Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong Kong: a latent class approach

OBJECTIVE: To examine trajectories of psychological functioning using latent class analysis on a sample of hospitalized survivors of the 2003 severe acute respiratory syndrome (SARS) epidemic in Hong Kong. DESIGN: A longitudinal study of 997 survivors, recruited from among 1,331 individuals hospitalized for SARS, were interviewed at 6, 12, and 18 months after hospitalization. MAIN OUTCOME MEASURES: Psychological and physical functioning at each time point was measured using the 12-item Medical Outcome Study Short-Form Health Survey (SF-12). RESULTS: Four latent classes were identified--chronic dysfunction, delayed dysfunction, recovery, and resilience. All groups had better physical health than the chronic group. Resilient and recovered individuals had greater social support and less SARS-related worry, and resilient individuals were more likely to be male. The resilient group also had greater social support than the delayed group and better physical functioning than the recovered group. CONCLUSION: This study demonstrated that longitudinal outcome trajectories following a major health-threat event in an Asian sample bear close resemblance to prototypical trajectories observed in trauma studies using Western samples. Unique predictors of the trajectories included factors observed in previous studies, such as social support, as well as factors of particular relevance to a major disease outbreak, such as SARS-related worry.     

Using cognitive learning theory to design effective on-line statistics tutorials

Careful attention to principles of learning can improve the design of Web-based lessons and tutorials. Tutorials from the Web Interface for Statistics Education (WISE; http://wise.cgu.edu) demonstrate how specific principles can be integrated into Web design to enhance learning in two areas. First, the impact of students’ poor self-regulation abilities on Web-based learning is considered. Second, evidence that specific types of visual presentations improve learning is discussed. Finally, the need for empirical evaluation is emphasized. Specific research and examples from the WISE project are used to illustrate each of these points.     

A Cross-Sectional and Longitudinal Test of the Low Sensitivity to Threat and Affiliative Reward (STAR) Model of Callous-Unemotional Traits Among Spanish Preschoolers

Research on Child and Adolescent Psychopathology - Despite advances in the theoretical and empirical literature, a better understanding of the etiological determinants of callous-unemotional (CU)...     

Job Conditions and Wellness/Health Outcomes in Dutch Secondary School Teachers

The aim of the present study is to compare the work situation of Dutch secondary school teachers to job conditions of European teachers and to test the Job Demand-Control-Social Support model (JDCS model, Karasek and Theorell, <citeref rid="bib24">1990</citeref>) on burnout, job satisfaction and somatic symptoms. The Dutch data (N = 304) were gathered in seven secondary schools from across the country. The remaining European group consisted of 1878 upper secondary school teachers originating from 10 countries. Additive and interactive effects in the JDCS model could be identified for emotional exhaustion only. Furthermore, a curvilinear (U-shaped) relationship was found between control and emotional exhaustion. In addition to the JDCS model, the contribution of coping in the explanation of the outcomes was tested. Attempts have been made to deal with criticisms, which are frequently leveled at the implementation of the JDCS model. Dutch teachers do not differ on job conditions from the European sample except for two working conditions where the Dutch indicate less physical exertion and environmental risks than the European reference sample. The Dutch report lower levels of coping than the reference group, they are more depersonalised and are less satisfied than teachers of the European reference group. On the other hand, the Dutch teachers had fewer somatic complaints and reported higher levels of personal accomplishment than their European colleagues.     

Which modality is best for presenting navigation instructions?

Three experiments involved college students receiving and following instructions of various lengths for navigating in a three-dimensional space displayed on a computer screen. The purpose was to evaluate which is the best modality for presenting navigation instructions so that they can be executed successfully. Single modalities (read, hear, and see) were considered along with dual modalities presented simultaneously or successively. It was found that when there were differences between single modalities, generally execution accuracy was best for see and worst for read. Information presented in two modalities did not yield better accuracy than information presented twice in a single modality. Also, the ordering of modalities depended on the extent of practice. Thus, presentation modality does not have a consistently large effect on receiving and following navigation instructions. Repetition and the amount of practice are much more important variables than is presentation modality in determining how well navigation instructions are followed.     

Young children show a dissociation in looking and pointing behavior in falling events

Studies of social cognitive reasoning have demonstrated instances of children engaging in eye gaze patterns toward correct answers even when pointing or verbal responses are directed toward incorrect answers. Findings such as these have spawned seminal theories, yet no consensus has been reached regarding the characteristics of the knowledge guiding these responses. We tested 2-year-olds’ eye gaze and pointing behavior in an occluded falling event to examine these behaviors within the domain of physical reasoning. In the simplest variant of the task, all children showed correct gaze to the final location of a ball dropped down a curved tube, but only a subset of these children pointed to the correct location. (Others pointed reliably to a location directly below the release point.) With two tubes, all children directed the majority of looking and pointing responses to this erroneous location. The findings are considered in relation to existing models of representational change.