“Heart Trouble” and Religious Involvement among Older White Men and Women

Objective Few studies examine how older adults’ health status affects spiritual and religious involvement. This study examined the effects of gender and poor cardiac health on older adults’ ends, means, and quest religious motivations and frequency of private devotion. Method Longitudinal data (12 months between the T₁ and T₂ interviews) with 182 older adults sampled from a Northeast city were used to examine in a multivariate analysis of covariance whether gender and the existence of cardiac health problems at T₁ affected older adults’ spiritual and religious involvement at T₂. Findings A gender and cardiac health condition interaction showed older men with heart trouble had more changes in religious involvement—they engaged in more religious doubt, prayed less, and were not as intrinsically oriented at T₂. Discussion The findings strongly suggest that older men with heart trouble may maintain a masculine style and shun seeking divine help.     

The Effect of Mindfulness on Heart Rate Control

An experiment was conducted to test the hypothesis that mindful attention to change regarding heart rate (HR) would result in greater control over HR. Experimental groups monitored the changing or stable nature of HR, respectively. All participants’ HR slowed during the decrease phase. Participants whose attention was directed to the stable nature of HR performed the worst on the increase phase of the HR control task. These results suggest that mindfulness, instantiated here as attention to variability, is a means to increasing control.

Physiological responses to urban design during bicycling: A naturalistic investigation

The current research set out to measure the moderating effect that urban design may have on bicyclist physiology while in transition. Focusing on the hilly City of Wuppertal, Germany, we harnessed bicyclists with mobile sensors to measure their responses to urban design metrics obtained from space syntax, while also adjusting for known traffic, terrain, and contextual factors. The empirical strategy consisted of exploratory data analysis (EDA), ordinary least squares (OLS), and a local regression model to account for spatial autocorrelation. The latter model was robust (R² = 68%), and showed that two statistically significant (p < 0.05) urban design factors influenced bicyclist physiology. Controllability, a measure of how spatially dominated a space is, increased bicyclist responses (i.e., decreased comfortability); while integration, which is related to accessibility and connectivity, had the opposite effect. Other noteworthy covariates included one-way streets and density of parked automobiles: these exerted a negative influence on bicyclist physiology. The results of this research ultimately showed that nuanced urban designs have a moderate influence on bicycling comfort. These outcomes could be utilized by practitioners focused on implementing appropriate interventions to increase bicyclist comfort levels and this mode share.     

How left inferior frontal cortex participates in syntactic processing: Evidence from aphasia

We report on three experiments that provide a real-time processing perspective on the poor comprehension of Broca’s aphasic patients for non-canonically structured sentences. In the first experiment we presented sentences (via a Cross Modal Lexical Priming (CMLP) paradigm) to Broca’s patients at a normal rate of speech. Unlike the pattern found with unimpaired control participants, we observed a general slowing of lexical activation and a concomitant delay in the formation of syntactic dependencies involving “moved” constituents and empty elements. Our second experiment presented these same sentences at a slower rate of speech. In this circumstance, Broca’s patients formed syntactic dependencies as soon as they were structurally licensed (again, a different pattern from that demonstrated by the unimpaired control group). The third experiment used a sentence-picture matching paradigm to chart Broca’s comprehension for non-canonically structured sentences (presented at both normal and slow rates). Here we observed significantly better scores in the slow rate condition. We discuss these findings in terms of the functional commitment of the left anterior cortical region implicated in Broca’s aphasia and conclude that this region is crucially involved in the formation of syntactically-governed dependency relations, not because it supports knowledge of syntactic dependencies, but rather because it supports the real-time implementation of these specific representations by sustaining, at the least, a lexical activation rise-time parameter.     

Are You Alive? Sensor Data as a Resource for Social Interaction

This paper presents findings from the field test of a prototype device that collects heart rate sensor data and displays it for users. The prototype was tested on a football team, including teenage players, their parents and coaches. The findings include notes on user expectations related to the technology and detailed analyses of the social interactions that took place during the test. The paper concludes with design implications relating to this application, but also poses challenges for context-aware computing and machine intelligence in general.

The perception of available social support is related to reduced cardiovascular reactivity in phase II cardiac rehabilitation patients

Objective  Numerous studies have observed a relationship between social support (SS) and post coronary event survival. Laboratory research suggests one mechanism regulating this relationship may be exaggerated cardiovascular reactivity (CVR). What has not been as well explored is (1) whether the SS-CVR relationship holds up for a heart diseased sample, and (2) whether this relationship is evidenced only in supportive environments or can be found as a function of generalized perception of being socially supported. Thus, the purpose of this study was to examine the relationship of perceived SS and a locally supportive presence to CVR to a speech-induced stressor in post coronary event patients. Method  Forty-one Phase II cardiac rehabilitation patients participated in a research protocol that consisted of BP and HR measurement during two identical affective stress interviews where local support was systematically varied by presence or absence of a friendly small pet dog. Perception of SS was assessed by completion of psychosocial questionnaire packet that included measures of SS, anger expression and pet attachment. Results  Repeated measures ANCOVAs revealed that patients who believed they had greater SS available to them during difficult times exhibited significantly less CVR for MAP (p<.007) and DBP (p<.024). No significant main effects for local support (pet presence) and no interactions between local and perceived support were found. Conclusions  These findings are of interest as they: (a) demonstrate an association between reduced CVR and higher (amounts of) SS in a clinical sample; (b) demonstrate this effect in a sample medicated to dampen CV levels and surges; (c) suggest that perceived amount of SS provides an ameliorative influence on CVR independent of situational support; (d) suggest that for certain conditions pet-models of support may be ineffective at establishing an local support presence.     

Psychological stress of bicycling with traffic: examining heart rate variability of bicyclists in natural urban environments

Understanding how road environments stress bicyclists (and prospective bicyclists) has important implications for road design and network planning. With the rise of wearable bio-sensing technology, the potential for measuring real-time environmental acute stress is emerging. In this naturalistic cross-over field experiment, we investigate bicyclist stress through heart rate variability (HRV). We examine the relationship between HRV and the road environment through a series of multilevel statistical models. Results suggest that participants’ HRV are only certain to differ on one (the local road) of five road environments tested. The differences in participants’ HRV between two collectors and two arterials are far more tenuous. We discuss the validity of HRV and other biometrics for assessing stress and discuss how HRV and other biometrics might help improve our understanding of bicyclists’ perceptions of road environments.     

Cardiovascular Reactivity During Marital Conflict in Laboratory and Naturalistic Settings: Differential Associations with Relationship and Individual Functioning Across Contexts

Cardiovascular reactivity during spousal conflict is considered to be one of the main pathways for relationship distress to impact physical, mental, and relationship health. However, the magnitude of association between cardiovascular reactivity during laboratory marital conflict and relationship functioning is small and inconsistent given the scope of its importance in theoretical models of intimate relationships. This study tests the possibility that cardiovascular data collected in laboratory settings downwardly bias the magnitude of these associations when compared to measures obtained in naturalistic settings. Ambulatory cardiovascular reactivity data were collected from 20 couples during two relationship conflicts in a research laboratory, two planned relationship conflicts at couples’ homes, and two spontaneous relationship conflicts during couples’ daily lives. Associations between self‐report measures of relationship functioning, individual functioning, and cardiovascular reactivity across settings are tested using multilevel models. Cardiovascular reactivity was significantly larger during planned and spontaneous relationship conflicts in naturalistic settings than during planned relationship conflicts in the laboratory. Similarly, associations with relationship and individual functioning variables were statistically significantly larger for cardiovascular data collected in naturalistic settings than the same data collected in the laboratory. Our findings suggest that cardiovascular reactivity during spousal conflict in naturalistic settings is statistically significantly different from that elicited in laboratory settings both in magnitude and in the pattern of associations with a wide range of inter‐ and intrapersonal variables. These differences in findings across laboratory and naturalistic physiological responses highlight the value of testing physiological phenomena across interaction contexts in romantic relationships.     

Generic,Disease-Specific and Individualised Approaches to Measuring Health-Related Quality of Life Among People With Heart Disease - A Comparative Analysis

Increasing emphasis is being placed on the evaluation of health-related quality of life. However, there is no consensus on the definition of this concept and as a result there are a plethora of existing measurement instruments. Head-to-head comparisons of the psychometric properties of existing instruments are necessary to facilitate evidence-based decisions about which instrument should be chosen for routine use. Therefore, an individualised instrument (the modified Patient Generated Index (PGI)), a generic instrument (the Short Form 36) and a disease-specific instrument (the Quality of Life after Myocardial Infarction questionnaire) were administered to patients with ischaemic heart disease ( n = 117) and the evidence for the validity, reliability and sensitivity of each instrument was examined and compared. The modified PGI compared favourably with the other instruments but none of the instruments examined provided sound evidence for sensitivity to change. Therefore, any recommendation for the use of the individualised approach in the routine collection of health-related quality of life data in clinical practice must be conditional upon the submission of further evidence to support the sensitivity of such instruments.     

Perseverative Thinking and Health: Neurovisceral Concomitants

In the present paper we present the outlines of a model that may help to guide us in our understanding of the relationship between perseverative thinking and health. We will emphasize the relationship between perseverative thinking and vagal cardiac control and propose a group of underlying neural structures that serve to integrate these functions in the service of self-regulation and adaptability of the organism. We will attempt to place this network in the context of systems models which involve feedback and feedforward circuits with special attention to negative feedback mechanisms and inhibitory processes. From a systems perspective, inhibitory processes can be viewed as negative feedback circuits that allow for the interruption of ongoing behavior and the re-deployment of resources to other tasks. When these negative feedback mechanisms are compromised, positive feedback loops may develop as a result of dis-inhibition. From this perspective, the relative sympathetic activation seen in perseverative thinking may represent dis-inhibition due to faulty inhibitory mechanisms.