The Role of Trait Self-Objectification in Smoking among College Women

Self-objectification, which is the internalization of an observer’s perspective of the self, has been related to restrained and disordered eating patterns and depression. Because disordered eating and depression are known co-factors for smoking, we tested the possible involvement of trait self-objectification in the relationship between these mental health dimensions and smoking in a sample of 130 college women smokers and non-smokers. As hypothesized, we found that trait self-objectification mediated the relationship between smoking status and dieting and disordered eating behaviors. There were no significant differences in depression between smokers and non-smokers, which limited further exploration of the relationship. Implications for trait self-objectification as relevant to women’s weight-control smoking and the relevance of self-objectification to other health behaviors are discussed.     

Are community studies of psychological trauma's impact accurate? A study among Jews and Palestinians

We evaluated the accuracy of posttraumatic stress disorder (PTSD) and major depression (MD) diagnoses using brief assessment instruments conducted by phone. PTSD and MD were assessed by telephone interview in a randomly selected sample of Jewish and Palestinian residents of Jerusalem (N = 150) during a period of marked threat of terrorism and war. We utilized the PTSD Symptom Scale Interview Format (Foa, Riggs, Dancu, & Rothbaum, 1993) and the Patient Health Questionnaire-9 (PHQ-9; Kroenke, Spitzer, & Williams, 2001). We then conducted in-depth, in-person interviews within 2 weeks, assessing PTSD and MD using the Composite International Diagnostic Interview (CIDI; Kessler et al., 2004). The prevalence of PTSD and MD diagnosis ascertained by the 2 assessment modalities was similar. Indices of classification accuracy for the phone interview, using the in-person interview as the standard, ranged from modest to high. Brief phone and in-depth in-person measures of PTSD and MD also correlated similarly with other demographic, stress, and coping factors, suggesting convergent validity. Brief phone interviews appear useful for estimating the prevalence of psychological disorders in mass casualty contexts and may have a critical role in both epidemiologic work and guiding public health interventions.     

Conflict management: A premarital training program in mutual problem solving

Abstract

The purpose of this study was to evaluate the effectiveness of a structured educational program designed to train premarital couples in communication and mutual problem-solving skills. Twenty-six couples participated in an eight-week, 24-hour problem-solving training program, while 28 similar couples participated in an eight-week, 24-hour relationship discussion group. Results indicated that the problem-solving group, as compared to the relationship-discussion group, showed a significant increase in communication and mutual problem-solving skills. Discussion focused on the benefits for premarital couples of learning effective problemsolving procedures as well as the need for follow-up assessments of both behavioral skill level and relationship satisfaction and adjustment.     

Perceived lack of training moderates relationship between healthcare providers’ personality and sense of efficacy in trauma-informed care

ABSTRACT

Background and Objectives: Medical patients often have trauma histories that are not routinely assessed, which can adversely affect health outcomes. Despite growing awareness of this issue, there is limited understanding of factors that influence provider competency in trauma-informed care (TIC). The study examined healthcare providers’ personality traits in relation to their sense of TIC efficacy, taking into account perceived barriers to TIC and professional quality of life.

Study Design: The study used cross-sectional survey methods to examine our central hypothesis that provider personality traits and perceived barriers to TIC would be associated with TIC-efficacy, and to explore interactions among study variables.

Methods: Survey data were collected from 172 healthcare providers examining TIC knowledge, TIC-efficacy, perceived barriers to TIC, personality traits, and professional quality of life.

Results: TIC-efficacy was positively correlated with “intellectence/openness” and inversely correlated with “neuroticism” and perceived lack of training as a barrier. “Intellectence/openness” interacted with perceived lack of training to predict TIC-efficacy, suggesting that providers with lower “intellectence/openness” report greater TIC-efficacy when lack of training is not perceived as a barrier.

Conclusions: Provider personality traits and perceived barriers to TIC appear related to providers’ TIC-efficacy. Implications for overcoming barriers to TIC through training and implementation are discussed.     

Declining medical decision-making capacity in mild AD: a two-year longitudinal study

This is a report of a two-year longitudinal study comparing healthy older adult subjects (n = 15) and mild Alzheimer's disease (AD) patients (n = 20) using an objective performance measure of medical decision-making capacity (MDC). Capacity to consent to medical treatment was measured using the Capacity to Consent to Treatment Instrument (CCTI). The CCTI is a psychometric measure that tests MDC using a series of four core capacity standards: S1 (evidencing/communicating choice), S3 (appreciating consequences), S4 (providing rational reasons), and S5 (understanding treatment situation), and one experimental standard [S2] (making the reasonable treatment choice). For each standard, mild AD patients were assigned one of three capacity outcomes (capable, marginally capable, or incapable) based on cut-off scores derived from control group performance.At baseline, mild AD patients performed equivalently with controls on simple standards of evidencing a choice (S1) and making the reasonable choice ([S2]), but significantly below controls on complex standards of appreciation, reasoning, and understanding (S3, S4, and S5) (p < 0.02). Control performance was stable over time on all capacity standards. At one-year follow-up, the mild AD group did not show significant decline from baseline on any capacity standard. However, at two-year follow-up the mild AD group showed significant declines from baseline on the three complex standards (S3, S4, and S5) (p < 0.02), and a trend on one of the simple standards (S1). Over the two-year period, the proportion of marginally capable and incapable outcomes in the AD group increased substantially for four of the five standards (S1, S3, S4, and S5). Performance on [S2] remained stable over time in the AD group.We conclude that mild AD patients have impaired MDC at baseline, and demonstrate significant additional decline on complex consent abilities of appreciation, reasoning, and understanding over a two-year period. AD patients also show emerging impairment on the simple consent ability of evidencing choice at two-year follow-up. Capacity outcome data reflect similar declines over time for these four consent standards. The findings suggest the value of early assessment and regular monitoring at two-year intervals of MDC in patients with mild AD.     

Social psychological models of choice behavior and drivers' left turns

ABSTRACT. The authors reanalyzed data from a simulated left-turn experiment (P. A. Hancock, J. K. Caird, S. Shekhar, & M. Vercruyssen, 1991) to test the adequacy of the nonlinear Gray-Tallman satisfaction balance model of choice behavior (L. N. Gray & I. Tallman, 1984) in predicting left turns. Participants (Hancock et al., 1991) were 40 experienced U.S. drivers who were exposed to simulated oncoming traffic; the size of the vehicle (motorcycle, compact vehicle, full-sized vehicle, delivery truck), its speed (10-70 mph, or 16-112 kmph), and the intervehicle time gap (3-9 s) varied. Hancock et al. (1991) measured (a) the likelihood of a left turn and (b) the occurrence of a collision. The probability of a left turn was greater for larger intervehicle time gaps and for oncoming smaller vehicles traveling at higher speeds. The Gray-Tallman (1984) model explained 69% of the variation in turning versus 57% for a linear regression model. In making decisions people tend to treat the values and costs affecting choices in a multiplicative, rather than linear, fashion. The Gray-Tallman model also has the potential for incorporating, both theoretically and mathematically, an unlimited range of potential values and costs that may influence left turn decisions.     

Personal relationships,personal attributes,and stress resistance: Mothers' reactions to their child's illness

The contribution to emotional distress of mastery, intimacy, received social support, and discomfort in seeking support was examined over a year period among 107 Israeli mothers of well, acutely ill, or chronically ill children. The following was found: (a) Women initially high in mastery experienced less psychological distress and benefited more from social support than did women low in mastery. (b) The greater social support women generally received the lower their psychological distress. (c) Independent of the level of generally received support, women who experienced greater distress received greater social support at the time of crisis. (d) Intimacy with spouse was related to better stress resistance, but the opposite was found for intimacy with family. (e) Women who felt uncomfortable seeking support were more distressed at the time of initial crisis than women who were more comfortable seeking support and became less intimate with significant others.     

Lifeguards' vigilance: effects of child-adult ratio and lifeguard positioning on scanning by lifeguards

Observers recorded visual scanning by four lifeguards at three indoor public swimming pools. Scanning increased as a positive function of the ratio of children to adult swimmers, i.e., scanning was greater when the ratio was high, suggesting that lifeguards became more concerned about the risks to children and the ability of nearby adult swimmers to monitor these children when the number of children significantly exceeded the number of adults. Absolute numbers of children, however, decreased number of scans, possibly because of greater number of incidents and rule violations requiring lifeguards' attention which competed with watching the pool. Lifeguards were more likely to scan a pool area when they were in elevated towers versus standing on the pool decks. Lifeguards' scanning declined later in the day, possibly due to fatigue or because of competing activities of pool maintenance.     

Anterior Hypothalamic Stimulation Decreases Serum Immunoglobulin G Concentrations

The Psychological Record - Neuroimmunological research has indicated that hypothalamic structures play an important role in the modulation of immunoresponsivity. We report that electrical...     

Individual difference in anticipatory physiological responses to signaled stress: role of locus of control and autonomic balance.

Anticipatory cardiac activity to a signaled stressful event was hypothesized to be related to individual differences in locus of control and to autonomic balance. Subjects experienced 5 trials of a 105-db burst of white noise that was signaled by a milder tone. Significant increases in electrodermal as well as heart-rate responses occurred after the stress tone. While anticipating stress, the 10 subjects designated as having high levels of coherence between heart-rate and respiratory activity (high parasympathetic balance) showed reduced heart-rate and respiratory activity (high parasympathetic balance) showed reduced heart-rate variability over the 10 subjects with low coherence. Locus of control was not related to anticipatory activity. Anticipatory cardiac activity is discussed in light of two current psychophysiological models of attention.