Spouses, adult children, and children-in-law as caregivers of older adults: a meta-analytic comparison

The present meta-analysis integrates the results from 168 empirical studies on differences between caregiving spouses, adult children, and children-in-law. Spouses differ from children and children-in-law significantly with regard to sociodemographic variables; also, they provide more support but report fewer care recipient behavior problems. Spouse caregivers report more depression symptoms, greater financial and physical burden, and lower levels of psychological well-being. Higher levels of psychological distress among spouses are explained mostly--but not completely--by higher levels of care provision. Few differences emerge between children and children-in-law, but children-in-law perceive the relationship with the care recipient as less positive and they report fewer uplifts of caregiving.     

Congruence of the Marital Relationship During Transition to Parenthood: A Study with Couples Who Conceived Spontaneously or Through Assisted Reproductive Technologies

In this study we examined the congruence between partners’ perceptions of their marital relationship during the transition to parenthood and the effect of depression during pregnancy on couples’ congruence during the early postpartum period. Thirty-one couples who conceived spontaneously, along with thirty-five who conceived through assisted reproductive technologies (ART), provided data on their marital relationship and depression at their 24th pregnancy week and four months after the partum. All couples reported a decrease in marital congruence. Couples who conceived through ART reported lower marital congruence. For these subjects, women’s depression was associated with lower congruence. Interventions that focus on strengthening the marital relationship across the transition to parenthood should assess and promote couples’ congruence.     

Perfectionism,Type A Behavior,and Self-Efficacy in Depression and Health Symptoms among Adolescents

The current study examined the associations among dimensions of perfectionism, Type A behavior, self-efficacy, distress, and health symptoms in high school students. A sample of 73 high school students (34 boys, 39 girls) completed measures of self-oriented perfectionism, socially prescribed perfectionism, Type A behavior, self-efficacy, depressive symptoms, and psychosomatic symptoms. Correlational analyses found that self-oriented perfectionism was marginally related to Type A behavior. Students with elevated levels of depressive symptoms were also characterized by self-oriented perfectionism, Type A behavior, low self-efficacy, and health symptoms. In addition, health symptoms were linked with low self-efficacy. Simultaneous entry of several variables into a regression analysis found that significant unique predictors of depression were low self-efficacy and elevated self-oriented perfectionism. Similarly, a regression analysis found that low self-efficacy and high self-oriented perfectionism were unique predictors of health symptoms. The findings highlight the distinctions between the perfectionism and the Type A constructs, and support self-regulation models of depression and physical symptoms that include an emphasis on excessive perfectionistic standards and low self-efficacy. We discuss the need for preventive interventions designed for perfectionistic adolescents with low self-efficacy.     

Nanotechnologies, bioethics and human dignity

Nanoscale science, research, and technology present a complex set of circumstances. First of all, this field involves many different subjects, including biology, chemistry, physics, and environment sciences. Secondly, although scientists are working increasingly at a molecular level, nanotechnology is about much more than a reduction of scale. Indeed, nanoscience and Nanotechnologies offer an unprecedented ability to control and manipulate nature, offering hope for progress. Ethical perspectives vary considerably in this field, but commentators and researchers share a concern about a specific worrisome issue: the lack of appropriate ethical and legal principles and processes (associated with issues including health risks, human body manipulation, and private life violation), to guide nanotechnological R&D, commercialization, and final use. Some authors partially reject this concern by suggesting that Nanoscience and Nanotechnologies do not constitute an autonomous category, and that they are instead just the operative result of combining other traditional areas of study. However the nanotechnological debate brings up the semantic and content issues of bioethics and foments a contentious discussion emphasizing human dignity. Issues include enhancement versus therapeutic intervention, traceability versus privacy, and societal benefits versus risks. From these preliminary considerations, we will move on to discuss (I) the traditional, although still controversial, relationship between bioethics and human dignity, and (II) return to the subject of nanotechnology. We will discuss how today in Europe, although still indefinite, the principle of respect for human dignity is a welcomed contributor to "ethical vigilance" about the uncertain development of new nano-scale technologies. We will also note how U.S. strategy in this regard is simply lacking and appears only as a purely discursive "key issue in long term ".     

Test of Spanish sentences to measure speech intelligibility in noise conditions

This article describes the development of a test for measuring the intelligibility of speech in noise for the Spanish language, similar to the test developed by Kalikow, Stevens, and Elliot (Journal of the Acoustical Society of America, 5, 1337–1360, 1977) for the English language. The test consists of six forms, each comprising 25 high-predictability (HP) sentences and 25 low-predictability (LP) sentences. The sentences were used in a perceptual task to assess their intelligibility in babble noise across three different signal-to-noise ratio (SNR) conditions in a sample of 474 normal-hearing listeners. The results showed that the listeners obtained higher scores of intelligibility for HP sentences than for LP sentences, and the scores were lower for the higher SNRs, as was expected. The final six forms were equivalent in intelligibility and phonetic content.     

Losing the Certainty of Self

In his theory of trauma, Ferenczi points to the disbelief of adults of a child's account of an event as an actual traumatizing factor. Ferenczi also states that of all the consequences of the trauma, which include identification with the aggressor, psychic coma, departure from the possibility of dreams, and a fall to the hell of nightmares, the most important and fundamental is the lack of certainty of self. The disbelief of the adults destroys the certainty of what is perceived and experienced; it has the power of annihilating the child's belief in his own perceptions, his trust in his own senses. The loss of certainty of self appears to be a common characteristic in patients with distinct psychic dynamics. We will analyze the loss of certainty of self in cases of patients of the NEPECC (Núcleo de Estudos em Psicanálise e Clínica da Contemporaneidade) [Center of Studies in Psychoanalysis and Contemporarity Clinic] at the Federal University of Rio de Janeiro.     

Priming infants to use pattern information in an object individuation task: the role of comparison

There is evidence that 4.5-month-olds do not always use surface pattern to individuate objects but that they can be primed to attend to pattern differences through select experiences. For example, if infants are first shown events in which the pattern of an object predicts its function (dotted containers pound and striped containers pour), they will attend to pattern differences in a subsequent individuation task. However, 4.5-month-olds must see multiple exemplars of the pound and pour events and view the dotted and striped containers together during the events. These results suggest that it is the formation of event categories, in which pattern is linked to object function, that supports pattern priming and that direct comparison of the exemplars facilitates the extraction of event categories. The present research investigated conditions that support the comparison process in 4.5-month-olds. The results revealed that the comparison process was initiated only when the dotted and striped containers were seen directly adjacent to each other; if the containers sat far apart, so that infants had to shift their gaze to compare them, event categories were not extracted. In addition, it was comparison of the two patterned containers, and not comparison of the two function events, that was critical to the formation of event categories. These results join a growing body of research indicating the importance of comparison to category formation in infants and reveal the impact of categorization and comparison processes on object individuation in infancy.     

Appraisals,emotions and emotion regulation: An integrative approach

The present work aims to investigate the relation between appraisals, emotions, and emotion regulation strategies by creating a structural equation model which integrates these three aspects of the emotion process. To reach this aim, Italian students (N = 610) confronted with their high school diploma examination completed a questionnaire 3 weeks before the beginning of the exam. Results showed that they experienced primarily three types of emotions—anxiety/fear, frustration/powerlessness, positive emotions—which were related to specific appraisal profiles. Importantly, these appraisal profiles and emotions were associated with the use of different strategies for regulating emotions: anxiety/fear was associated with focusing on the exam, drug use, and an inability to distance oneself from the exam; frustration/powerlessness, with use of suppression, distancing, and drugs; positive emotion, with reappraisal and problem focused strategies. The effectiveness of these different strategies will be discussed.     

Impaired awareness of movement disorders in Parkinson’s disease

Background

This study analyzed the presence of awareness of movement disorders (dyskinesias and hypokinesias) in 25 patients with Parkinson’s disease (PD) and motor fluctuations (dyskinesias, wearing off, on–off fluctuations). Of the few studies that have dealt with this topic, none have analyzed the differences in the awareness of motor deficits by comparing the on and off states using motor scales and an extensive battery of tests to assess cognitive and behavioral functioning.

Methods

PD patients were compared on three different scales that we have devised to measure awareness of movement disorders: Global Awareness of Movement (GAM) Disorders, dyskinesia/hypo-bradykinesia rating scales.

Results

Data showed that PD patients had greater awareness and psychological suffering in the off state than in the on state. In particular, they were troubled by motor disabilities related to hypokinesias and had mood-related symptoms and a perception of disability in activities of daily living. Interestingly, patients only showed a selective reduction of awareness of movement disorders associated with executive functions and related to dyskinesias in the on state, compared to a preserved awareness of hypokinesias in the off state. On the contrary, no association with executive functions was found in the off state.

Conclusion

Our findings suggest that the dopaminergic overstimulation of mesocorticolimbic pathways may cause a dysfunction of prefrontal–subcortical connections related to the impaired insight.     

Assessment of Score Dependability of the Wisconsin Schizotypy Scales Using Generalizability Analysis

To investigate the reliability of the Wisconsin Schizotypy Scales, this study applied generalizability analysis with two college student samples who completed the scales at two time points. The results indicated that the Revised Social Anhedonia Scale had acceptable levels of score dependability, but that the score dependability for the other scales (the Physical Anhedonia Scale, the Perceptual Aberration Scale, and the Magical Ideation Scale) was below an acceptable level of .80. The patterns of variance components suggested that the scales’ items need improvement. Researchers can use the included tables to choose the number of items and occasions needed to get dependable score interpretations.