Quality of Life in Patients with Recurrent Vasovagal or Unexplained Syncope: Influence of Sex, Syncope Type and Illness Representations

Health-related quality of life (QoL) is reduced in patients with recurrent vasovagal (VVS) or unexplained (US) syncope. Little is known regarding these patients’ QoL as pertains to their capacity to attain their life goals. Factors influencing QoL, such as sex, syncope type and illness representations have not been studied. Our objective is to examine the relationship between illness representations and QoL, as well as possible sex and syncope type differences. One hundred and four patients undergoing tilt-table testing (TTT) for recurrent syncope were interviewed one month before TTT, using questionnaires. Data were analysed using ANCOVAs, a-priori Helmert contrasts for illness representations, and regressions. Patients with US had a poor QoL compared to those with VVS [F(1, 91) = 10.46; p < 0.01], particularly in men (p < 0.01). Patients with higher perceived syncope severity showed an impoverished QoL relative to those with less severe perceptions [F(1, 91) = 5.47; p < 0.05]. A hierarchical regression revealed that illness representations mediate the impact of lifetime number of syncope on QoL. In conclusion, QoL is reduced in these patients, and is influenced by illness representations. Helping patients change their perceptions about their syncope may be an efficient way to promote QoL.     

Primacy and recency effects in immediate free recall of sequences of spatial positions

This study evaluated the serial position curve based on free recall of spatial position sequences. To evaluate the memory processes underlying spatial recall, some manipulations were introduced by varying the length of spatial sequences (Exp. 1) and modifying the presentation rate of individual positions (Exp. 2). A primacy effect emerged for all sequence lengths, while a recency effect was evident only in the longer sequences. Moreover, slowing the presentation rate increased the magnitude of the primacy effect and abolished the recency effect. The main novelty of the present results is represented by the finding that better recall of early items in a sequence of spatial positions does not depend on the task requirement of an ordered recall but it can also be observed in a free recall paradigm.     

Aging and the intrusion superiority effect in visuo-spatial working memory

This study investigated the active component of visuo-spatial working memory (VSWM) in younger and older adults testing the hypotheses that elderly individuals have a poorer performance than younger ones and that errors in active VSWM tasks depend, at least partially, on difficulties in avoiding intrusions (i.e., avoiding already activated information). In two experiments, participants were presented with sequences of matrices on which three positions were pointed out sequentially: their task was to process all the positions but indicate only the final position of each sequence. Results showed a poorer performance in the elderly compared to the younger group and a higher number of intrusion (errors due to activated but irrelevant positions) rather than invention (errors consisting of pointing out a position never indicated by the experiementer) errors. The number of errors increased when a concurrent task was introduced (Experiment 1) and it was affected by different patterns of matrices (Experiment 2). In general, results show that elderly people have an impaired VSWM and produce a large number of errors due to inhibition failures. However, both the younger and the older adults' visuo-spatial working memory was affected by the presence of activated irrelevant information, the reduction of the available resources, and task constraints.     

The influence of theme identifiability

In the present study, we used the Deese/Roediger-McDermott paradigm to analyze the relationship between theme identifiability of word lists and false memories in adults and children. We conducted two normative studies to determine the identifiability levels for critical unpresented words in 40 associative lists in adults and in 16 associative lists in children. Then, in three experiments, false memories for critical words that were either easy or hard to identify were analyzed in adults and in children 4–5 years old and 11–12 years old. Opposite results were found for adults and children. Lists with highly identifiable critical words produced fewer false memories for adults but more false memories for children. These results suggest that, if they can identify critical words, adults use an identify-to-reject strategy to edit out false memories, whereas, in children, theme identification does not lead to the use of such a monitoring strategy.     

Language‐specific stress perception by 9‐month‐old French and Spanish infants

During the first year of life, infants begin to have difficulties perceiving non‐native vowel and consonant contrasts, thus adapting their perception to the phonetic categories of the target language. In this paper, we examine the perception of a non‐segmental feature, i.e. stress. Previous research with adults has shown that speakers of French (a language with fixed stress) have great difficulties in perceiving stress contrasts ( Dupoux, Pallier, Sebastián & Mehler, 1997 ), whereas speakers of Spanish (a language with lexically contrastive stress) perceive these contrasts as accurately as segmental contrasts. We show that language‐specific differences in the perception of stress likewise arise during the first year of life. Specifically, 9‐month‐old Spanish infants successfully distinguish between stress‐initial and stress‐final pseudo‐words, while French infants of this age show no sign of discrimination. In a second experiment using multiple tokens of a single pseudo‐word, French infants of the same age successfully discriminate between the two stress patterns, showing that they are able to perceive the acoustic correlates of stress. Their failure to discriminate stress patterns in the first experiment thus reflects an inability to process stress at an abstract, phonological level.     

Interpreting children's reports of concern about parental drinking: Indicators of risk status?

Examined several self-report items traditionally used to identify children of alcoholics for their utility in identifying mental health risk status. The meaning of children's responses to these items was also examined. Collectively, these items reflected children's concern about their parents' drinking. Across multiple studies, children who reported concern about parental drinking reported higher levels of psychological and behavioral problems. This pattern existed whether or not children had a problem-drinking parent. Discriminant analyses with data from child and mother reports showed that children who reported concern were from homes with greater stress, lower income, and less supportive mother-child relationships.     

Instrumentalness and expressiveness: Predictors of heterosexual relationship satisfaction

The purpose of this study was to identify the extent to which stage of relationship development moderated the link between instrumentalness, expressiveness, and relationship satisfaction. Three hundred ninety three subjects indicated that they were either casually dating, seriously dating, or engaged. Results revealed that although relationship stage predicted satisfaction for both males and females, it did not interact significantly with instrumentalness and expressiveness and thus, did not serve a moderating function. Results also indicated that for males, self-perceptions of instrumentalness and expressiveness, as well as partner's perceived expressiveness predicted relationship satisfaction. For females, partner's perceived instrumentalness and expressiveness significantly predicted relationship satisfaction. Discussion centered on the different findings for males and females, and on implications for future research concerning the influence of instrumentalness and expressiveness on dyadic interaction.     

A time-limited group for patients with HIV infection and their partners

This paper presents the authors' experience coleading a time-limited group treatment for HIV-positive patients and their partners. Because of the impact of this disease not only on the infected person, but also on his or her partner, a couples group format was used. This 12-week group consisted of four couples, heterosexual and homosexual, of diverse ethnic and socioeconomic backgrounds. While the group focused primarily on couples' issues, individual concerns, conflicts, and experiences relating to the HIV diagnosis were also explored. Clinical vignettes demonstrate the process and benefits of this group experience.