Influence of familiar features on diagnosis: instantiated features in an applied setting

Medical diagnosis can be viewed as a categorization task. There are two mechanisms whereby humans make categorical judgments: "analytical reasoning," based on explicit consideration of features and "nonanalytical reasoning," an unconscious holistic process of matching against prior exemplars. However, there is evidence that prior experience can also operate at the level of individual "instantiated" features (Brooks & Hannah, 2006). The present studies examined instantiated features in medical diagnosis. Four "pseudopsychiatric" conditions, each described by four characteristic features, were taught to undergraduate psychology students. They practiced on additional cases, then were tested on new cases with features from two conditions. In Experiment 1, diagnoses associated with familiar features presented one or three times during practice were assigned a higher probability than those with novel features. Experiment 2 showed that the impact of feature frequency was dependent on its consistency with the case diagnosis. Experiment 3 showed that the effect of feature familiarity was not confined to cases with two equiprobable diagnoses. Experiment 4 showed that the effect remained after a 24 hour delay. These four studies demonstrated that features seen in practice have a greater influence on diagnosis than novel synonyms. In fact, seeing a feature once within the appropriate context (a patient case in which it is a member of the primary diagnosis) was sufficient to form a diagnostic association equivalent to instantiations seen four times in a different context. The results of these studies have implications for theories of categorization and for teaching clinical reasoning.     

Explaining the use of text-based communication media: an examination of three theories of media use

The present study examined the factors associated with individuals' use of three different text-based communication media: e-mail, cell-phone texting, and Facebook Wall postings. Three theoretical perspectives, including media richness theory, uses and gratifications, and perceived network effects, were examined. Using data from a survey of college students (N=280), the study found that the theoretical constructs from these theories play different roles when applied to different technologies. The results suggest that a simultaneous consideration of technological attributes, users' motivations, and social circumstances in which users select and use the technology is useful for fully understanding the dynamics of the selection and the use of a given technology.     

The integrated model of smartphone adoption: hedonic and utilitarian value perceptions of smartphones among korean college students

Abstract This study aims to propose an integrated model of smartphone adoption that incorporates social influences (SIs), perceived technicality, as well as hedonic and utilitarian attitudes into the technology acceptance model. The proposed model was empirically evaluated by using survey data collected from 239 Korean college students to investigate their perception and attitudes toward smartphone adoption intention. Our results show that users' attitudes and their adoption intention are highly influenced by SI and positive self-image. This implies that a smartphone is a symbolic product that can signal affiliation and enhance the users' status in a group. The results also indicate that hedonic enjoyment is equally important as utilitarian usefulness in predicting the adoption intention, and the two variables mediate the relationships between SI, positive self-image, perceived technicality, and the intention to use. Consequently, the results reveal that smartphones are convergent media that can be viewed as both task-oriented and entertainment-oriented devices.     

Balancing participation and risks in children's Internet use: the role of internet literacy and parental mediation

This study analyzed the survey data from 566 Korean children between the ages of 10 and 15 to examine the role of Internet literacy and parental mediation in solving the dilemma of children's Internet use. According to the findings, children's online participation was associated with increased exposure to online risks. The association was moderated by Internet skills and parental restrictive mediation; that is, for children with a high level of Internet skills and for children who received more restrictive mediation, the positive association between online participation and online risks weakened, but was still significant. The limited roles of Internet skills and parental restrictive mediation in children's Internet use were discussed in the context of media education.     

Resilience: A Meta‐Analytic Approach

This study investigated the relationship between psychological resilience and its relevant variables by using a meta‐analytic method. The results indicated that the largest effect on resilience was found to stem from the protective factors, a medium effect from risk factors, and the smallest effect from demographic factors.     

Stigma and hostility towards pregnant smokers: Does individuating information reduce the effect?

Australia is at the forefront of tobacco control, yet 17% of Australian women smoke during pregnancy. Negative attitudes to smoking are intensified when the smoker is pregnant, consistent with a discourse that encourages surveillance of pregnant women. Such overt anti-smoking attitudes create a context which may make it difficult for pregnant smokers to seek assistance to stop. However, there is little evidence on the extent to which pregnant smokers are stigmatised by community members. We used vignettes to examine the degree of smoking-related stigma expressed by 595 Australian university students who rated a woman, described as a mother who was smoking or not, and pregnant or not. Further, we examined whether provision of individuating information reduced the degree of stigma. Mothers described as smokers were rated more negatively than those not, particularly if they were pregnant: smokers were perceived as unhealthy, and also as bad mothers. Provision of individuating information slightly reduced these effects. These findings support the view that smokers – particularly if pregnant – are subject to negative moral judgement. Our findings contribute to the ethical debate about stigma-inducing tobacco control efforts, and suggest that anti-smoking campaigns that contextualise smoking in pregnancy might reduce stigma and assist cessation.     

The effect of pre-treatment enquiries on child dental patient's post-treatment ratings of pain and anxiety

Abstract

The aim of this study was to attempt to replicate a study in adults: to determine whether pre-treatment enquiries about anxiety and pain in children, attending the dentist, influenced their subsequent reports of pain and anxiety immediately after treatment. One hundred and ninety five children aged from seven to 16, attending four Community Dental Clinics, were allocated at random to five groups. Before treatment the first group was asked questions about their dental anxiety, expectations and memories of pain. The second group was asked about dental anxiety and expectations of pain. The third group was asked only about dental anxiety; the fourth was asked only about pain. The fifth, the control group, was asked about none of these topics. All the children were asked after treatment to rate 1) their anxiety about dentistry and 2) their experience of pain in the treatment just completed. The children experienced less pain than they had expected. There were no differences between the groups in disruptiveness or in the amount of pain experienced. However, the children who were asked about both pain and dental anxiety (groups one and two) reported significantly less dental anxiety than the control group. These results are consistent with the conclusion that pre-treatment enquiries about both anxiety and pain have no effect on disruptiveness or the experience of pain but do reduce anxiety about dentistry.     

Young women's contraception use as a contextual and dynamic behaviour: A qualitative study

A number of models of behaviour have been applied to contraception use including subjective expected utility theory and social cognition models. Whilst correlates of contraception use have been identified, the limitations of these models include their failure to consider either contextual factors or changes in contraception use over time. Researchers have called for integrated and dynamic models of contraception use, which can be related to the changing contraception use of individual women and can also be readily operationalised to explore within and between subject differences in contraception use. The present study therefore used a qualitative methodology to explore women's contraceptive histories and to enable women to define the issues from their perspectives, resulting in a model of contraception use that is firmly located within the context of their own lives and allows an investigation of the factors and processes involved in changes in contraception use/non-use over time. This model conceptualises the predictors of contraception use in terms of the meaning and importance of a range of social goals, perceptions of vulnerability and constraints on or facilitators of contraception. Further the dynamic nature of these factors is described and it is illustrated how these core components vary over time according to situation, experience, and new information. The paper outlines the relevance of the findings for different models of decision-making processes and highlights the way that the model addresses the limitations of previous approaches.     

The Fakability of Bar-On's Emotional Quotient Inventory Short Form: Catch Me if You Can

We developed a method for estimating the dollar utility of changes in job performance associated with illnesses and their treatments. Then we applied this method to predict, for each job in the economy, the difference in productivity costs associated with the illness of Seasonal Allergic Rhinitis (SAR) and that due to the difference between 2 commonly used treatments of SAR. The findings suggest that workers are 5% less productive when affected by SAR, and that when workers treat their SAR with desloratadine (a nonsedating antihistamine) instead of diphenhydramine (an over-the-counter 1st-generation antihistamine), they are 7% more productive, translating to a daily productivity cost differential between the 2 treatments of $11 per day, or $2.6 billion annually. The jobs most affected require high amounts of selective attention and perceptual speed (e.g., Aircraft Pilots and Flight Engineers, and those in the fields of manufacturing, security, and emergency response).