Adolescents' knowledge of medical terminology and family health history.

Compared 309 youths ages 11 to 15 years and their parents with respect to their comprehension of terms for seven common medical disorders: heart attack, stroke, atherosclerosis, ulcer, hypertension, diabetes, and cancer. For two thirds of the adolescent sample, accuracy of reporting of these disorders among the parents and grandparents was assessed. Results indicated considerable variation among disorders with respect to both comprehension of terms and accuracy of family health history. Adolescents' age was a major predictor of knowledge of medical terms (r = .41). Age was not related to accuracy of family health information. Consonant with this finding, adolescents' level of accuracy regarding family health history was generally similar to that of previous adult samples, suggesting that family health information is acquired and retained at an early age. Adolescents were more accurate concerning parents' compared with grandparents' history of hypertension.     

Mindfulness,physical impairment and psychological well-being in people with amyotrophic lateral sclerosis

Objective: Mindfulness is the process of actively making new distinctions, rather than relying on habitual or automatic categorisations from the past. Mindfulness has been positively associated with physical well-being, better recovery rates from disease or infections, pain reduction and overall quality of life (QOL). Amyotrophic lateral sclerosis (ALS) is a rare, progressive and fatal neurodegenerative disease, clinically characterised by progressively increasing weakness leading to death, usually within five years. There is presently no cure for ALS, and it is considered one of the most genetically and biologically driven illnesses. Thus far, the aims of psychological studies on ALS have focused on understanding patient – and, to a lesser extent, caregiver – QOL and psychological well-being. No previous study has investigated the influence of psychological factors on ALS.

Methods: A sample of 197 subjects with ALS were recruited and assessed online twice, with a duration of four months between the two assessments. Assessments included measurements of trait mindfulness, physical impairment, QOL, anxiety and depression. The influence of mindfulness as predictor of changes in physical impairments was evaluated with a mixed-effects model.

Results: Mindfulness positively influenced the change of physical symptoms. Subjects with higher mindfulness experienced a slower progression of the disease after four months. Moreover, mindfulness at first assessment predicted higher QOL and psychological well-being.

Conclusions: The available data indicate that a psychological construct – mindfulness – can attenuate the progress of a disease that is believed to be almost solely biologically driven. The potential implications of these results extend well beyond ALS.     

Development of a measure of symptoms in chronic fatigue syndrome: The profile of fatigue-related symptoms(pfrs)

Abstract

Chronic fatigue syndrome (CFS) is a disorder of uncertain aetiology which attracts increasing research interest. This paper describes the development of a multidimensional measure incorporating the diverse symptoms associated with the illness. The Profile of Fatigue-Related Symptoms (PFRS) has four scales: emotional distress, cognitive difficulty, fatigue and somatic symptoms. These showed good convergence with comparison measures, high reliability and high internal consistency. CFS patients had markedly elevated scores compared with a student comparison group, and these scores correlated with indices of illness severity. The PFRS is a short and easily administered measure which, it is suggested, may be used to assess patients in terms of the severity and pattern of their disorder, to relate subjective symptoms to immunological and other findings, to evaluate the effects of treatments, and to compare the symptomatology of CFS with that in other fatiguing illnesses.     

Increasing calcium intake in young women through gain-framed,targeted messages: A randomised controlled trial

Background: Adequate calcium consumption during early adulthood can help prevent osteoporosis in women.

Purpose: The effects of gain-framed, targeted messaging on calcium intake were examined over 12 months.

Methods: Young women (18–19 years) not consuming sufficient calcium were randomly assigned to receive standard care materials (control) or gain-framed, targeted materials (experimental). Health belief model (HBM) constructs, calcium intake and markers of bone formation, resorption and bone mineral density were assessed at various time points throughout the year.

Results: Calcium intake increased significantly more in the experimental versus the control condition (p?<?0.01). Self-efficacy was the only HBM construct to improve significantly more in the experimental condition versus control (p?=?0.05). The HBM did not mediate changes in calcium intake. Measures of bone health did not differ between conditions by the end of this nonpharmacological intervention (p's?>?0.05).

Conclusions: It is possible to increase young women's calcium consumption through gain-framed, targeted messages.     

Studies of Rorschach Content; A Review of Research Literature Part II; Non-Traditional Uses of Content Indicators

This paper deals with the extension of research on Rorschach content to new modes of scoring and classifying test reponses that lie outside of the conventional classification scheme. Four avenues of going beyond the traditional content categories are presented and reviewed: study of subdivisions within the units of the generally used scoring system, exploration of the symbolic meaning of Rorschach responses, investigation of constellations of content signs, and development and validation of content scales. Little systematic work has been done in the first two areas of endeavor. As far as the latter two research topics are concerned, the evidence accumulated suggests that, at best, scales and signs derived from content yield overlap, and not correspondence, with their respective real-life referents. The study of mediating variables that act to magnify or reduce the extent of this relationship has merely begun and remains the major unfulfilled task in Rorschach content research.     

Departures From Sensible Play in Computer Blackjack

Gambling has been viewed as irrational, and even though blackjack offers rational strategies (i.e., Basic [E. Thorp, 1966] and card counting), people exhibit departures from rationality (e.g., “Never Bust” strategies). To determine whether departures from rational behavior reflect ignorance or fatigue, university students were provided with on-line Basic advice while playing a simplified computer blackjack. Although the on-line advice initially affected the totals these players sat on, it was eventually discarded for higher risk strategies. Irrational play did not reflect ignorance or fatigue and was not necessarily conservative. Real fluctuations of odds in blackjack may lead to situations in which Basic is not perceived by players as effective. Because Basic is not a personalized strategy, it seems less likely to be maintained in the face of losses. Players were more optimistic that they might win when utilizing their personalized strategies.     

Dynamic Selective Exposure during Decision-Making

To understand dynamic changes in the likelihood that people would access and selectively expose themselves to information online, the present study examined the checking of account balances during simulated gambling. Sixteen participants played 120 hands of computer Blackjack for points, at higher or lower levels of risk (different point multipliers), and after each win or loss the computer recorded if participants checked their account balances. There were individual differences in checking rates. Participants who were more likely to check balances exhibited a selectivity of exposure to decision consonant information after a win at low risk. Although it was expected that people would seek to maintain positive mood, data were better explained in terms of Cognitive Dissonance. The effects of Cognitive Dissonance are liable to extend beyond single static decisions into dynamic online environments.     

Exploring own-age biases in deception detection

The present study explored own-age biases in deception detection, investigating whether individuals were more likely to trust those in their own-age group. Younger and older participants were asked to detect deceit from videos of younger and older speakers, rating their confidence in each decision. Older participants showed an own-age bias: they were more likely to think that deceptive speakers of their own age, relative to younger speakers, were telling the truth. Older participants were also more confident in their judgements of own-age, relative to other-age, speakers. There were no own-age biases for younger participants. In a subsequent (apparently unrelated) task, participants were asked to rate the trustworthiness of the speakers. Both age groups of participants trusted younger speakers who had previously told the truth more compared to those who had lied. This effect was not found for older speakers. These findings are considered in relation to the in-group/out-group model of social cognition and common stereotypical beliefs held about younger and older adults.