Examining Factors Associated with Primary Care and Continuity of Care Among Adults with Severe Mental Illness

A number of studies have consistently reported that there is a greater prevalence of mental illness among the most socioeconomically disadvantaged. At the same time, there is evidence that services are not optimally accessed by the most socioeconomically disadvantaged; the most in need of care are also the most likely to have unmet healthcare needs. Of people with mental illnesses, those with severe mental illnesses (SMI) are the most at risk of poverty and the least likely to have optimal care. In the past, specialized community mental health services have been identified as the primary provider for people with SMI. However, there is growing interest in using the primary care setting as the main source of mental health care where both medical treatment and psychotherapy can be accessed. In this paper, we examine factors related to primary care use (and in turn, pharmacologic and psychotherapies) for people who are socioeconomically disadvantaged and who have a SMI.     

Compensatory nonconformity: Self-uncertainty and low implicit self-esteem increase adoption and expression of minority opinions

The present studies tested whether people, particularly those who are most vulnerable to self-threats as indicated by low implicit self-esteem, adopt and express minority opinions to compensate for self-uncertainty. In Studies 1 through 3, low implicit self-esteem participants who were made to feel uncertain about themselves as individuals (versus uncertain about a self-irrelevant issue in Study 1, certain about themselves in Study 2, or uncertain about their group memberships in Study 3) expressed more disagreement with others' opinions. Additionally, Study 3 demonstrated that this effect is specific to minority opinions and does not emerge on majority opinions. In Study 4, the relation between self-uncertainty and disagreement with others' opinions was strongest among participants with both low implicit and high explicit self-esteem, who respond to self-threats in particularly defensive ways.     

Predicting feelings of cognitive competence in head start preschoolers

Little is known about what predicts the budding sense of self-competence in preschoolers. This is particularly true of cognitive competence, which may have implications for later schooling. Based on previous research with older children, it was expected that feelings of self-competence would be influenced by attitudes of significant others as well as intrapersonal dispositions. Forty-five Head Start preschoolers (M age = 4.36 years) served as participants. As expected, high effortful control and language competence, as well as teachers' ratings of competence, predicted positive feelings about cognitive competence in children. Further analysis revealed that the teachers' ratings were predicted by maternal education and language competence. The findings suggest that the development of cognitive self-concept in preschoolers is predicted by contextual and constitutional factors.     

Overperceiving disease cues: the basic cognition of the behavioral immune system

The behavioral immune system is designed to promote the detection and avoidance of potential sources of disease. Whereas previous studies of the behavioral immune system have provided insight into the types of heuristic cues used to identify disease carriers, the present research provides an understanding of the basic psychological processes involved in the detection of those cues. Across 4 studies, feeling vulnerable to disease, whether that feeling stemmed from dispositional tendencies or situational primes, facilitated a disease overperception bias--a tendency to overperceive people in the environment displaying heuristic disease cues. This disease overperception bias was observed in the outcomes of 2 cognitive processes: categorization and memory. When concerned about disease, participants set a lenient threshold for categorizing targets as displaying heuristic disease cues (e.g., obesity, old age). Additionally, concerns about disease led participants to set a lenient threshold for reporting on a recognition task that they had previously seen individuals displaying those disease cues. The present research provides insight into the basic cognitive mechanisms underlying the operation of the behavioral immune system.     

A five-factor measure of dependent personality traits

This study provides convergent, discriminant, and incremental validity data for a new measure of dependent personality traits from the perspective of the five-factor model (FFM). Dependent personality trait scales were constructed as maladaptive variants of FFM facets (e.g., Gullibility as a maladaptive variant of FFM trust). Based on responses from 383 undergraduates, the convergent validity of the Five-Factor Dependency Inventory (FFDI) scales was tested with respect to 2 measures of the FFM, 6 dependency trait scales, and 4 measures of dependent personality disorder. Discriminant validity was tested with respect to FFM facets from alternative domains. Incremental validity was tested with respect to the ability of the FFM dependent personality trait scales to account for variance in 2 established measures of dependency, after variance accounted for by respective FFM facet scales and other measures of DPD was first removed. The results of this study provided support for the validity of the FFDI assessment of dependency from the perspective of the FFM.     

Measures to assess maladaptive variants of the five-factor model

The five-factor model (FFM) is the predominant dimensional model of general personality structure. A considerable body of research supports the hypothesis that personality disorders can be conceptualized as extreme or maladaptive variants of the domains and facets of the FFM. However, existing measures of the FFM are confined largely to the normal variants. The purpose of this special section of the Journal of Personality Assessment is to provide the development and initial validation of self-report inventory scales to assess obsessive-compulsive, borderline, narcissistic, avoidant, and dependent personality traits from the perspective of the FFM, which complement the similarly constructed existing measures for psychopathic, histrionic, and schizotypal personality traits.     

Contraction intensity and velocity on vastus lateralis SEMG power spectrum and amplitude

Effect of contraction intensity [100%, 75%, 50%, and 25% maximum voluntary contraction (MVC)] and movement velocity [0 degrees (isometric)], 50 degrees, 100 degrees, 200 degrees, and 400 degrees/sec. [isovelocities]) on root mean square amplitude (SEMG-RMS) and median frequency power spectrum (SEMG-MNF) of vastus lateralis (VL) surface electromyography was investigated with ten healthy female university students. Peak torque (PT), mean torque (MT), SEMG-MNF, and SEMG-RMS, analyzed using separate repeated-measures analyses of variance (p < or = .05), indicated: (1) an inverse relation between PT and MT and movement velocity, (2) greater SEMG-MNF values during all isovelocity conditions compared with isometric conditions, with highest values occurring at 50 degrees /sec. and at 100% and 75% MVC, and (3) at all contraction intensities SEMG-RMS values were higher during dynamic movements than isometric movements and highest at 200 degrees /sec. Isovelocity contractions were inferred to facilitate a greater recruitment of fast-twitch fibers (via increased SEMG-MNF), which was intensified at 50 degrees /sec., whereas greater overall muscle activation was found at 200 degrees /sec.     

The role of contextual associations in producing the partial reinforcement acquisition deficit

Three conditioned suppression experiments with rats as subjects assessed the contributions of the conditioned stimulus (CS)-context and context-unconditioned stimulus (US) associations to the degraded stimulus control by the CS that is observed following partial reinforcement relative to continuous reinforcement training. In Experiment 1, posttraining associative deflation (i.e., extinction) of the training context after partial reinforcement restored responding to a level comparable to the one produced by continuous reinforcement. In Experiment 2, posttraining associative inflation of the context (achieved by administering unsignaled outcome presentations in the context) enhanced the detrimental effect of partial reinforcement. Experiment 3 found that the training context must be an effective competitor to produce the partial reinforcement acquisition deficit. When the context was down-modulated, the target regained behavioral control thereby demonstrating higher-order retrospective revaluation. The results are discussed in terms of retrospective revaluation, and are used to contrast the predictions of a performance-focused model with those of an acquisition-focused model.     

Compliance,opposition, and behavior problems in toddlers born preterm or low birthweight

Although children born preterm or low birth weight (PT LBW) are more likely to exhibit behavior problems compared to children born at term, developmental and family processes associated with these problems are unclear. We examined trajectories of maternal depressive symptoms in relation to toddler compliance and behavior problems in families with PT LBW infants. A total of 177 infants (93 boys, 84 girls) and their mothers enrolled in the study during the infant's NICU stay. Data were collected at five time points across 2 years. Assessments of maternal depressive symptoms were conducted at all time points, and toddler compliance and opposition to maternal requests and behavior problems were assessed at 2 years. Toddlers born earlier with more health problems to mothers whose depressive symptoms increased over time exhibited the most opposition to maternal requests during a cleanup task at 24 months, consistent with multiple risk models. Mothers with elevated depression symptoms reported more behavior problems in their toddlers. The study has implications for family‐based early intervention programs seeking to identify PT LBW infants at highest risk for problem behaviors.     

Individuation experience predicts other-race effects in holistic processing for both Caucasian and Black participants

Same-race (SR) faces are recognized better than other-race (OR) faces, and this other-race effect (ORE) is correlated with experience. SR faces are also processed more holistically than OR faces, suggesting one possible mechanism for poorer performance on OR faces. Studies of object expertise have shown that individuating experiences are necessary for holistic processing to develop; yet thus far no studies have investigated the role of quality of experience and the ORE for holistic processing. In the present study, we found a strong negative correlation between a self-report of individuating experience and the ORE in holistic processing in both Caucasian and Black participants, indicating that the more individuating experience a person has, the less ORE in holistic processing. This confirms the critical role of individuating experience in development of holistic processing for faces and suggests that quality of experience is a key determinant of the manner in which OR faces are processed.