The Cleveland Scale for Activities of Daily Living (CSADL): Its Reliability and Validity

This study evaluated the reliability and validity of the Cleveland Scale for Activities of Daily Living (CSADL), a scale designed to measure in detail specific activities of daily living in individuals with dementia. Administered to knowledgeable informants by trained examiners, the CSADL demonstrated good reliability in terms of interrater agreement and internal consistency. The validity of CSADL total scores was shown by its sensitivity to degree of cognitive impairment: All comparisons between means of the healthy elderly group and three groups of AD patients differing in severity were statistically significant. The CSADL was highly correlated with the Blessed–Roth Dementia Scale (DS-ADL) and more highly correlated with Mini-Mental State Exam scores than was the DS-ADL.     

Tone sequences with conflicting fundamental pitch and timbre changes are heard differently by musicians and nonmusicians

An Auditory Ambiguity Test (AAT) was taken twice by nonmusicians, musical amateurs, and professional musicians. The AAT comprised different tone pairs, presented in both within-pair orders, in which overtone spectra rising in pitch were associated with missing fundamental frequencies (F0) falling in pitch, and vice versa. The F0 interval ranged from 2 to 9 semitones. The participants were instructed to decide whether the perceived pitch went up or down; no information was provided on the ambiguity of the stimuli. The majority of professionals classified the pitch changes according to F0, even at the smallest interval. By contrast, most nonmusicians classified according to the overtone spectra, except in the case of the largest interval. Amateurs ranged in between. A plausible explanation for the systematic group differences is that musical practice systematically shifted the perceptual focus from spectral toward missing-F0 pitch, although alternative explanations such as different genetic dispositions of musicians and nonmusicians cannot be ruled out. ((c) 2007 APA, all rights reserved).     

I saw it for longer than you: the relationship between perceived encoding duration and memory conformity

The memory conformity effect is when people's memories become similar to one another's following a discussion. The present study examined whether an individual's beliefs in the quality of their memory, relative to another person's, mediates susceptibility to memory conformity. Perceived encoding duration was manipulated by telling dyad members that one person had encoded a set of pictures for either half or twice as long as their partner. In fact, actual encoding duration was the same for all participants. Dyad members each encoded slightly different versions of otherwise identical pictures and discussed them prior to an individual free recall test. Participants who believed that they had encoded the pictures for half as long as their partner were more susceptible to memory conformity, as indicated by their increased tendency to report errant items at test that had been encountered from their partner rather than items that they had actually seen. This effect of perceived encoding duration on memory conformity was mediated through response order. A source monitoring test found that these unseen items were errantly attributed to the pictures approximately 50% of the time. The findings are discussed in relation to the role of metamemory in susceptibility to memory conformity.     

Conjunction benefits and costs reveal decision priming for first-order and second-order features

Across two experiments, decision priming was examined for conjunctions composed of first-order or first- and second-order stimulus features. Observers indicated the presence or absence of one or two features in a Gabor stimulus. When a pair of stimulus features differed in their speed of discrimination, responses indicating the presence of a conjunction were faster than those for the single feature for which discrimination was slowest (conjunction benefits). Also, responses indicating the absence of a conjunction were delayed if one of the features was present (conjunction costs). These results show that first- and second-order features can prime decisions about the presence of a conjunction and suggest that the two kinds of signals can be combined at a decision stage after the discrimination of stimulus properties has begun for each system.     

An exploratory study assessing relations of demographic characteristics with police recruits' attitudes toward abuse of children and abusive parents

The purpose of this exploratory study was to assess the relationships of demographic characteristics with attitudes toward abusive parents and abused children in a convenience sample of 183 police recruits. Police academy training staff invited recruits to complete a questionnaire which contained three vignettes and a 36-item questionnaire that depicted child neglect, sexual abuse, physical abuse, and demographic information. Analysis of responses showed that African Americans and Latinos reported more negative attitudes of anger, disgust, sadness, and discomfort toward an abusive parent than the Euro-American group. Women reported more negative attitudes toward an abused child and also more positive attitudes of sympathy and caring toward an abused child. Results partially support previous research suggesting demographic characteristics influence report of attitudes toward abusive parents and abused children. These findings about the influence of demographic characteristics on positive and negative emotional reactions toward abusive parents and abused children add to the literature.     

Providing a Transcultural Genetic Counseling Service in the UK

This paper uses a broad definition of culture to explore the practice of transcultural genetic counseling through three case studies. The first case involves a White genetic counselor seeing an Asian family, the second, an Asian genetic counselor seeing an Asian family and the third, a hearing genetic counselor seeing a culturally Deaf client. Boundaries, transference and countertransference reactions are considered within each transcultural encounter and the author of each case reflects in detail on their role in the client interaction and their impact on the transcultural dynamic. The cases are used to illustrate some cultural beliefs or characteristics that may challenge the genetic counselor’s expectations. The value of identifying and interpreting these differences to facilitate useful clinical work is considered. The paper debates, where possible, whether it is helpful to culturally match genetic counselor and client.     

Desire for euthanasia or physician-assisted suicide in palliative cancer care.

OBJECTIVE: To investigate the attitudes of terminally ill individuals toward the legalization of euthanasia or physician-assisted suicide (PAS) and to identify those who would personally desire such a death. DESIGN: In the Canadian National Palliative Care Survey, semistructured interviews were administered to 379 patients who were receiving palliative care for cancer. Patients who expressed a desire for physician-hastened death were followed prospectively. MAIN OUTCOME MEASURES: Attitudes toward the legalization of euthanasia or PAS were determined, as was the personal interest in receiving a hastened death. Demographic and clinical characteristics were also recorded, including a 22-item structured interview of symptoms and concerns. RESULTS: There were 238 participants (62.8%) who believed that euthanasia and/or PAS should be legalized, and 151 (39.8%) who would consider making a future request for a physician-hastened death. However, only 22 (5.8%) reported that, if legally permissible, they would initiate such a request right away, in their current situations. This desire for hastened death was associated with lower religiosity (p=.010), reduced functional status (p=.024), a diagnosis of major depression (p<.001), and greater distress on 12 of 22 individual symptoms and concerns (p<.025). In follow-up interviews with 17 participants, 2 (11.8%) showed instability in their expressed desire. CONCLUSION: Among patients receiving palliative care for cancer, the desire to receive euthanasia or PAS is associated with religious beliefs; functional status; and physical, social, and psychological symptoms and concerns. Although this desire is sometimes transitory, once firmly established, it can be enduring.     

Depression and distress predict time to cardiovascular disease in dementia caregivers.

OBJECTIVE: This study assessed the impact of depressive symptoms and distress from patient problem behaviors on time to developing a diagnosis of cardiovascular disease (CVD) in a sample of 643 dementia family caregivers. DESIGN: A longitudinal, prospective design was used. Over an 18-month period, caregivers free from a CVD diagnosis at baseline were assessed at 6, 12, and 18-month follow-ups for the onset of CVD. MAIN OUTCOME MEASURES: Days to the onset of CVD was the primary outcome. RESULTS: Over the length of the study, 32 participants (5%) reported a diagnosis of CVD. After adjusting for sociodemographic and health factors (e.g., high blood pressure, age, smoking history), greater depressive symptoms (p = .040) and distress from patient problem behaviors (p = .034) were significant predictors of time to CVD diagnosis. CONCLUSION: This study suggests that increased depressive symptoms and reaction to patient problem behaviors (i.e., distress) may increase caregivers' risk for experiencing negative health outcomes, specifically CVD.