Prevention opportunities in health care settings

Psychologists have an opportunity to offer their expertise at a time when health care settings are beginning to recognize the importance of behaviorally based interventions for improving health and health care. The authors review the changing patterns of health and illness that have led to an increased interest in the role of patient and provider behavior and discuss the many advantages of using health care settings as prevention sites. Examples of successful behaviorally based prevention programs are presented, along with the evidence supporting the cost-effectiveness of such programs. Challenges presented by working in health care settings are described. Throughout, the authors emphasize the multiple opportunities for psychologists' involvement across a wide variety of health care delivery sites.     

An evidential support accumulation model of subjective probability

A model of cue-based probability judgment is developed within the framework of support theory. Cue diagnosticity is evaluated from experience as represented by error-free frequency counts. When presented with a pattern of cues, the diagnostic implications of each cue are assessed independently and then summed to arrive at an assessment of the support for a hypothesis, with greater weight placed on present than on absent cues. The model can also accommodate adjustment of support in light of the baserate or prior probability of a hypothesis. Support for alternatives packed together in a "residual" hypothesis is discounted; fewer cues are consulted in assessing support for alternatives as support for the focal hypothesis increases. Results of fitting this and several alternative models to data from four new multiple-cue probability learning experiments are reported.     

Influence of consonantal context on the pronunciation of vowels: a comparison of human readers and computational models

In two experiments, we found that college students' pronunciations of vowels in nonwords are influenced both by preceding and following consonants. The predominance of rimes in previous studies of reading does not appear to arise because readers are unable to pick up associations that cross the onset-rime boundary, but rather because English has relatively few such associations. Comparisons between people's vowel pronunciations and those produced by various computational models of reading showed that no model provided a good account of human performance on nonwords for which the vowel shows contextual conditioning. Possible directions for improved models are suggested.     

The interactive effect of leader-member exchange and communication frequency on performance ratings

The authors tested the hypothesis that communication frequency moderates the relationship between leader-member exchange (LMX) and job-performance ratings. In a study of 188 private sector workers, they found that LMX was more strongly related to job-performance ratings among individuals reporting frequent communication with the supervisor than among those reporting infrequent communication. At high levels of LMX, workers reporting frequent communication with the supervisor received more favorable job-performance ratings than did workers reporting infrequent communication. In contrast, at low levels of LMX, workers reporting frequent communication with the supervisor received less favorable job-performance ratings than workers reporting infrequent communication. The authors conducted a 2nd study of 153 public sector workers to provide a constructive replication and found similar results.     

Rigidity in children's drawings and its relation with representational change

Four studies tested the application of to the drawing domain. In particular, we tested her claim that young children are inhibited in their attempts at changing their graphic representations (representational change) due to being constrained by the order in which the elements of the representation are drawn (procedural rigidity). The first study required 60 children (4- to 6-year-olds and an older comparison group of 8-year-olds) to make three drawings of a familiar and novel topic. From these drawings each child was measured for procedural rigidity. In a further drawing the child was asked to modify their usual representation of each topic. Regression analyses revealed procedural rigidity levels were not predictive of manipulation performance. A second study, testing 75 4- to 6-year-olds and a third study, testing 30 3- to 4-year-olds, revealed that when young children were specifically asked to manipulate rigid sub-procedures on a familiar topic they were indeed able to do so. Finally, a fourth study (testing 40 5-year-olds and 40 8-year-olds) removed the notational trace in drawing (a possible aid for procedural interruption) but this still produced no evidence of a relation between procedural rigidity and representational change. We suggest how the concept of procedural rigidity might be re-interpreted for the drawing domain so that the RR model can remain as a domain-general theory of cognitive development. We also suggest the development of information processing may be crucial for flexibility in drawing.     

Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis

A review of 2,647 studies of posttraumatic stress disorder (PTSD) yielded 476 potential candidates for a meta-analysis of predictors of PTSD or of its symptoms. From these, 68 studies met criteria for inclusion in a meta-analysis of 7 predictors: (a) prior trauma, (b) prior psychological adjustment, (c) family history of psychopathology, (d) perceived life threat during the trauma, (e) posttrauma social support, (f) peritraumatic emotional responses, and (g) peritraumatic dissociation. All yielded significant effect sizes, with family history, prior trauma, and prior adjustment the smallest (weighted r = .17) and peritraumatic dissociation the largest (weighted r = .35). The results suggest that peritraumatic psychological processes, not prior characteristics, are the strongest predictors of PTSD.     

Making causal judgments from the proportion of confirming instances: the pCI rule

It is proposed that causal judgments about contingency information are derived from the proportion of confirmatory instances (pCI) that are evaluated as confirmatory for the causal candidate. In 6 experiments, pCI values were manipulated independently of objective contingencies assessed by the deltaP rule. Significant effects of the pCI manipulations were found in all cases, but causal judgments did not vary significantly with objective contingencies when pCI was held constant. The experiments used a variety of stimulus presentation procedures and different dependent measures. The power PC theory, a weighted version of the deltaP rule, the Rescorla-Wagner associative learning model (R. A. Rescorla & A. R Wagner, 1972), and the deltaD rule, which is the frequency-based version of the pCI rule, were unable to account for the significant effects of the pCI manipulations. These results are consistent with a general explanatory approach to causal judgment involving the evaluation of evidence and updating of beliefs with regard to causal hypotheses.     

Examining the construct validity of the Eating Disorder Inventory

The construct validity of the Eating Disorder Inventory (EDI) was examined in 3 samples. An archival clinic sample (n = 318) of women completed the EDI, a structured interview, and the Millon Clinical Multiaxial Inventory-II (MCMI-II). Confirmatory factor analyses (CFAs) indicated that neither null nor 1-factor models of the EDI fit item-level or item-parcel data. The proposed 8-factor model did not fit at the item level but did fit item-parcel data. Reliability estimates of the 8 scales ranged from .82 to .93, and low-to-moderate interscale correlations among the eating and weight-related scales provided partial support for convergent validity. EDI personality scales showed moderate interscale correlations and were associated with MCMI-II scales. A final CFA of the EDI scales supported a 2-factor model (Eating and Weight, Personality) of the 8 EDI scales. Strong associations between depression and several EDI scale scores were found in a treatment study sample (n = 50). The archival clinic sample scored significantly higher on the 8 EDI scales than the nonpatient college comparison sample (n = 487).     

The adaptive user: an investigation into the cognitive and task constraints on the generation of new methods

When people use a computer application, they have the opportunity to adapt the methods or strategies that they deploy to better fit the demands of the task. In Experiment 1, we demonstrated that the generation of methods is limited by, but not entirely prevented by, the reduced opportunity that is associated with the iterative nature of typical computer-based tasks. In Experiment 2, we demonstrated that the cognitive demands associated with task-related problem solving delay, but do not prevent, the generation of more efficient device strategies. We argue that people are rather good at adapting device strategies to task demands and that previously reported arguments to the contrary are premature.     

Instructions for Authors

Instructions for Authors

Instructions for Authors