Reliability of upper extremity kinematics while performing different tasks in individuals with stroke

Assessments of upper extremity performance typically include qualitative rather than quantitative measures of functional ability. Kinematic analysis is an objective, discriminative measure that quantifies movement biomechanics; however, the use within the poststroke impaired upper extremity is not well established. The purpose of this study was to examine the reliability of upper extremity kinematics in 18 individuals with stroke and 9 healthy controls. Participants performed reaching and grasping tasks over 2 separate days and metrics included movement time, peak velocity, index of curvature, trunk displacement, maximum aperture, and percentage of the movement cycle where maximum aperture occurred. The results showed moderate to high intraclass correlation and low standard error of measurement values for most variables, demonstrating that kinematic analysis may be a feasible and useful tool to quantify upper extremity movement after stroke.     

Different Religions,Different Politics? Religion and Political Attitudes in Argentina and Chile

Various theories attempt to explain political outcomes. One of the most bitterly contested schools of explanation deals with culture, attitudes, and values. In the broadest sense, this tradition argues that political and social outcomes are determined in large part by the shared beliefs and values of the populace or a subgroup thereof. Thus, Stephen White (1984) has defined political culture as “historically formed beliefs and behavior,” recognizing that one's political attitudes and behavior are usually formed by inherited values as well as life experience. Moreover, scholars of political culture expect continuity of values over time and therefore are intrigued by cases of changing beliefs and attitudes. Thus, the explosive growth of evangelical and Pentecostal Protestantism in Latin America, where Protestants have grown from a handful to 20–30 percent of the population in a single generation, provides a unique opportunity for study. This rapid shift to Protestantism and its consequences for democracy have been fiercely debated in recent years. Max Weber's Protestant ethic thesis suggests that Protestantism may provide a catalyst for the establishment of democratic norms. However, many contemporary scholars argue that evangelical Protestantism is conservative, authoritarian, and politically passive. Do different religions result in different political attitudes? Does religious devotion, as distinguished from denomination, affect one's politics? This article evaluates political attitudes among Protestants and Catholics in Argentina and Chile to examine the claims of recent political culture arguments that modern Latin American Protestantism is resistant to democratic values. Survey data indicate that religious intensity (“devout‐ness”), rather than religious affiliation, does influence political attitudes, and that demographic and political engagement variables also influence democratic values.     

Division of Labor Among Lesbian and Heterosexual Parenting Couples: Correlates of Specialized Versus Shared Patterns

One of the central tasks that couples face in coparenting is the division of labor. In this study, we explored division of family labor among lesbian and heterosexual couples who were parenting 4 to 6 year-old children. Sixty-six families, half headed by lesbian couples and half headed by heterosexual couples, participated in the study. Measures of parental attitudes, resources, demographics, and division of labor were collected. As expected, lesbian couples were more likely to divide paid and unpaid labor evenly, whereas heterosexual couples were more likely to show specialized patterns, with husbands investing more time in paid employment and wives devoting more time to unpaid family work. Structural variables (e.g., husband's hours in paid employment) were the best predictors of division of labor among heterosexual couples. Among lesbian couples, however, ideological variables (e.g., ideas about ideal divisions of labor) were the better predictors. Discrepancies in occupational prestige were greater among heterosexual than among lesbian couples. Discussion centers on the ways in which gender and sexual orientation may relate to couples' decisions about division of labor.     

Does drawing facilitate older children's reports of emotionally laden events?

Although it is well‐established that drawing about an event increases the amount of verbal information that young children provide during an interview, it is unclear whether drawing continues to facilitate children's reports as they get older. In the present experiment, 90 children, ranging from 5‐ to 12‐years old, were asked to draw and tell or to just tell about emotional events they had experienced. Children of all ages reported more information when asked to draw and tell rather than to tell only. Drawing had no negative effect on the accuracy of children's accounts. Drawing also increased the number of open‐ended questions and minimal responses that interviewers used. We conclude that drawing may be a useful tool in clinical and forensic settings with children of all ages; it increases the amount of information that children report and the number of appropriate questions that interviewers ask. Copyright © 2009 John Wiley & Sons, Ltd.     

Integration of the pleasant events and activity restriction models: development and validation of a "PEAR" model of negative outcomes in Alzheimer's caregivers

This study examined an activity restriction/pleasurable activities mismatch model for psychosocial and health-related outcomes. A total of 108 spousal caregivers of patients with Alzheimer's Disease (AD) were assessed for their experience of social and recreational activities over the past month as well as their perception of how restricted they were for engaging in social and recreational activities. Participants were divided into three groups based on their reported activities and activity restriction: HPLR = High Pleasant Events + Low Activity Restriction (i.e., reference group; N = 28); HPHR/LPLR = Either High Pleasant Events + High Activity Restriction or Low Pleasant Events + Low Activity Restriction (N = 43); LPHR = Low Pleasant Events + High Activity Restriction (N = 37). We hypothesized that participants reporting low pleasant events combined with high activity restriction (LPHR) would demonstrate greater disturbance relative to other two groups in multiple outcome domains, including: (a) greater mood disturbance, (b) greater use of negative coping factors, (c) reduced use of positive coping strategies, (d) reduced report of psychological resource factors (e.g., personal mastery, self-efficacy), and (e) increased report of subjective health difficulties (e.g., sleep disturbance). Results generally supported our hypotheses, suggesting that assessment of both constructs is important for best predicting quality of well-being in AD caregivers, and potentially for establishing maximal effect in behavior therapy for caregivers.     

Reducing emergency medical service use in patients with chronic psychotic disorders: results from the FAST intervention study

Patients with schizophrenia have disproportionately high rates of emergency medical service use, likely contributing to the high cost this illness places on society. The aim of this study was to examine the impact of a theory-based, behavioral intervention on immediate and long-term use of emergency medical services. Older patients with schizophrenia (n=240) were randomized to receive either a behavioral, skills-building intervention known as Functional Adaptation and Skills Training (FAST) or a time-equivalent attention-control condition (AC). Logistic regression analyses indicated that AC participants were nearly twice as likely to use emergency medical services in general (OR=2.54; p=0.02) and emergency psychiatric services in particular (OR=3.69; p=0.05) during the active intervention phase of the study. However, there were no differences between the interventions in terms of emergency service use during the long-term follow-up phase of the study (i.e., 6-18 months post-baseline). The FAST intervention appears efficacious for reducing the short-term risk of using emergency medical services. However, the long-term efficacy of the FAST intervention appears less clear. Future studies may want to provide more powerful maintenance sessions to encourage continued use of skills in patients' real-world settings.     

Peer relations among adolescents with female same-sex parents

This study examined associations among family type (same-sex vs. opposite-sex parents), adolescent gender, family and relationship variables, and the peer relations of adolescents. Participants included 44 adolescents parented by same-sex female couples and 44 adolescents parented by opposite-sex couples, matched on demographic characteristics and drawn from a national sample. On both self-reported and peer-reported measures of relations with peers, adolescents were functioning well, and the quality of their peer relations was not associated with family type. Regardless of family type, adolescents whose parents described closer relationships with them reported higher quality peer relations and more friends in school and were rated as more central in their friendship networks.     

Social problem solving and strategy use in young children

In the present study, the authors investigated what prosocial-assertive, passive, and coercive strategies 6-year-olds (N=257) would propose in response to stories about 2 socially challenging situations: displacing another child in a game and obtaining a toy from another child. The scenarios also varied the gender composition of the characters. Participants' verbalizations while acting out their responses using toy props fell into 13 categories of strategies. Teachers reported antisocial behavior and social competence of the participants. Girls and boys responded similarly in their general suggestions of prosocial or assertive strategies, but girls were more likely to offer prosocial strategies with other girls than with boys. Teacher-rated competence and antisocial behavior interacted in predicting coercive responses by girls but not by boys. The results demonstrate that prosocial and antisocial behaviors need to be considered in interaction to fully understand the nature of social competence.