Can We Improve Our Physical Health by Altering Our Social Networks?

ABSTRACT— Persons with more types of social relationships live longer and have less cognitive decline with aging, greater resistance to infectious disease, and better prognoses when facing chronic life-threatening illnesses. We have known about the importance of social integration (engaging in diverse types of relationships) for health and longevity for 30 years. Yet, we still do not know why having a more diverse social network would have a positive influence on our health, and we have yet to design effective interventions that influence key components of the network and in turn physical health. Better understanding of the role of social integration in health will require research on how integrated social networks influence health relevant behaviors, regulate emotions and biological responses, and contribute to our expectations and worldviews.     

Adjustment to divorce: a preliminary study among Muslim Arab citizens of Israel

Adjustment to divorce in a sample of 312 Muslim Arab citizens of Israel was associated both with variables that have been shown to affect adjustment to divorce in Western societies and with variables specific to the culture of the study. The former included male gender, education, current employment, fewer accompanying stressors, and greater satisfaction with the divorce process. The latter were the respondents' self-defined modernity (as opposed to traditionalism) and their disinclination to perceive divorced persons as bad parents and spouses and as socially deviant, in accord with the social stereotype of their community.     

Stability of formal thought disorder and referential communication disturbances in schizophrenia

This study examined the degree to which different types of communication disturbances in the speech of 48 schizophrenia patients and 28 controls were variable and state related versus stable and traitlike. Clinically rated formal thought disorder and 5 types of referential disturbance showed substantial stability within participants over time. The sixth type of referential disturbance, the vague reference, was not stable over time. Formal thought disorder was associated with the severity of core psychotic symptoms in patients. whereas referential disturbances showed little or no association with positive or negative symptom severity. Furthermore, changes in psychotic symptoms over time were accompanied by corresponding changes in formal thought disorder but not referential disturbances. These results support the idea that some types of referential disturbances are traitlike and may be reflective of vulnerability as well as manifest illness.     

When communications collide with recipients' actions: effects of post-message behavior on intentions to follow the message recommendation

Two experiments investigated the processes through which post-message behavior (e.g., noncompliance) influences resistance to the message. Participants in Experiment 1 read preventive, consumer-education messages that either opposed the consumption of an alcohol-like product or recommended moderation. Half of the participants then tried the product, whereas the remaining participants performed a filler task. In the absence of trial, the two messages had the same effect. However, recipients of the abstinence-promoting preventive message who tried the product had stronger intentions to use the product in the future than recipients of the moderation message. This finding suggests that assessments of message impact may be inadequate unless an opportunity for trial is also provided. Results are interpreted in terms of self-perception and cognitive dissonance and contrasted from psychological reactance.     

Organ Procurement and Health Care Chaplaincy in Australia

As part of an Australian national project, quantitative data via a survey were retrospectively obtained from 327 Australian health care chaplains (staff and volunteer chaplains) to initially identify chaplaincy participation in various bioethical issues—including organ procurement. Over a third of surveyed staff chaplains (38%) and almost a fifth of volunteer chaplains (19.2%) indicted that they had, in some way, been involved in organ procurement issues with patients and/or their families. Nearly one-fifth of staff chaplains (19%) and 12% of volunteer chaplains had also assisted clinical staff concerning various organ procurement issues. One hundred of the surveyed chaplains volunteered to an interview. Qualitative data were subsequently coded from 42 of the chaplains who had been involved in organ procurement requests. These data were thematically coded using the World Health Organization ‘Pastoral Intervention Codings’ (WHO-PICs). The qualitative data revealed that through a variety of pastoral interventions a number of chaplains (the majority being staff chaplains) were engaged in the critical and sensitive issues of organ procurement. It is argued that while such involvement can help to ensure a holistic and ethically appropriate practice, it is suggested that chaplains could be better utilized not only in the organ procurement process but also for the training of other chaplains and clinicians.     

Type a behavior pattern in mothers of infants: An exploration of associations with attachment,sensitive caregiving,and life-events

Abstract

In the present study. 83 lower- to upper-middle class mothers of first-born, 12-month-old infants were interviewed with the Adult Attachment Interview (George, Kaplan, and Main, 1985), and completed the Groninger Intelligence Test (Luteijn and Van der Ploeg, 1982). Eighteen months after the beginning of the study, 67 mothers (81% of the original sample) were interviewed with the Structured Interview (Rosenman, 1978), and were observed during a brief, semi-structured play session at home with their child - at that time a 2.5-years-old toddler. They also completed a checklist about major life-events that had occurred during the past 18 months. A large majority of these mothers of young children (81%) showed Type A behavior patterns. The job of parenting, indeed, appears to be stressful. Attachment and Type A behaviors, however, did not seem to be related, probably because the influence of attachment is restricted to the regulation of emotions in intimate relationships. Yet, Type A behavior predicted a more sensitive parenting style than Type B did. All mothers who experienced negative life-events or Serious health problems in the recent past showed Type A behavior patterns. Our findings show that the Structured Interview can be applied in a valid manner to mothers of young children passing trough a demanding phase in their lives. Further research is needed to uncover the causes of the high prevalence of Type A behaviors in young mothers.     

Development of the Idiographic functional status assessment: A measure of the personal goals and goal attainment activities of people with AIDS

Abstract

This study presents the development of the Idiographic Functional Status Assessment (IFSA), an interview to assess functional status according to each person's unique point of view. This idiographic method asks people to state their personal goals in terms of things they want to accomplish, problems they want to solve, situations they hope to avoid, roles and relationships they want to maintain, and pursuits they want to relinquish. After describing their goals, respondents rate goal attainment activities they have pursued in the past month in terms of level of difficulty, dependence and other performance dimensions. In a study of 224 people with AIDS, the idiographic measure provided functional status scales that were relatively stable over time, and that correlated well with other subjective well-being measures and heath status criteria. Goal content measures derived from the interview can be used to distinguish sub samples that differ in terms of the determinants of quality of life.     

Do animals have rights?

A right, unlike an interest, is a valid claim, or potential claim, made by a moral agent, under principles that govern both the claimant and the target of the claim. Animals cannot be the bearers of rights because the concept of rights is essentially human; it is rooted in and has force within a human moral world.     

The influence of aging on poststroke depression using a rat model via middle cerebral artery occlusion

Poststroke depression (PSD) is the most frequent psychological sequela following stroke. While previous studies describe the impact of age on brain infarct volume, brain edema, and blood–brain barrier (BBB) breakdown following ischemia, the role of age on PSD has yet to be described. Here, we examine the influence of age on PSD progression in a rat model of PSD by middle cerebral artery occlusion (MCAO). One hundred forty-three rats were divided into three groups. 48 rats 20 weeks of age underwent a sham procedure, 51 rats 20 weeks of age had MCAO, and 44 rats 22–26 months of age had MCAO. Groups were further divided into two subgroups. The first subgroup was used to measure infarct lesion volume, brain edema, and BBB breakdown at 24 h. In the second subgroup at 3 weeks after MCAO, rats were subjected to a sucrose preference test, two-way shuttle avoidance task, forced swimming test, and a brain-derived neurotrophic factor (BDNF) protein level measurement. Total and striatal infarct volume, brain edema, and BBB breakdown in the striatum were increased in older rats, as compared with younger rats. While both old and young rats exhibited depressive-like behaviors on each of the behavioral tests and lower BDNF levels post-MCAO, as compared with control rats, there were no differences between old and young rats. Although older rats suffered from larger infarct volumes, increased brain edema and more BBB disruption following MCAO, the lack of behavioral differences between young and old rats suggests that there was no effect of rat age on the incidence of PSD.