Life satisfaction and health related quality of life among low-income medical patients: The mediating influence of self-esteem

This study investigated the relationship between life satisfaction, self-esteem, and perceived health for an ethnically diverse, low SES sample of primary care patients. Results indicated that several specific domains of health-related quality of life (HRQL), including health perception, social functioning, mental health, and energy/fatigue, significantly predicted life satisfaction in this sample of 60 patients. Self-esteem mediated this relationship, partially with health perception and fully with the remaining three domains. The results of this study underscore the importance of healthcare interventions that consider the bidirectional relationship between physical and emotional well-being.     

Parent and Teen Perceptions Regarding Parental Efforts at Controlling Teen Drunk Driving1

This research examined the potential utility of a parental control technique to prevent adolescent drunk driving by identifying parent and teen sources of resistance to an ignition interlock system. The research also examined the theoretical issue of parental control over adolescents by identifying factors parents consider when deciding to use a control technique. Parent and teen receptivity to the interlock was examined in relation to teen drunk driving. General parental control orientations (controlling vs. permissive) were examined in relation to the factors that influence parental decisions to implement such a control technique. Factors related to sources of reluctance to use the device were also examined. The findings revealed that parents were generally ambivalent toward the interlock. In contrast, teens responses varied, with approximately 20% of the sample reporting favorable attitudes toward having an interlock installed in the their cars. In addition, both parents and teens expressed concern about how the interlock would affect their relationship with each other. Finally, controlling parents tended to place less emphasis on the perceived effectiveness of the control technique when forming their attitudes toward its implementation compared to permissive parents. The findings are discussed in the context of prevention efforts for adolescent drunk driving.     

Evidence for cortical dysfunction in spasmodic dysphonia: regional cerebral blood flow and quantitative electrophysiology

Cortical function was evaluated in 26 subjects with spasmodic dysphonia. Quantitative topographic electrophysiologic mapping (QTE) was employed to provide quantitative analyses of EEG spectra and auditory and visual long-latency evoked potentials. Single-photon emission computed tomography (SPECT) of the cerebral transit of Xenon-133 was used to evaluate regional cerebral blood flow. Left hemispheric abnormalities in cortical function were found by both techniques in 10 subjects and by at least one technique in 18 subjects. Right hemispheric abnormalities were observed by both techniques in 8 subjects and by at least one technique in 18 subjects. Most patients with cortical dysfunction in one hemisphere had cortical dysfunction in the other, while only 4 subjects had unilateral lesions as found by one of the two techniques. Eight subjects were normal by all measurements. Underlying structural abnormalities were detected by magnetic resonance imaging in 5/24 subjects. However, functional abnormalities (SPECT or QTE) were not observed at sites of structural abnormalities. SPECT and QTE were significantly related in identification of left hemispheric dysfunction (p = .037) with a trend in the right hemisphere (p = .070), and a significant congruence of SPECT and QTE findings occurred in the left anterior cortical quadrant (p = .011). These findings indicate that dysfunction of cortical perfusion and/or cortical electrophysiology is associated with spasmodic dysphonia in the majority of subjects studied.     

We Infer Rather Than Perceive the Moment We Decided to Act

ABSTRACT— A seminal experiment found that the reported time of a decision to perform a simple action was at least 300 ms after the onset of brain activity that normally preceded the action. In Experiment 1, we presented deceptive feedback (an auditory beep) 5 to 60 ms after the action to signify a movement time later than the actual movement. The reported time of decision moved forward in time linearly with the delay in feedback, and came after the muscular initiation of the response at all but the 5-ms delay. In Experiment 2, participants viewed their hand with and without a 120-ms video delay, and gave a time of decision 44 ms later with than without the delay. We conclude that participants' report of their decision time is largely inferred from the apparent time of response. The perception of a hypothetical brain event prior to the response could have, at most, a small influence.     

Looking for meaning: Eye movements are sensitive to overlapping semantic features, not association

Theories of semantic memory differ in the extent to which relationships among concepts are captured via associative or via semantic relatedness. We examined the contributions of these two factors, using a visual world paradigm in which participants selected the named object from a four-picture display. We controlled for semantic relatedness while manipulating associative strength by using the visual world paradigm’s analogue to presenting asymmetrically associated pairs in either their forward or backward associative direction (e.g., ham—eggs vs. eggs—ham). Semantically related objects were preferentially fixated regardless of the direction of presentation (and the effect size was unchanged by presentation direction). However, when pairs were associated but not semantically related (e.g., iceberg—lettuce), associated objects were not preferentially fixated in either direction. These findings lend support to theories in which semantic memory is organized according to semantic relatedness (e.g., distributed models) and suggest that association by itself has little effect on this organization.     

Young children use their hands to tell their mothers what to say

Children produce their first gestures before their first words, and their first gesture+word sentences before their first word+word sentences. These gestural accomplishments have been found not only to predate linguistic milestones, but also to predict them. Findings of this sort suggest that gesture itself might be playing a role in the language‐learning process. But what role does it play? Children's gestures could elicit from their mothers the kinds of words and sentences that the children need to hear in order to take their next linguistic step. We examined maternal responses to the gestures and speech that 10 children produced during the one‐word period. We found that all 10 mothers ‘translated’ their children's gestures into words, providing timely models for how one‐ and two‐word ideas can be expressed in English. Gesture thus offers a mechanism by which children can point out their thoughts to mothers, who then calibrate their speech to those thoughts, and potentially facilitate language‐learning.     

Neuropsychology,genetic liability,and psychotic symptoms in those at high risk of schizophrenia

Neuropsychological assessments were compared among individuals at enhanced genetic risk of schizophrenia (n = 157) and controls (n = 34). The relationship between cognitive impairments and the presence of psychotic symptoms and measures of genetic risk was explored in the high-risk subjects. Neuropsychological differences were identified in many areas of function and were not accounted for by the presence of psychotic symptoms. Genetic liability was not associated with neuropsychological performance or with psychotic symptoms, but exploratory analysis showed some tests were associated with both liability measures. These results suggest that what is inherited is not the disorder itself but a state of vulnerability manifested by neuropsychological impairment, occurring in many more individuals than are predicted to develop the disorder.     

Effects of emotion on oxytocin,prolactin, and ACTH in women

Research on both non-human mammals and humans has raised interest in the role that oxytocin may play in human attachment and attachment-related emotions. This study examined changes in plasma oxytocin, prolactin, and ACTH concentrations in response to laboratory-induced positive and negative emotions related to close, interpersonal relationships. Participants were 32 female volunteers recruited from university communities. During positive emotion induction, oxytocin decreased over time (F(1,3) = 4.41, p < 0.007), prolactin increased (F(1,3) = 4.80, p < 0.004) and ACTH remained constant. During negative emotion induction, prolactin levels increased (F(1,3) = 2.81, p < 0.05), ACTH decreased only after the induction terminated (F(1,3) = 4.02, p < 0.01) and oxytocin remained constant. While oxytocin decreased during positive emotion, this finding contrasted previous research that showed decreases in response to negative emotion. In conclusion, plasma oxytocin levels were not reliably altered by positive or negative emotion induction. While prolactin and ACTH were expected to decrease over time due to diurnal variation, they instead either increased or remained level during emotion induction, or decreased only after the induction. Overall, the degree of change in circulating hormones in response to happy and sad emotions was very small and possibly not functionally significant.