Causal attributions for heart disease: A systematic review

Abstract

The aims of this systematic literature review are to describe the pattern of attributions made for the causes of heart disease, and to determine how this pattern varies with the method by which attributions are elicited, and the respondent group.

A search yielded 47 papers and reports, containing 54 datasets. Lifestyle factors and chronic stress were the most common causes cited across all datasets. Attributions to stressors and fate or luck were more likely to be reported in studies that used interval rating scales than in studies that used dichotomous ratings. Cardiac patients were more likely to mention stressors and fate or luck as causes of heart disease; non-patients rated being overweight and hypertensive as more important

The differences observed between the responses of patients and non-patients may be due to actor - observer differences, or to a methodological difference: patients are often asked to report their own experiences whereas non-patients are asked about the general case.     

Aptitude and Trait Predictors of Manned and Unmanned Aircraft Pilot Job Performance

Sixty-seven United States Navy maintainers (55 men and 12 women) representing both the aviation and surface communities participated in an experiment examining the efficacy of a simulation to assist technicians in rapidly understanding a system's state. Participants were assigned to one of three groups based on the technicians' experience and one of two experimental conditions: simulation (SIM) or technical manual (TM). The experimental task consisted of a series of eight questions regarding the condition of the S-3 aircraft's nose wheel steering (NWS) system given a set of initial aircraft conditions. To aid in performance of the experimental task, participants assigned to the TM condition were given a paper copy of the S-3 aircraft's organizational maintenance manual for the NWS system, and participants assigned to the SIM condition were given a laptop computer running a computer-based interactive model of the S-3 NWS system. Results showed that regardless of level of expertise, participants assigned to the SIM condition answered questions significantly faster than participants assigned to the TM condition. Further, technicians experienced in nonaviation maintenance assigned to the SIM condition answered questions significantly more accurately than experienced nonaviation technicians assigned to the TM condition.     

Cognitive factors in the explanation of the mismatch between confidence and competence in performing basic life support

Abstract

The main approach to rectifying the well documented poor basic life support (BLS) skills of doctors and nurses, based on a Skills Model, has met with only partial success. This study compares the utility of a Skills Model with one that incorporates a cognitive component in predicting BLS skills. Outcome-expectancy, self-efficacy, training and experience of BLS, and BLS ability were assessed in 53 trained nurses. Ability was unrelated to training or experience of BLS. Nurses who scored highest on the BLS skills assessment perceived the procedure as significantly more successful than those with lower scores. Self-efficacy was unrelated to ability, but was related to status: senior nurses were significantly more confident but no more competent in performing BLS than junior nurses. Nurses who had attended more arrests, while more confident, were no more competent than those who had attended fewer. Assessment of BLS skills reduced self-efficacy beliefs. A model for predicting the relationship between self-assessed ability and objectively assessed skill is outlined.     

The work–family interface among school psychologists and related school personnel: a test of role conflict and expansionist theories

The purpose was to test of the utility of role conflict and expansionist theories in explaining the work–family interface using psychometrically sound instruments. Participants (n = 74) responded to measures of work–family conflict, work‐related stress, and role quality. In support of the expansionist theory, results indicated that the quality of the life roles was a better predictor of both work–family conflict and work‐related stress than was the number of life roles. For both, results indicated that as quality of the work role increased, work–family conflict and work‐related stress decreased. The implications for the research on the work–family life interface and attracting and retaining the most qualified school psychologists are discussed.     

Personality Differences between Responsible and Less Responsible Children

Social maladjustment has been related to an external locus of control orientation. It was hypothesized, therefore, that delinquent females would be more external than a control sample. Further, since alienation from others is also associated with maladjustment, it was expected that the delinquents would also prefer greater distance from others. These hypotheses were confirmed with discussion being in terms of implication for rehabilitation of delinquents.     

Subjective Social Status and Well-Being: The Role of Referent Abstraction

Subjective social status (SSS) has been shown to predict well-being and mental health, above and beyond objective social status (OSS). However, little is known about the factors that moderate this relationship. Two studies explored whether the link between SSS and well-being varied depending upon the referent used for comparison in SSS judgments. Participants judged their well-being and SSS in comparison to referents that varied in abstraction. A confirmatory factor analysis on SSS judgments yielded two factors: (a) SSS perceptions toward global referents and (b) SSS perceptions toward local referents. SSS relative to a global referent was a better predictor of depression (Studies 1 and 2), life satisfaction (Studies 1 and 2), and self-esteem (Study 2) than SSS relative to a local referent. These findings have theoretical implications for understanding how people differentiate between local vs. global referents and practical implications for status-related health disparities.     

Do the Effects of Adolescent Employment Differ by Employment Intensity and Neighborhood Context?

Research on the effects of adolescent employment on primarily middle‐class youth suggests that intense employment, working more than 15 or 20 hours during the school year, is associated with increased participation in risky behavior. Despite these findings, scholars who focus on the development of youth living in low‐income urban areas often hypothesize that adolescent employment will have beneficial effects on this population. There is some evidence that adolescent employment is associated with increased educational achievement and adult employment for low‐income urban youth. The impact of adolescent employment on future engagement in risky behavior across levels of neighborhood deprivation and employment intensity was investigated on a sample of 1,057 adolescents from the Project on Human Development in Chicago Neighborhoods, a longitudinal study of neighborhood effects on development. After controlling for individual characteristics, intense employment during adolescence did predict increased use of cigarettes and alcohol and having a greater number of sexual partners 2 years after employment was measured. There were no significant interactions between neighborhood SES and adolescent employment status on involvement in risky behavior. These findings suggest that intense adolescent employment is associated with detrimental developmental outcomes for youth regardless neighborhood context.