Anxiety induced by cardiac perceptions in patients with panic attacks: a field study

In panic disorder bodily sensations appear to play an important role as a trigger for anxiety. In our psychophysiological model of panic attacks we postulate the following vicious circle: individuals with panic attacks perceive even quite small increases in heart rate and interpret these changes as being catastrophic. This elicits anxiety and a further increase in heart rate. To evaluate this model we conducted a field study of 28 subjects with panic attacks and 20 healthy controls. A 24 hr ambulatory ECG was recorded and the subjects were instructed to report any cardiac perceptions during this period and to rate the anxiety elicited by these perceptions. The incidence of cardiac perceptions was about the same in both groups, but only subjects with panic attacks reported anxiety associated with such perceptions. Analysis of the ECGs revealed that in both groups heart rate accelerations preceded cardiac perceptions. Following cardiac perceptions, the healthy controls showed a heart rate deceleration, whereas the subjects with panic attacks had a further acceleration. This heart rate increase after cardiac perceptions was positively related to the level of anxiety elicited by the perceptions. These results provide clear evidence in support of the vicious circle model of panic attacks.     

A Test of the Consensus and Distinctiveness Attribution Principles in Victims of Disaster1

The present research was designed to test the hypothesis that perceptions of consensus about the collective experience of psychological problems, as well as the distinctive presence of a community disaster, would affect attributions of externality about such problems. Specifically, it was hypothesized that (1) higher levels of consensus would be associated with greater external attributions of causality, (2) attributions would be more external if the problem began after the disaster (high distinctiveness) than before the disaster, and (3) the occurrence of the disaster would magnify the positive relationship between high consensus and external causality attributions, because of the presence of a distinctive and salient external event. These hypotheses were tested with victims of a flash flood. Results supported the interaction prediction (Hypothesis 3) for the problem of depression, but not for anxiety. In addition, for depression and anxiety, greater consensus was indirectly associated with greater externality, regardless of distinctiveness (Hypothesis 1). However, for somatization, none of the hypotheses were supported. The results are discussed in terms of the applied implications for postdisaster intervention programs to reduce psychopathology.     

The Measurement of Self-Esteem, Stress-Related Life Events, and Locus of Control Among Unemployed and Employed Blue-Collar Workers

The purpose of this study was to measure the self-esteem, stress of life events, and locus of control among unemployed and employed blue-collar workers. It was hypothesized that (a) being unemployed decreases an individual's self-esteem, (b) being unemployed increases an individual's stress level by experiencing significant life changes, and (c) being unemployed increases an individual's external locus of control orientation. The study was conducted in a production/manufacturing organization, utilizing a systematic random sampling procedure that yielded 562 subjects. The results from the collected data did not support Hypothesis A or C. A significant change with stress in conjunction with life events was found but was mediated by several factors, including age and a nonsignificant correlation between time laid-off and stress levels. The study suggests that an individual's reaction to unemployment does not appreciably affect their self-esteem and locus of control when compared to the employed.     

FUNCTIONAL COMMUNICATION TRAINING TO REDUCE CHALLENGING BEHAVIOR: MAINTENANCE AND APPLICATION IN NEW SETTINGS

We evaluated the initial effectiveness, maintenance, and transferability of the results of functional communication training as an intervention for the challenging behaviors exhibited by 3 students. Assessment indicated that escape from academic demands was involved in the maintenance of the challenging behaviors. Social attention was also implicated as controlling the behavior of 1 student. The intervention involved teaching alternative assistance-seeking and attention-getting phrases to the students in an effort to replace challenging behavior with these verbal equivalents. Multiple baseline data collected across the 3 students indicated that not only did the intervention substantially reduce challenging behavior but also that these results transferred across new tasks, environments, and teachers, and were generally maintained from 18 to 24 months following the introduction of functional communication training. These results are discussed in light of recent efforts to develop effective interventions for severe challenging behavior and to understand the processes underlying transfer and maintenance of intervention effects.     

Father-child relationships from the preschool years through mid-adolescence

In this study, we examined variations in fathering and father-child relationships from the children's preschool years through mid-adolescence. One hundred seventy-seven fathers with first-born children ages 4, 8, 12, and 16 years responded to five sets of questionnaires tapping four domains of childrearing: practices, attitudes, parental role involvement, and role satisfaction. A multivariate analysis of variance identified significant variability among the four age groups in fathers' use of acceptance in childrearing practices, role involvement (frequency and task sharing), satisfaction with paternal role performance, and attitudes about the modifiability of child behavior. The results contribute new information about the nature of fathering throughout the childhood years and adolescence and provide additional support for the view of parenting as dynamic and responsive to the developmental level and gender-related characteristics of the child.     

Activity of wrist muscles elicited during imposed or voluntary movements about the elbow joint

To examine the coordination of muscles during multijoint movement, we compared the response of wrist muscles to perturbations about the elbow joint with their activation during a volitional elbow movement. The purpose was to test the following two predictions: (a) Responses can occur in muscles not stretched by the perturbation, as has been reported for other multijoint systems; and (b) the motor pattern in response to a perturbation mimics an opposing volitional motor pattern across the two joints. We recorded the electromyographic (EMG) activity of elbow and wrist muscles as well as the flexion/extension motions at the elbow and wrist joints during individual trials that either involved a response to a torque perturbation that extended the elbow or required volitional elbow flexion. The results of this study confirmed that responses were elicited in the nonstretched wrist muscles when the elbow joint was perturbed. The same motor sequence of elbow and wrist flexors was present for both the volitional and perturbation task (with the forearm supinated), regardless of whether the wrist joint was immobilized or freely moving. The findings suggest that the nervous system relies on the purposeful coupling of elbow and wrist flexors to counter the inertial effects during the unrestricted voluntary movement, even though the coupling does not appear to be purposeful during the perturbation or with the wrist immobilized. The coupling of elbow and wrist flexors, however, was not rigidly fixed, as evidenced by muscle onsets that adapted over repeated perturbation trials and a reversal of the wrist muscle activated (wrist extensor) when the forearm was pronated. Hence, the coupling of muscle activities can be modified quantitatively when not beneficial and can be altered qualitatively with different initial configurations of the arm.     

Predicting the Everyday Life Events of Older Adults

Predicting the everyday life events of people is a relatively unexplored topic, although several major theoretical approaches deal with related issues. The dispositional approach would assign a causal role to personality, while the situational approach would locate causation in the person's environment. Variations on these two extreme themes invoke an interactionist interpretation. Beyond this, a genuinely transactional approach focuses on the enduring person-environment relationship established as people deal with major and everyday life events. This study investigated a wide range of predictors of daily positive, negative, and ill-health events over time in a sample of 206 older adults. Results showed that personality variables played only a minor role in predicting daily events, although an interaction between extraversion and social network size was significant. Background demographic variables and the major stressors of recent conjugal bereavement and physical disability played a role in daily event occurrences. Overall, the strongest degree of predictability of events came from the events themselves: The high degree of event stability over time indicated the value of a genuinely transactional model in understanding the occurrence of everyday events.     

Hopelessness in community-residing aged persons: a viable construct?

Previous work with the Geriatric Hopelessness Scale (GHS; Fry, 1984, 1986) suggests that it may be a useful measure of pessimism for a variety of domains among elderly persons. One hundred seven community-residing aged persons were individually administered the GHS and a variety of personality and cognitive functioning measures in an effort to further refine and validate the GHS. Results suggest very modest internal consistency and a poorly defined factor structure for the GHS, in contrast to earlier findings. Although the GHS failed to differentiate elderly persons by age, it was nonetheless related to self-esteem, depression, self-rated health, internality, morale, and life satisfaction. Taken together, these data indicate that the research and clinical utility of the GHS with community-residing aged persons may be more limited than previously believed.