the missing feature and its location. Subjects’ map drawings after 30 min were significantly better for maps learned through tests in comparison with maps learned through the same amount of time devoted to conventional study. These results suggest that the testing effect is not limited to the types of memory that require discrete, verbal responses, and that utilizing covert retrievals may allow the effect to be extended to a variety of complex, nonverbal learning tasks.     

Enhancing learning and retarding forgetting: Choices and consequences

Our research on learning enhancement has been focusing on the consequences for learning and forgetting of some of the more obvious and concrete choices that arise in instruction, including questions such as these: How does spacing of practice affect retention of information over significant retention intervals (up to 1 year)? Do spacing effects generalize beyond recall of verbal materials? Is feedback needed to promote learning, and must it be immediate? Although retrieval practice has been found to enhance learning in comparison with additional study, does it actually reduce the rate of forgetting? Can retrieval practice effects be extended to nonverbal materials? We suggest that as we begin to find answers to these questions, it should become possible for cognitive psychology to offer nonobvious advice that can be applied in a variety of instructional contexts to facilitate learning and reduce forgetting.     

Enculturated chimpanzees imitate rationally

Human infants imitate others' actions 'rationally': they copy a demonstrator's action when that action is freely chosen, but less when it is forced by some constraint (Gergely, Bekkering & Király, 2002). We investigated whether enculturated chimpanzees (Pan troglodytes) also imitate rationally. Using Gergely and colleagues' (2002) basic procedure, a human demonstrator operated each of six apparatuses using an unusual body part (he pressed it with his forehead or foot, or sat on it). In the Hands Free condition he used this unusual means even though his hands were free, suggesting a free choice. In the Hands Occupied condition he used the unusual means only because his hands were occupied, suggesting a constrained or forced choice. Like human infants, chimpanzees imitated the modeled action more often in the Hands Free than in the Hands Occupied condition. Enculturated chimpanzees thus have some understanding of the rationality of others' intentional actions, and use this understanding when imitating others.     

Infants use shared experience to interpret pointing gestures

We investigated whether 1‐year‐old infants use their shared experience with an adult to determine the meaning of a pointing gesture. In the first study, after two adults had each shared a different activity with the infant, one of the adults pointed to a target object. Eighteen‐ but not 14‐month‐olds responded appropriately to the pointing gesture based on the particular activity they had previously shared with that particular adult. In the second study, 14‐month‐olds were successful in a simpler procedure in which the pointing adult either had or had not shared a relevant activity with the infant prior to the pointing. Infants just beginning to learn language thus already show a complex understanding of the pragmatics of cooperative communication in which shared experience with particular individuals plays a crucial role.     

Working memory constraints on the processing of syntactic ambiguity.

We propose a model that explains how the working-memory capacity of a comprehender can constrain syntactic parsing and thereby affect the processing of syntactic ambiguities. The model's predictions are examined in four experiments that measure the reading times for two constructions that contain a temporary syntactic ambiguity. An example of the syntactic ambiguity is The soldiers warned about the dangers . . . ; the verb warned may either be the main verb, in which case soldiers is the agent; or the verb warned may introduce a relative clause, in which case soldiers is the patient of warned rather than the agent, as in The soldiers warned about the dangers conducted the midnight raid. The model proposes that both alternative interpretations of warned are initially activated. However, the duration for which both interpretations are maintained depends, in part, on the reader's working-memory capacity, which can be assessed by the Reading Span task (Daneman & Carpenter, 1980). The word-by-word reading times indicate that all subjects do additional processing after encountering an ambiguity, suggesting that they generate both representations. Furthermore, readers with larger working-memory capacities maintain both representations for some period of time (several words), whereas readers with smaller working-memory capacities revert to maintaining only the more likely representation.