Depression and heart rate variability in cardiac rehabilitation patients: exploring the roles of physical activity and fitness

Cardiac patients with depression have shown altered autonomic nervous system functioning, expressed as reduced heart rate variability. This may be associated with poorer physical fitness and less physical activity among depressed patients. These relationships were explored among patients enrolled in outpatient cardiac rehabilitation. 22 depressed and 22 nondepressed patients, matched for sex and age, were assessed at enrollment. The Beck Depression Inventory and structured interviews were used to measure depression. Patients completed ambulatory monitoring of ECG (i.e., Holter) and physical activity, as well as a treadmill stress test. Depression was associated with several measures of heart rate variability. Activity and fitness were lower among the depressed patients. Although exploratory, accounting for activity and fitness attenuated the relationship between depression and heart rate variability. This suggests that altered fitness and activity may help explain altered autonomic tone that characterizes patients with cardiovascular diseases who are psychologically depressed.     

Our Immigration and Human Rights Work Group in Action: Psychoanalysts Evaluating Asylum Seekers,Trauma and Family Devastation

ABSTRACT

This paper presents the story of a family of four refugees from Central America seeking asylum in the United States, and of the experience of a group of psychoanalysts, members of the New York University Postdoctoral Program Immigration and Human Rights Work Group, who evaluated each member of the family and wrote affidavits in support of their applications for asylum. The work described provides an example of how clinicians can apply their skills and understandings outside the consulting room to address the dire needs of refugees who have fled from their homes. We discuss the process of refugees seeking asylum and the role of a psychological evaluation in the asylum process. We elaborate on the content and process of the evaluations of each member of the family with a focus on the trauma suffered and its sequelae on two school-aged children, their adolescent aunt, and their courageous and protective mother. We also address the analysts’ experience of doing psychological evaluations and writing affidavits for asylum seekers who have experienced trauma.     

Temporal associations of cigarette smoking with social influences, academic performance, and delinquency: a four-wave longitudinal study from ages 13-23.

This study examined the temporal associations of cigarette smoking with prosmoking social influences, academic performance, and delinquency in a cohort of 6,527 adolescents surveyed at ages 13, 16, 18, and 23 years. Prosmoking peer and family influences were risk factors for future smoking throughout adolescence, with family influences perhaps also operating indirectly through the adolescent's exposure to prosmoking peers. There were reciprocal associations of youth smoking with parental approval, peer smoking, and poor grades (but not delinquency), with youth smoking emerging as a stronger antecedent than consequence of these psychosocial factors. Few gender differences in these associations were observed. Implications of these findings for efforts to prevent youth smoking are discussed.     

Does viewing justified violence lead to devaluing others?

Viewing violent media has been shown to increase aggressive behavior, affect, and cognition. Viewing “justified” violence (the target is believed to be deserving of the violence) further increases the risk of aggression. The present study investigated whether viewing justified violence primes thoughts of devalued others, an inflated sense of self, or both. Participants viewed one of three eight-minute video clips depicting either justified violence, non-justified violence, or no violence. Participants' reaction times to four types of computer-presented sentences were then measured: sentences either valued the self, valued others, devalued the self, or devalued others. Viewing justified violence resulted in reaction time patterns that devalued others, but had no effect upon reaction times to self-relevant sentences. The possibility that viewing justified violence, by priming devaluing thoughts of others, may impact interpersonal behavior in non-conscious and automatic ways is discussed.     

Five‐Year Prospective Study of Risk Factors for Daily Smoking in Adolescence Among Early Nonsmokers and Experimenters1

Grade 7 nonsmokers and experimenters (N= 4,165) were compared on a wide range of risk factors for future smoking derived from four prominent theories and whether these factors predicted daily smoking at Grade 12. Early experimenters scored consistently higher than did early nonsmokers on risk factors for future smoking. Common predictors of Grade 12 daily smoking for both groups included early exposure to an important adult who smokes, being young for one's cohort, and weak academic bonds. For Grade 7 non‐smokers, unique predictors of daily smoking included exposure to pro‐smoking social influences (cigarette offers, sibling who smokes), early binge drinking, and being female. Unique predictors for early experimenters were less sharply delineated, although certain family factors appeared to be more important for this group. African Americans and His‐panics were also less likely to progress from experimental to daily smoking. Results point to the importance of adapting prevention efforts to the special needs of early nonsmokers and experimenters.     

The Role of Religious Beliefs in Coping With Chronic Illness

The authors examined the ways in which 40 women with chronic illnesses (rheumatoid arthritis, osteoporosis, multiple sclerosis, systemic lupus erythematosus, or a combination of these disorders) used religious beliefs as a means of coping with their illnesses, The participants, all between the ages of 28 and 79 years, were interviewed about the role religious beliefs played in their experiences and the ways in which they made meaning in their lives or coped with their illnesses. The majority of the women reported that religious beliefs were important in living with a chronic illness. In addition, more women who were identified as coping well with their illness reported strong religious beliefs, whereas the majority of women identified as poor copers reported that religion was unimportant or that they had no religious beliefs.     

Two Careers, One Employer: Couples Working for the Same Corporation

Advances in career development research require scholars to move from analysis of the career paths of individuals to a life course approach to the interlocking career paths of couples. Increasingly, not only are U.S. workers married to other workers, but significant numbers of couples work for the same employer. Drawing on a subsample of employees in dual-earner households in five corporations in upstate New York (and their spouses), this study examines both the direct and indirect effects of being a coworker on career development, work circumstances, and spillover. Being part of a coworking couple positively predicts men's job prestige, tenure, and commitment to work (in terms of working long hours, heavy workload, etc.). These effects, as well as spillover, are most pronounced for younger men without children. For wives, coworking corresponds with increased income and increased spillover between work and family, especially for younger coworking women without children.