Effects of Social Demand on Reports of Self-Monitored Blood Glucose in Adolescents with Type 1 Diabetes Mellitus

The purpose of this study was to test the hypothesis that social demand could substantially affect reports of self-monitored blood glucose (BG) in adolescents with insulin-dependent diabetes mellitus. Of 34 patients initially enrolled in the study, 10 were excluded because they did not bring any BG records with them to an outpatient clinic appointment. The remaining 24 patients were randomly assigned to either a low or high social demand condition that provided instructions for monitoring of BG for the week following the appointment. The subjects' BG records were quantified to provide frequency of measurement and mean reported BG for the week prior to and after the clinic visit. Five subjects did not return their BG records for the week following the intervention. The analyses were therefore based on the 19 subjects from whom complete records were obtained. The 12 subjects in the low social demand group and 7 subjects in the high social demand group were equivalent with regard to age, duration of diabetes, socioeconomic status, and glycosylated hemoglobin. Frequency of BG measurement was similar in both groups during both weeks. The mean BG value reported in the week prior to intervention was similar for the groups. However, analyses of the post-intervention BGs revealed that subjects in the low-demand group reported significantly higher BGs compared to pre-intervention and to subjects in the high-demand group. These findings suggest that self-monitoring and reporting of BG is a social behavior that is affected by the demand characteristics of the interpersonal patient-health provider relationship. Because optimal treatment planning for individuals with diabetes requires accurate BG records, care must be taken to interpret them in light of the social demand characteristics associated with clinical assessment.     

RELIABILITY AND FACTORIAL VALIDITY OF THE JUNIOR EYSENCK PERSONALITY QUESTIONNAIRE IN ZIMBABWE

Six-hundred and thirteen girls and 601 boys in Zimbabwe completed the Junior Eysenck Personality Questionnaire (JEPQ). The reliability of the Neuroticism (N) and Social Desirability (L) factors was acceptable but the Psychoticism (P) and Extraversion (E) factors possessed modest reliability. While the factorial validity of the P, N and L scales was acceptable, the factorial validity of the E scale was poor. L scores were significantly correlated with N and P scores among girls and boys. Whereas Zimbabwean girls reported higher P scores than did Canadian girls, Zimbabwean boys reported lower P scores than did Canadian boys. Zimbabwean girls and boys reported lower E and N and higher P scores than their Canadian counterparts. This study provides broad support for Eysenck's basic personality model, but it does not support the use of this version of the JEPQ, and especially the E scale, among Zimbabwean children.     

Moral Judgment in Extreme Social Contexts: Soldiers Who Refuse to Fight and Physicians Who Strike?1

This paper compares two examples of moral action within extreme social contexts: the refusal of Israeli reserve soldiers to perform their military service during the war in Lebanon (1982–1983), and the refusal of Israeli physicians to provide medical care during a “labor war”, that is a strike. This paper examines the cognitive developmental premise that with an increase in the actors' stage of moral development there will be a greater consistency between hypothetical and actual moral reasoning (Kohlberg, 1984). Blasi's (1983) concept of personal integrity, that is, the consistency between the actors' judgment concerning the morality of an action and the action that was actually performed, is examined as well. The findings show that the “refusing” soldiers manifested stage consistency in their action, whereas the physicians failed to justify their action in line with their moral competence. Whereas the soldiers viewed their action as highly moral, the physicians viewed their strike action as unfortunate but necessary. The motivation of the two groups of actors to act in line with their behavioral choices is discussed.