Relationship of severity of dementia to caregiving stressors

In studies of individual differences and longitudinal changes in stress and coping among dementia caregivers, assessing severity of patient impairment is critically important. It is proposed that with the progression of dementia, cognitive impairment may steadily increase, but other stressful behavioral symptoms peak at various stages of dementia. Cross-sectional data from 49 caregiving families and longitudinal follow-up data from 48 families suggest that instrumental self-care deficits begin early in dementia, and basic self-care deficits increase with dementia severity, but that many distressing behavioral symptoms decrease in late dementia. Assessments of dementia patient severity should be multidimensional, and increases and decreases in various dementia patient stressors over time should be considered as factors influencing caregiver coping.     

A perceived control intervention for at-risk older adults

Models of event causation and affective processes were used to design an experimental intervention for older adults. Ss were 2 at-risk populations, recently disabled and recently bereaved, each with matched nonrisk controls. Ss were randomly assigned to a placebo-contact group, a no-contact control group, or a 4-session, 10-week intervention focused on enhancing perceived control. Dependent variables assessed were personal mastery, psychological well-being and distress, positive and negative affect, and measures of daily events and activities. The intervention was nested within a 16-month longitudinal assessment of stress and adaptation processes in a large sample of community residents. The intervention had mixed effects on reports of personal mastery, but it significantly increased engagement in desirable activities and significantly decreased psychological distress and negative affect. Effects tended to be short-lived, however. Effects of the intervention tended to be particularly significant for the disabled group.     

Frontal lobe dysfunction and memory impairment in patients with chronic progressive multiple sclerosis

Deficits in semantic encoding have been described in patients with frontal lobe disease who also show memory impairments. As a group, patients with multiple sclerosis (MS) exhibit memory impairment, fail to make effective use of semantic encoding to aid memory, and perform poorly on verbal fluency and concept formation tests which are sensitive to frontal lobe damage. In the present study the semantic encoding capacity of MS patients was measured using a modification of Wicken's release from proactive interference (PI) paradigm. Individual patients varied considerably in the severity of their impairments on verbal fluency, verbal recognition memory and on Wisconsin Card Sorting Task, but even patients who evidenced both memory impairment and signs of frontal lobe dysfunction showed normal release from PI after a categorical shift. Memory disturbances in MS are unlikely to result from an incapacity for semantic encoding, which seems preserved in MS, but may arise instead from deficits in processing information rapidly.     

Central-place foraging by Rattus norvegicus on a radial maze

We studied central-place foraging in rats (Rattus norvegicus) by placing food items that varied in size and weight at the ends of a 4-arm radial maze. In Experiments 1-3, rats increasingly tended to carry food to the center of the maze as the size of those items increased. Very large food items often were hoarded in the center. Rats consumed food faster on the arms than in the center, and rats traveled faster when carrying food than when not. Blocking arm entrances increased travel time between the center and the arms and decreased food carrying at every item weight except the largest. In Experiments 4-6, important conditions that influence the degree of food-carrying behavior were discovered; these were the intersection of maze arms, the presence of a conspecific, and the use of open vs. closed maze arms.     

The written summary in group psychotherapy revisited

This paper addresses the use of the weekly written summary with patients in group psychotherapy. In an effort to stimulate group process and effect cotherapist communication, the authors instituted this group recording in an ongoing psychodynamically oriented mixed adult group. While the utilization of this device did, in fact, stimulate the group process and became an important part of the group's life, the therapists additionally saw significant effects upon their working alliance. These included increased focused dialogue upon group dynamics, more purposeful planning for group interventions, and heightened awareness of the significance of interventions in the group.Ms. Bosman-Clark is formerly Clinical Instructor, Department of Psychiatry, Baylor College of Medicine.     

Perceptual speed in adulthood: cross-sectional and longitudinal studies

Cross-sectional data on age differences in perceptual speed are presented from the Seattle Longitudinal Study for the age range 22-91 years (N = 1,620, first assessed in 1977; N = 628, first assessed in 1984). In addition, 838 subjects were followed over the 7-year interval. Markers of perceptual speed were the Identical Pictures and Finding A's tests from the ETS Kit of Factor-Referenced Tests. Significant age differences, age changes, and cohort differences were found at both observed variable and latent construct levels. Cross-lagged correlations examine the role of perceptual speed in predicting later performance on other abilities (Verbal Meaning, Inductive Reasoning, Spatial Orientation, Number, and Word Fluency). When perceptual speed is partialled out of scores for these abilities, aging effects are reduced markedly for all abilities, but least for Spatial Orientation and Inductive Reasoning.     

Reliability of job evaluation: Differences across sex-typed jobs

Recent work has questioned whether a single job evaluation instrument can reliably measure jobs from different job families. To test this, a generalizability study was done to determine the reliability of three job evaluation instruments: one for male-dominated jobs, MIMA-Shop, one for female-dominated jobs, MIMA-office and one which evaluated both types, FES. Initial results indicated that the latter instrument suffered no loss in reliability, and that all three instruments were equally highly reliable. A second analysis evaluated the reliability of the FES for male-dominated jobs separately from the reliability of the FES for female-dominated jobs. These results indicated no significant difference in reliability for male-dominated jobs and for female-dominated jobs. Implications of these findings were discussed.A previous version of this paper was presented at the 95th Annual Convention of the American Psychological Association at New York City, August 1987.     

The on-line voyeur: Promises and pitfalls of observing electronic interaction

Studies that compare objective data on communication activity to data provided in verbal reports have indicated that verbal report data are not as accurate as one might hope. Researchers of communication have used verbal reports as their primary source of data because it presents a cheap and easy way to collect the data. This paper presents an easy alternative involving the study ofelectronic communication: a method that allows the collection of objective information on electronic communication, thus avoiding the problems associated with self-reports. The paper reviews the available literature on the accuracy of self-reports of communication, presents the instrument used to collect the objective electronic communication data, and discusses some of the difficulties and limitations encountered in implementing a study using the instrument.     

Automated data collection using bar code

Using bar code technology to automate data collection provides a rapid and reliable alternative to paper-and-pencil tracking or keyboard entry into pocket or laptop computer. An array of bar code symbols is printed on a data menu, with a unique symbol corresponding to each possible observation. Bar code symbols are scanned using hand-held readers, which record the event, log the observation time, and store data for transfer to a personal computer. Advantages of the bar code monitoring system include: (1) ease of use by staff with minimal technical training, (2) reduced data entry errors and increased entry speed, (3) reliable portable operation, and (4) low-cost hardware. While the bar code system described here is used for behavioral monitoring in a residential treatment setting for the developmentally disabled, with minimal modification this system can be adapted for use in a wide variety of research and clinical applications.