Linguistic Analysis of Written Narratives of Caregivers of Children and Adolescents with Chronic Illness: Cognitive and Emotional Processes and Physical and Psychological Health Outcomes

Used linguistic analysis of written narratives of caregivers of hospitalized youth with chronic illness to identify emotional and cognitive processes related to physical and psychological health outcomes following writing. Measures were administered at baseline and 4 months. Experimental group (n = 29) wrote about traumas whereas the control group (n = 24) wrote about summer activities for 20 min on three different days. Compared groups on negative emotion- and cognition-related word use. Tested change in negative emotion- and cognition-related word use as predictors of outcomes in experimental group. Consistent with hypotheses, experimental group used more negative emotion words [F(1, 53) = 77.55, p < .001] and cognition-related words than control group [F(1, 53) = 19.09, p < .001] and an increase in cognition words predicted Physical Health Summary Score on SF-36 (standardized = .37, p < .05). A decrease in negative emotion words was related to Physical Health Summary Score on SF-36 only when entered into regression with change in cognition words (standardized = –.31, p < .05). A decrease in negative emotion together with an increase in cognitive processing facilitated by written emotional disclosure has beneficial effects on physical health-related quality of life.     

Seeing to hear better: evidence for early audio-visual interactions in speech identification

Lip reading is the ability to partially understand speech by looking at the speaker's lips. It improves the intelligibility of speech in noise when audio-visual perception is compared with audio-only perception. A recent set of experiments showed that seeing the speaker's lips also enhances sensitivity to acoustic information, decreasing the auditory detection threshold of speech embedded in noise [J. Acoust. Soc. Am. 109 (2001) 2272; J. Acoust. Soc. Am. 108 (2000) 1197]. However, detection is different from comprehension, and it remains to be seen whether improved sensitivity also results in an intelligibility gain in audio-visual speech perception. In this work, we use an original paradigm to show that seeing the speaker's lips enables the listener to hear better and hence to understand better. The audio-visual stimuli used here could not be differentiated by lip reading per se since they contained exactly the same lip gesture matched with different compatible speech sounds. Nevertheless, the noise-masked stimuli were more intelligible in the audio-visual condition than in the audio-only condition due to the contribution of visual information to the extraction of acoustic cues. Replacing the lip gesture by a non-speech visual input with exactly the same time course, providing the same temporal cues for extraction, removed the intelligibility benefit. This early contribution to audio-visual speech identification is discussed in relationships with recent neurophysiological data on audio-visual perception.     

Relationship of depression and anxiety to cancer patients' medical decision-making

The purpose of this study was to examine the relation of depression and anxiety to cancer patients' medical decision-making. Participants were 79 rural and urban cancer patients undergoing chemotherapy. The four decisional styles of the Decisional Processing Model were the independent variables. Dependent variables were anxiety and depression, measured by Spielberger's State-Trait Anxiety and the Center for Disease Control Depression Scale, respectively. Consistent with the Decisional Processing Model, analysis suggested that patients make medical decisions by information seeking, information processing, advice following, or ruminating. Decisional style did not vary according to type or stage of cancer, prognosis, time elapsed since initial diagnosis, or whether cancer was initial or recurrent. Decisional style did not systematically vary with depression and anxiety suggesting how a person makes decisions is a stable personality trait. Thus, decision-making may follow a cognitive schema. It is likely that patients' decisional styles help to manage anxiety and depression when confronted with life-threatening illness. Implications for informed consent and patients' involvement in decision-making are discussed.     

Values and behavior: strength and structure of relations

Three studies address unresolved issues in value-behavior relations. Does the full range of different values relate to common, recurrent behaviors? Which values relate more strongly to behavior than others? Do relations among different values and behaviors exhibit a meaningful overall structure? If so, how to explain this? We find that stimulation and tradition values relate strongly to the behaviors that express them; hedonism, power, universalism, and self-direction values relate moderately; and security, conformity, achievement, and benevolence values relate only marginally. Additional findings suggest that these differences in value-behavior relations may stem from normative pressures to perform certain behaviors. Such findings imply that values motivate behavior, but the relation between values and behaviors is partly obscured by norms. Relations among behaviors, among values, and jointly among values and behavior exhibit a similar structure. The motivational conflicts and congruities postulated by the theory of values can account for this shared structure.     

Physical imagery: kinematic versus dynamic models.

Physical imagery occurs when people imagine one object causing a change to a second object. To make inferences through physical imagery, people must represent information that coordinates the interactions among the imagined objects. The current research contrasts two proposals for how this coordinating information is realized in physical imagery. In the traditional kinematic formulation, imagery transformations are coordinated by geometric information in analog spatial representations. In the dynamic formulation, transformations may also be regulated by analog representations of force and resistance. Four experiments support the dynamic formulation. They show, for example, that without making changes to the spatial properties of a problem, dynamic perceptual information (e.g., torque) and beliefs about physical properties (e. g., viscosity) affect the inferences that people draw through imagery. The studies suggest that physical imagery is not so much an analog of visual perception as it is an analog of physical action. A simple model that represents force as a rate helps explain why inferences can emerge through imagined actions even though people may not know the answer explicitly. It also explains how and when perception, beliefs, and learning can influence physical imagery.     

It takes two to fight: a test of relational factors and a method for assessing aggressive dyads.

Observations of aggressive interactions in boys' laboratory play groups were used to evaluate the relative importance of relational and individual factors in accounting for aggressive acts. A classroom peer-rating method for identifying mutually aggressive dyads was validated in 11 5-session play groups, composed of 2 mutually aggressive boys and 4 randomly selected male classmates from 11 predominately African American 3rd-grade classrooms. When the social relations model was used, relationship effects accounted for equally as much of the variance in total aggression and proactive aggression as either actor or target effects. Mutually aggressive dyads displayed twice as much total aggression as randomly selected dyads. Members of mutually aggressive dyads attributed greater hostile intentions toward each other than did randomly selected dyads, which may serve to explain their greater aggression toward each other. The importance of studying relational factors, including social histories and social-cognitive processes, is discussed.     

Measuring infant spatial working memory using a modified delayed-response procedure

Infant spatial working memory was assessed in 96 nine-month-old human infants using a modification of the delayed-response procedure. A person was the hidden stimulus, gaze was used as the response modality, the response context was a naturalistic "peek-a-boo" game, and a salient cue (i.e. curtains opening to reveal two windows) was used to evoke responses. Infants responded on most trials and performed significantly above chance in delay conditions of 10 and 20 seconds. Reinforcement affected performance, but performance was above chance even in a 0% reinforcement condition. These procedural variations boost estimates of infant spatial working memory over previous estimates and enhance the usefulness of the delayed-response procedure as a marker task for infant spatial working memory.