Psychometric properties of scales of professional competence and treatment by health personnel in outpatient hospital surgeries

The aim of this study was to analyze the psychometric properties of two scales that assess the perceived quality and patient satisfaction with outpatient surgery in the Health Service of Murcia. These scales assess the degree of Professional Competence (PC) and Personnel Treatment (PT). The scales were administered to a sample of 2017 users of outpatient surgery in the Health Service of Murcia during the years 2008 and 2009. Exploratory factor analysis indicates a unidimensional structure for each scale. Internal consistency was adequate: .68 for PC and .75 for PT. The correlation between the PC scale and patients' global satisfaction was positive and statistically significant. The correlation between the PT scale and patients' global satisfaction was also statistically significant. The scales have shown their utility to detect areas of improvement and to plan intervention strategies.     

Utility of a statistical model of cognitive styles in attention deficit hyperactivity disorder

The purpose of this study was to determine the best statistical model of cognitive styles, based on the MFFT-20, CEFT and Stroop tests to predict attention deficit hyperactivity disorder (ADHD), analyzing the validity of the model for the diagnosis of the disease. We studied 100 ADHD cases (DSM-IV criteria) and 100 controls, age ranging between 7 and 11 years. Controls were randomly recruited and matched in age, gender and sociodemographic area with ADHD cases. On average, ADHD cases showed more impulsiveness (d: 1.28), less cognitive flexibility (d: 0.91) and more field dependence (d: 1.62) than controls. The logistic regression model that predicts ADHD best is made up of age, CEFT, MFFT-20 and Stroop tests and the formula derived from the model shows 85% sensitivity and 85% specificity for ADHD, regarding the DSM-IV criteria as the standard. The statistical model of cognitive styles presents valid indicators to diagnose ADHD, contributing to an increase in the objectivity of its analysis.     

Preventing Children��s Aggression in Immigrant Latino Families: A Mixed Methods Evaluation of the Families and Schools Together Program

The effectiveness of the evidence based program, Families and Schools Together (FAST), was examined in two inter-related studies with immigrant Latino (Mexican) families in the U.S. In Study 1, we reported findings from pre-test, 3-month post-test, and 12-month follow-up surveys of parents and children participating in the FAST program. Families were selected from communities that were randomly assigned to either intervention or control groups. A total of 282 parents (263 mothers and 19 fathers) participated in either the intervention (140 parents) or control (142 parents) condition over the course of 3 years. Each of the parents had a participating focal child; thus, 282 children (144 females and 138 males; average age = 9.5 years) participated in the study. A primary focus of the research was to determine whether participation in FAST led to reductions in children's aggression. Using linear growth models, no differences were noted on aggression between intervention and control groups, although intervention children did show significant improvements in social problem-solving skills and perceptions of collective efficacy. In Study 2, we conducted two focus groups with ten FAST participants to explore whether other unmeasured outcomes were noted and to understand better the mechanisms and impact of FAST. All of the parents in the focus groups reported that FAST had helped them better relate to and communicate with their children, and that the greatest effect was on the behavior of their older children. Results are discussed in terms of cultural fit of the FAST program for immigrant Latino families and future directions.     

“Telling tales”: Using narrative in career guidance

In this article the authors argue for the importance of narrative-based approaches in career guidance work in an uncertain, unpredictable world. This requires a paradigmatic shift in thinking that can be too difficult, at present, for some practitioners. The article reports on the first phase of a collaborative project with a group of practitioners – working in guidance in schools and with young people in public access points – to develop and evaluate narrative methods. Our analysis highlights the usefulness of the approach, but also reveals tensions derived from the working cultures of career guidance practitioners.     

A cultural mismatch: Independent cultural norms produce greater increases in cortisol and more negative emotions among first-generation college students

American universities increasingly admit first-generation students—students whose parents do not have four-year degrees. Once admitted, these students experience greater challenges adjusting to universities compared to continuing-generation students—students who have at least one parent with a four-year degree. This additional adversity is typically explained in terms of first-generation students' relative lack of economic (e.g., money) or academic (e.g., preparation) resources. We propose that this adversity also stems from a cultural mismatch between the mostly middle-class, independent norms institutionalized in American universities and the relatively interdependent norms that first-generation students are socialized with in working-class contexts before college. As predicted, an experiment revealed that framing the university culture in terms of independent norms (cultural mismatch) led first-generation students to show greater increases in cortisol and less positive/more negative emotions than continuing-generation students while giving a speech. However, reframing the university culture to include interdependent norms (cultural match) eliminated this gap.     

Affective norms for 380 Spanish words belonging to three different semantic categories

Emotional words are increasingly used in the study of word processing. To elucidate whether the experimental effects obtained with these words are due either to their affective content or to other semantic characteristics, it is necessary to conduct experiments with affectively valenced words obtained from different semantic categories. In the present article, we present affective ratings for 380 Spanish words belonging to three semantic categories: animals, people, and objects. The norms are based on the assessments made by 504 participants, who rated about 47 words either in valence and arousal, by using the Self-Assessment Manikin (Bradley & Lang, Journal of Behavioral Therapy and Experimental Psychiatry, 25, 49-59. 1994), or in concreteness and familiarity. These ratings will help researchers select stimuli for experiments in which both the affective properties of words and their membership to a given semantic category have to be taken into account. The database is available as an online supplement for this article.     

The role of optimism and pessimism in chronic pain patients adjustment

This study analyses the relationships between patients' dispositional optimism and pessimism and the coping strategies they use. In addition, the coping strategies repercussions on adjustment to chronic pain were studied. Ninety-eight patients with heterogeneous chronic pain participated. The assessment tools were as follows: Life Orientation Test (LOT), the Vanderbilt Pain Management Inventory (VPMI), the McGill Pain Questionnaire (MPQ), Hospital Anxiety and Depression Scale (HADS), and the Impairment and Functioning Inventory for Chronic Pain Patients (IFI). The hypothetical model establishes positive relationships between optimism and the use of active coping strategies, whereas pessimism is related to the use of passive coping. Active coping is associated with low levels of pain, anxiety, depression and impairment and high levels of functioning. However, passive coping is related to high levels of pain, anxiety, depression and impairment and low levels of functioning. The hypothetical model was empirically tested using the LISREL 8.20 software package and the unweighted least squares method. The results support the hypotheses formulated regarding the relations among optimism, pessimism, coping and adjust of chronic pain patients. By analysing optimism among chronic pain patients, clinicians could make better predictions regarding coping and adjustment.     

Culture,art and artifice: theatre as a laboratory for identity / Cultura,arte y artificio: el teatro como laboratorio de identidades

Abstract

This paper approaches theatre performance as a laboratory for the simulation of behaviour. The preparation of the professional production of a theatre play was observed and videotaped with the purpose of studying (a) the process of production of artefacts for giving sense to the play and each of its scenes, (b) shaping the identity of the characters, and (c) how these artefacts were reshaped and readjusted in successive rehearsals. Results support the thesis that the process of production of a scenic text can act as a simulation model for how cultural artefacts, conscious processes and behaviour get articulated when developing a character’s identity.