Improving Health Care Utilization, Improving Chronic Disease Utilization, Health Status, and Adjustment in Adolescents and Young Adults with Cystic Fibrosis: A Preliminary Report

We conducted a randomized clinical trial of a 3-session written self-disclosure intervention for patients with cystic fibrosis (CF). Patients (n = 39) who were at least 15 years of age and diagnosed with CF participated in the intervention. Participants in the intervention arm were asked to write in the health care setting about an important emotionally distressing issue of personal significance for a 20-min period of time and two additional 20-min writing episodes at the patient's home, which were prompted by telephone calls. Patients in the control condition received standard care alone. Findings revealed that the intervention resulted in a reduction of the number of days patients spent in the hospital over a 3-month period. The intervention did not have an impact on physiological (Forced Expiratory Volume and Body Mass Index or subjective markers of health status. These findings extend those of Pennebaker's (cf., J. Smyth, 1998) demonstrating an effect of the written-self-disclosure intervention on health care utilization. These preliminary findings are promising and justify further investigation of the modified intervention in other chronic illness populations.     

The Effect of September 11th on Job Attribute Preferences and Recruitment

This paper considers the effects of the September 11^th attacks on job attribute preferences and recruiting strategies. A survey was conducted with firms (n = 46) and college students (n = 138) in the New York, New Jersey, and Pennsylvania area. Results indicate 91% of firms believe the attack changed the job attribute preferences of students. The corresponding survey given to college students indicates that 60% of the students say the attacks would not have an impact on their preferred job attributes.     

A longitudinal evaluation of a social support model of medication adherence among HIV-positive men and women on antiretroviral therapy.

Nonadherence in the management of chronic illness is a pervasive clinical challenge. Although researchers have identified multiple correlates of adherence, the field remains relatively atheoretical. The authors propose a cognitive-affective model of medication adherence based on social support theory and research. Structural equation modeling of longitudinal survey data from 136 mainly African American and Puerto Rican men and women with HIV/AIDS provided preliminary support for a modified model. Specifically, baseline data indicated social support was associated with less negative affect and greater spirituality, which, in turn, were associated with self-efficacy to adhere. Self-efficacy to adhere at baseline predicted self-reported adherence at 3 months, which predicted chart-extracted viral load at 6 months. The findings have relevance for theory building, intervention development, and clinical practice.     

Investigating the relationship between trait and ability emotional intelligence and theory of mind

Theoretical links between emotional knowledge and theory of mind (ToM) have previously been proposed. This study investigates this relationship using measures of both ability and trait emotional intelligence (EI). Our sample comprised 194 children, divided into two age groups (5–7 years and 8–10 years). Children participated in measures of false belief understanding, advanced tests of ToM, ability EI and trait EI, and a standardized language assessment. For both age groups, we found that only ability EI was related to false belief understanding. Furthermore, regression analyses revealed that the understanding and managing branches of ability EI predicted unique variance in false belief understanding once controlling for age, language, and the other ability EI branches. Trait EI failed to display any association with false belief understanding. Ability and trait EI were associated with more advanced ToM tasks undertaken only by the older sample. These results offer support for previous research that has found a relationship between emotion perception and labelling and ToM. They also provide new knowledge: (1) higher order emotional knowledge, measured by ability EI, is associated with advanced ToM; and (2) emotional self efficacy, as measured by trait EI, is also important in advanced ToM. Furthermore, they provide the first account of associations between standardized EI measures and ToM.     

Psychometric Properties of the Family Support Scale with Head Start Families

Social support systems can have either a beneficial or adverse effect when a family faces stress. Hence, support perceived by family members is an important construct. We studied the psychometric properties of the Family Support Scale (FSS) with a sample of 244 low-income families of children in a Head Start program, and we conducted an exploratory factor analysis with the scale. We obtained a 5-factor solution for the FSS when assessing the family support of low-income families. The internal consistency and test-retest reliability were moderately high for the 5 proposed subscales. The factor structure obtained may prove more valid for Head Start families than structures from previous studies, although there is still a need for further psychometric study of the FSS.     

Inhibitory processing in the false belief task: Two conjectures

Although it is well established that four-year-olds outperform three-year-olds on predicting behavior from false beliefs, this is only true when the false belief is coupled with a positive desire. Four-year-olds perform poorly in an otherwise standard false belief task when the protagonist's desire is to avoid rather than to approach a target. We account for this by assuming that the attribution of a false belief involves inhibitory processing. We present two versions of an inhibition model of successful belief-desire reasoning.     

Further studies on the psychophysics of irregular nerve action potential patterns

In this paper we consider two problems concerning human psychophysical discriminability of variable interval nerve action potential patterns. The first question asks which of two possible alternatives-additional sample size or elongation of duration-is responsible for the improvement in performance as the number of pulses in a stimulus train increases. Our data strongly indicated that the answer to this question is increased sample size. The second question concerns what effect, if any, parallel rather than serial presentation of the two alternatives in a forced choice psychophysical test will have on the function relating interpulse interval and discriminability. The answer to this question appears to be that other than a slight elevation of the absolute levels no changes in the general form of the response is produced.     

The impact of event vividness,event severity,and prior paranormal belief on attributions towards a depicted remarkable coincidence experience: Two studies examining the misattribution hypothesis

Two studies examine the impact event vividness, event severity, and prior paranormal belief has on causal attributions for a depicted remarkable coincidence experience. In Study 1, respondents (n = 179) read a hypothetical vignette in which a fictional character accurately predicts a plane crash 1 day before it occurs. The crash was described in either vivid or pallid terms with the final outcome being either severe (fatal) or non‐severe (non‐fatal). Respondents completed 29 causal attribution items, one attribution confidence item, nine scenario perception items, a popular paranormal belief scale, and a standard demographics questionnaire. Principal axis factoring reduced the 29 attribution items to four attribution factors which were then subjected to a 2 (event vividness) × 2 (event severity) × 2 (paranormal belief) MANCOVA controlling for respondent gender. As expected, paranormal believers attributed the accurate crash prediction less to coincidence and more to both paranormal and transcendental knowing than did paranormal sceptics. Furthermore, paranormal (psychokinesis) believers deemed the prediction more reflective of paranormal knowing to both (1) a vivid/non‐fatal and (2) a pallid/fatal crash depiction. Vividness, severity, and paranormal belief types had no impact on attribution confidence. In Study 2, respondents (also n = 179) generated data that were a moderately good fit to the previous factor structure and replicated several differences across attributional pairings albeit for paranormal non‐believers only. Corresponding effects for event severity and paranormal belief were not replicated. Findings are discussed in terms of their support for the paranormal misattribution hypothesis and the impact of availability biases in the form of both vividness and severity effects. Methodological issues and future research ideas are also discussed.