The effect of a non-steroidal anti-inflammatory drug on two important predictors for accidental falls: Postural balance and manual reaction time. A randomized, controlled pilot study

Accidental falls in older individuals are a major health and research topic. Increased reaction time and impaired postural balance have been determined as reliable predictors for those at risk of falling and are important functions of the central nervous system (CNS). An essential risk factor for falls is medication exposure. Amongst the medications related to accidental falls are the non-steroidal anti-inflammatory drugs (NSAIDs). About 1-10% of all users experience CNS side effects. These side effects, such as dizziness, headaches, drowsiness, mood alteration, and confusion, seem to be more common during treatment with indomethacin. Hence, it is possible that maintenance of (static) postural balance and swift reactions to stimuli are affected by exposure to NSAIDs, indomethacin in particular, consequently putting older individuals at a greater risk for accidental falls. The present study investigated the effect of a high indomethacin dose in healthy middle-aged individuals on two important predictors of falls: postural balance and reaction time. Twenty-two healthy middle-aged individuals (59.5 ± 4.7 years) participated in this double-blind, placebo-controlled, randomized crossover trial. Three measurements were conducted with a week interval each. A measurement consisted of postural balance as a single task and while concurrently performing a secondary cognitive task and reaction time tasks. For the first measurement indomethacin 75 mg (slow-release) or a visually identical placebo was randomly assigned. In total, five capsules were taken orally in the 2.5 days preceding assessment. The second measurement was without intervention, for the final one the first placebo group got indomethacin and vice versa. Repeated measures GLM revealed no significant differences between indomethacin, placebo, and baseline in any of the balance tasks. No differences in postural balance were found between the single and dual task conditions, or on the performance of the dual task itself. Similarly, no differences were found on the manual reaction time tasks. The present study showed that a high indomethacin dose does not negatively affect postural balance and manual reaction time in this healthy middle-aged population. Although the relatively small and young sample limits the direct ability to generalize the results to a population at risk of falling, the results indicate that indomethacin alone is not likely to increase fall risk, as far as this risk is related to abovementioned important functions of the CNS, and not affected by comorbidities.     

Being excluded by one means being excluded by all: Perceiving exclusion from inclusive others during one-person social exclusion

Although research has shown that social exclusion undermines well-being, past work has focused primarily on complete and unambiguous social exclusion in which all people in a situation exclude one individual. Might the presence of an inclusive other buffer individuals against the deleterious consequences of social exclusion? The present research investigates a novel situation, one-person exclusion, in which one person includes while another excludes. Participants played a virtual ball-tossing game in which they experienced two-person exclusion, one-person exclusion, or inclusion. Inclusive others did not buffer against the consequences of exclusion; experiencing one-person exclusion (vs. inclusion) led to perceived exclusion and lessened belongingness, similar to two-person exclusion. Moreover, instead of perceiving includers as a form of support, paradoxically, participants inaccurately believed that inclusive others had engaged in exclusion. These findings suggest that one-person exclusion is sufficient to elicit negative outcomes and that inclusive bystanders may be perceived as part of the exclusion.     

Increasing the vocal responses of children with autism and developmental disabilities using manual sign mand training and prompt delay

The purpose of this study was to determine the effect of manual sign mand training combined with prompt delay and vocal prompting on the production of vocal responses in nonvocal children with developmental disabilities. A multiple baseline design across participants verified the effectiveness of this intervention. All participants showed increases in vocal responses following the implementation of the independent variables.     

Having Our Say: African American Women,Diversity, and Counseling

African American female counseling professionals contribute greatly to the multicultural growth of the counseling profession by spurring the profession's evolution and defining new paradigms and counseling activities. Despite their contributions, they face serious organizational, intrapersonal, and interpersonal challenges to their success in academia. This article seeks to elucidate the challenges to African American female counseling professionals and offers systemic and personal strategies that will facilitate the profession's evolution to culturally competent, ethical, and intentional helping orientations and worldviews.     

Best professional practices when approaching religiosity/spirituality in psychotherapy in Brazil

The religiosity/spirituality (R/S) dimension is recognised as an important component of the concept of health advocated by the World Health Organization; however, it does not appear in the undergraduate Psychology curricula in the Brazilian context, revealing a gap in the way this theme has been covered. In order to identify the professional reality of Brazilian psychotherapists in relation to this theme, this study aimed to identify what constitutes the best professional practices when approaching R/S in psychotherapy. We interviewed 24 psychotherapists of both sexes, with a mean age of 36.43, from two medium‐sized cities of two Brazilian states. According to the interviewees, the best practices considered when addressing R/S, that is, the most appropriate actions/attitudes, are as follows: (a) Respect; (b) Knowing how to separate what is from the psychotherapist and from the patient/client; (c) Recognising the theme as an integrative dimension of the human being; (d) Knowing how to listen; (e) Questioning the role of R/S in the life of the patients/clients; (f) Knowledge about the subject matter; and (g) Not imposing knowledge, practices or doctrine. These practices were revealed as the skills, competencies and knowledge needed to deal with the subject and highlight important references to think about the theme in psychotherapy, guiding the formation of new professionals and updating practising psychotherapists.     

A comparison of Nuk presentation and Nuk redistribution to treat packing

Children with feeding disorders may pack food when they lack the oral‐motor skills, the motivation, or both to swallow. Presenting bites on the tongue with a Nuk brush, or redistribution, replacing packed food on the tongue, are two treatments whose relative efficacy is untested. In the current study, we compared the effects of (a) presenting on an upright spoon, (b) presenting on a Nuk, and (c) redistributing with a Nuk on two product measures of swallowing, which we refer to as 15‐s and 30‐s mouth clean, for three children with feeding disorders. Nuk presentation produced the highest levels of 15‐s mouth clean relative to Nuk redistribution and upright‐spoon presentation across participants. Levels of 30‐s mouth clean were higher during Nuk presentation and Nuk redistribution relative to upright‐spoon presentation for two participants. We discuss the oral‐motor skills and motivational deficits that might account for the findings.     

Effects of male postpartum depression on father–infant interaction: The mediating role of face processing

It is estimated that postpartum depression affects up to 25% of men. Despite such high prevalence, the majority of studies on postpartum depression are focused on mothers, and the role of paternal depression and its effects on infant development have been overlooked by researchers and clinicians. The present study aimed to fill this gap by investigating the effect of paternal postpartum depression on father–infant interactions. In addition, we examined whether differences in face recognition mediated the effects of paternal postpartum depression on father–infant interactions. A total of 61 father–infant dyads (17 postpartum depression, 44 controls) took part in the study. Results revealed that compared to controls, fathers with postpartum depression had a worse pattern of interaction with their infants on measures of responsiveness, mood, and sensitivity; they also had greater difficulty in recognizing happy adult faces, but greater facility in recognizing sad adult faces. Depressed fathers attributed greater intensities to sad adult and infant faces. The tendency to attribute greater intensity to sad adult faces was confirmed as a partial mediator of the effect of paternal postpartum depression on measures of father responsiveness and as a full mediator of the effects of paternal depression on father sensitivity. Clinical implications and suggestions for further studies are discussed.     

Feasibility and impact of a school-based intervention for families of urban adolescents with asthma: results from a randomized pilot trial

The purpose of this study was to test the feasibility and short-term outcomes of Asthma: It's a Family Affair!, a school-based intervention for adolescents with asthma and their caregivers. Twenty-four ethnic minority families with a middle school student with asthma were randomized to immediate intervention or no-treatment control. Intervention students received six group sessions on prevention and management of asthma. Caregivers received five group sessions teaching child-rearing skills to support the youth's autonomy and asthma self-management. All students attended all sessions; caregivers attended an average of three. Two months post-intervention, relative to controls, intervention caregivers reported better problem-solving with children. Intervention students were more responsible for carrying medication, took more prevention steps, and woke fewer nights from asthma. The intervention resulted in positive short-term changes in family relations, asthma management by students, and health status.     

The Antecedent and Consequence of Person–Organization Fit: Ingratiation,similarity, hiring recommendations and job offer

This study investigates how the ingratiation and perceived similarity of a job applicant can affect the judgment of an interviewer in determining person–organization fit (P–O fit), hiring recommendations and the job offer during a job interview. Data were collected from 144 interviewers and 184 applicants from 28 companies in Taiwan. The results suggest that applicant ingratiation has a positive effect on an interviewer's perceived similarity with the applicant, and that this perceived similarity mediates the relationship between applicant ingratiation and the interviewer's judgment of the applicant's P–O fit. The results further suggest that the relationship between the interviewer's judgment of the applicant's P–O fit and the job offer is mediated by hiring recommendations. Implications and directions for future research are discussed.     

Attachment,culture, and the caregiving system: The cultural patterning of everyday experiences among Anglo and Puerto Rican mother–infant pairs

This investigation focuses on cultural differences in the relationship between maternal sensitivity, emotional expression, and control strategies during the first year of life and infant attachment outcomes at 12 months. Participants were middle‐class Puerto Rican and Anglo mother–infant pairs (N = 60). Ratings of physical control, emotional expression, and maternal sensitivity during mother–infant interactions in five everyday home settings, videotaped when the infants were 4, 8, and 12 months old, were examined in combination with 12‐month Strange Situation classifications. Results suggest that physical control shows a different pattern of relatedness to maternal sensitivity, emotional expression, and attachment outcomes among the Puerto Rican compared to the Anglo mothers in this study. These findings have implications for practitioners and researchers interested in normative parenting among diverse cultural groups. ©2003 Michigan Association for Infant Mental Health.