Depression and engagement in a residential home for the elderly

Traditional residential care environments for the elderly have been criticized because of the observed low levels of residents' engagement. Behavioural models of depression suggest an inverse relationship between engagement in pleasant activities and depression. The present study examined the relationship between depression and engagement in the residents of a home for the elderly. Correlational analyses indicated no relationship between level of depression and level of engagement but an association was found between level of depression and engagement in activities subjectively most enjoyed. There was considerable variation in the residents' perception of their behaviour; some residents viewed active engagement negatively whilst clearly enjoying behaviour that is technically disengaged. It is suggested that the results of the study emphasize the importance both of individual differences in behaviour and of covert behaviour. Implications for the engagement concept are discussed. In particular it is suggested that programmes in care environments aimed at increasing engagement in order to enhance the quality of life should focus more on the individual and on his perception of his behaviour.     

A comparison of male and female reactions to career advancement opportunities

Male and female managerial, professional, and technical employees participated in a study to test for the existence of sex differences in (1) attitudes toward the risks and sacrifices associated with career advancement and (2) salary increments required to accept a promotion opportunity. Results showed no differences in male and female attitudes toward career advancement. In addition, men and women appeared to hold highly similar ideas about the size of salary increments necessary to induce acceptance of various hypothetical promotion opportunites. Findings are discussed in relation to common stereotypes regarding the career mobility of women.     

Multifactorial assessment of bulimia nervosa

We investigated a multifactorial approach to the assessment of bulimia nervosa by means of hierarchical factor analysis. Two hundred forty-five bulimia nervosa patients and 68 patients with either anorexia nervosa or eating disorders not otherwise specified were administered a self-report battery that was organized into 21 dimensions relevant to eating disorder patients. When dimensions from this battery were subjected to hierarchical factor analysis, support for bulimia nervosa as a unique diagnostic category was obtained. However, the emergence of 3 secondary factors and 6 primary factors suggests that bulimia nervosa can also be described more complexly. The emergence of a multifactorial model of bulimia nervosa that incorporates several existing undimensional models suggests the potential for both divergent and complicated clinical presentation in bulimia nervosa patients.     

Quality of life and affect in older persons: Hope, time frames, and training effects

This is a preliminary report of a project designed to increase hope and quality of life (QOL) in older persons through a series of five training sessions. The training sessions for the experimental groups are based on research on happiness, goal imagery, and time management. Data indicates that the training is effective in increasing expected QOL. Several measures of affect and stress are examined as a function of three time frames of self-reported QOL. Daily uplifts are significantly related to present and future QOL while measures of stress and major life changes are not. Correlations of affective measures with QOL tend to increase from time frames of the past five years through the present to the next five years, indicating the relevance of hope for older persons. Training for increased hope works with older persons. Data obtained in the process is used to address theoretical models of QOL in older persons. This project was supported by a grant from the American Association of Retired Persons Andrus Foundation.     

Midlife divorce initiation: From crisis to developmental transition

The midlife phase in the marital relationship is a complicated transition period, challenging the flexibility and coping skills of every couple. Separation-Divorce Initiation (S/DI) at this time can serve a special function in the change process required in this stage. A comprehensive therapeutic model for S/DI couples is described. It includes (1) assessment of the relationship's stamina and the function of the S/DI; (2) treating symptoms and reactions to the traumatic event in an emergency intervention mode; (3) steps and techniques to help the couple overcome the traumatic effects of the SD/I and to rebuild their relationship on a more appropriate basis.     

Verbal rehearsal and selective attention in children with learning disabilities: A developmental lag

To investigate the development of verbal rehearsal strategies and selective attention in learning disabled children, Hagen's Central-Incidental task was administered to younger learning disabled (M CA = 8.68 years) and normal (M CA = 8.62 years) boys in Experiment 1 and to intermediate (M CA = 10.18 years) and older (M CA = 13.48 years) learning disabled boys in Experiment 2. Also, in Experiment 2, an experimentally induced verbal rehearsal condition was included to determine its effects on serial recall and selective attention performance. In Experiment 1, the serial postion curve of the normals revealed both a primacy and a recency effect, whereas that of the learning disabled revealed a recency effect only. In Experiment 2, both the intermediate and the older learning disabled exhibited both primacy and recency effects under both standard and rehearsal conditions. A developmental analysis of central recall for the three learning disabled groups revealed constant age-related increases in overall central recall and in primacy recall. That the normals recalled more central, but not more incidental, information than the learning disabled in Experiment 1 suggests that the learning disabled are deficient in selective attention. Correlational findings suggest that the selective attention of the learning disabled improves with age. The results were interpreted as support for the hypothesis of a developmental lag in the learning disabled population.     

A quasi-experimental investigation of message appeal variations on organ donor registration rates.

OBJECTIVE: Approximately 6,000 Americans die every year awaiting an organ transplant. Health promotion interventions may alleviate the shortage of viable organs by increasing the number of registered organ donors. This study is the first to evaluate the differential effectiveness of various organ donor messages in naturalistic settings. DESIGN: A 4 (Appeal)x4 (Exemplar)x4 (Location) counterbalanced quasi-experimental design was implemented. MAIN OUTCOME MEASURE: The behavioral outcome measure was the number of individuals who registered to be organ donors at computer kiosks. RESULTS: A number of significant main effects and interactions emerged. Most notably, of the 4 different appeals (counterargument, emotional, motivating action, dissonance), counterargument was by far the most efficacious, especially in academic-type settings (library, university, community college); the emotional appeal was most successful in hospitals. CONCLUSIONS: The findings from this study have implications for both organ donor investigations and health campaign research in general. Statistical interactions highlight the importance of evaluating multiple exemplars in multiple locations for each type of appeal when conducting health campaign research.     

Exploration of a Marital Typology: Implications for Marital Functioning in a Multi-Ethnic Sample

Marital conflict is associated with multiple negative outcomes for couples, including marital dissatisfaction and divorce. Little research, however, has examined conflict in Hispanic/Latino couples or its association with marital satisfaction, which creates an unfortunate knowledge gap for clinicians working with diverse client groups. The present study sought to examine both marital conflict and satisfaction using a sample of 231 European American (EA; n = 108) and Hispanic/Latino (H/L; n = 123) couples. Through observational coding, couples were placed into four groups based on their type of conflict management strategies: Harmonious, Withdrawn, Conflictual-Expressive, or Conflictual-Hostile. For both ethnic groups, couples in the Harmonious group were nondistressed and couples in the Conflictual-Hostile group were in the distressed range of marital satisfaction. Cross-ethnic differences emerged. EA couples experienced distress when both hostile (Conflictual-Hostile) and nonhostile conflict (Conflictual-Expressive) communication types were observed, while only hostile conflict was associated with distress for the H/L group. H/L couples reported similar levels of satisfaction in both the Harmonious and Conflictual-Expressive groups. H/L couples also fell within the distressed range when withdrawn communication patterns were observed; however, this was not the case for EA couples. These differences suggest that both types of conflict are associated with marital distress for EA couples, whereas hostile conflict and withdrawn behavior appear to be more negatively associated with marital satisfaction in H/L couples. Results provide support for the use of an observational coding system with H/L and EA couples and also suggest the importance of understanding how differences in expressions of conflict across ethnicities may relate to marital satisfaction.