Accuracy of Self-Reported Personal History of Cancer in an Outpatient Breast Center

The self-reporting of cancer history is becoming increasingly important, as it frequently guides medical decision-making. We studied the accuracy of personal cancer history using a self-administered questionnaire, comparing the results with the Tumor Registry at our institution. Among 39,662 records, we identified 3614 women with a single cancer in the Tumor Registry who reported none or one cancer on their questionnaire. The sensitivity in self-reporting cancers was 85.7%, ranging from 92.1% for breast cancer to 42.9% for leukemia. The accuracy for breast cancer and Hodgkin's Lymphoma was significantly better than other cancers (p=0.00027, CI: 1.4–3.88). Analysis of patient's characteristics showed that Caucasians reported breast cancer more accurately than Asian/Pacific Islanders (p=0.008), and those with Jewish ancestry more accurately than non-Jewish (p=0.0435). These results will help us to improve data collection and thus improve medical decision-making.     

The Impact of Demand Characteristics on Brief Acceptance- and Control-Based Interventions for Pain Tolerance

The present analog study compared the effectiveness of an acceptance- and control-based intervention on pain tolerance using a cold pressor task, and is a partial replication and extension of the Hayes, Bissett et al. (Hayes, S. C., Bissett, R.T., Korn, Z., Zettle, R. D., Rosenfarb, I. S., Cooper, L. D., & Grundt, A. M. (1999). The impact of acceptance versus control rationales on pain tolerance. The Psychological Record, 49, 33-47) study. Our aim was to test the effects of a nonspecific source of therapeutic change within the context of ACT therapy. Otherwise healthy undergraduates (N = 20) were exposed to a cold pressor task before, immediately after, and 10 min following one of the two interventions. Half of the participants also were assigned to a high demand characteristic condition in which the experimenter maintained close physical proximity, eye contact, and placed subtle social pressure on participants to please the experimenter. The results showed that the most important factor influencing latency to withstand the cold pressor task was social pressure. The acceptance-based intervention was more subject to demand than the control strategy. Evaluative ratings of pain were unaffected by the demand manipulation. The current data suggest that demand characteristics can exert a significant positive impact on the outcome of therapeutic protocols. The implications of this view for acceptance- and control-based psychosocial interventions are discussed.     

An optimal viewing position effect in the Stroop task when only one letter is the color carrier

Coloring only a single letter in the Stroop task can result in a reduction or elimination of Stroop interference. The present experiments were designed to test whether this modulation of Stroop interference occurs at all letter positions. Specifically, we investigated whether Stroop interference was reduced when the colored letter occupied the optimal viewing position (OVP). The experiments show that Stroop interference is not reduced at the OVP (Experiment 1) and that Stroop interference at the OVP is significantly greater than at other letter positions (Experiments 1 and 2). This finding has important theoretical and methodological consequences for studies of automatic processing in visual word recognition.     

Differential Effects of Number of Letters on Word and Nonword Naming Latency

The issue addressed in this study is whether there are differential effects of number of letters on word and nonword naming latency. Experiment 1 examined the effect of number of letters on latency for naming high-frequency words, low-frequency words, and nonwords. Number of letters affected latency for low-frequency words and nonwords but did not affect latency for high-frequency words. Number of letters was also negatively correlated with number of orthographic neighbours, number of friends, and average grapheme frequency. Number of letters continued to affect nonword naming latency, but not low-frequency word naming latency, after the effects of orthographic neighbourhood size, number of friends, and average grapheme frequency had been accounted for. Experiment 2 found that number of letters had no effect on the latency of delayed naming of the same words and nonwords. It is concluded that the effect of number of letters on nonword naming reflects a sequential, non-lexical reading mechanism.     

Assessment and choice: an operant simulation of foraging in patches

Pigeons were presented with an operant simulation of two prey patches using concurrent random-ratio schedules of reinforcement. An unstable patch offered a higher initial reinforcement probability, which then declined unpredictably to a zero reinforcement probability in each session. A stable patch offered a low but unvarying reinforcement probability. When the reinforcement probability declined to zero in a single step, the birds displayed shorter giving-up times in the unstable patch when the ratio between the initial reinforcement probabilities in the unstable and stable patches was greater and when the combined magnitude of the reinforcement probabilities in the two patches was greater. When the unstable patch declined in two steps, the birds behaved as if their giving-up times were influenced heavily by events encountered during the most recent step of the double-step change. This effect was observed, however, only when the reinforcement probability in that step was .04, not when it was .06. All of these data agree with the predictions of a capture-probability model based on a comparison of the estimated probability of receiving a reinforcer in the current patch with that in alternative patches.     

A follow-up study of cognitive bias in generalized anxiety disorder

Patients with generalized anxiety disorder (GAD) without concurrent depression (n = 11) and normal controls (n = 17) were tested twice, about 2 months apart, on a modified Stroop colour-naming task, which presented anxiety-related, depression-related and neutral words in masked and unmasked exposure conditions. GAD patients received cognitive behaviour therapy in the test-retest interval, and were also retested at follow-up, about 20 months after initial testing. GAD patients showed interference in colour-naming negative words across both masked and unmasked conditions before treatment, but not post-treatment, compared with controls. Reduced interference effects of masked threat words over time correlated with reduced ratings of anxious thoughts at post-treatment, and at follow-up, in GAD patients. Thus, the preconscious bias for threat information in GAD appears to vary over time in association with changes in anxious thoughts and worries.