Depression and Anxiety in Older and Middle‐aged Adults With Diabetes

This study aims to compare rates of depressive and anxious symptoms among older adults with and without diabetes. The study also examines differences in depression, anxiety, and diabetes‐related emotional distress between middle‐aged and older adults with diabetes. A total of 224 participants completed a range of questionnaires measuring depression, anxiety, and diabetes‐related emotional distress (if applicable). One hundred and three adults with diabetes (55 middle‐aged, mean age = 47 years, range 40–59 years and 48 older, mean age = 69 years, range 60–81 years) were recruited from a tertiary diabetes clinic. One hundred and twenty‐one adults without diabetes (72 middle‐aged, mean age = 52 years, range 40–59 years and 49 older, mean age = 65 years, range 60–76 years) were recruited from either a university student pool or a registry of adults aged 50 and above. Older adults with diabetes had significantly higher levels of depression and comparable levels of anxiety with older adults without diabetes. Older adults with diabetes had significantly lower levels of depression, anxiety, and diabetes‐related distress than middle‐aged adults with diabetes. Diabetes is associated with high rates of depression and anxiety, with middle‐aged adults more adversely affected than older adults.     

Eliciting donations to disaster victims: Psychological considerations

Predictors of monetary donations to victims of humanitarian disasters were examined. Participants (N = 219) chose between donating to different scenarios and justified their choices in an open response format. This was followed by a questionnaire. The perceived extent of the victims’ Need, the Impact of a potential donation, and the Amount donated by others all influenced donation decisions. There was a three‐way interaction between these factors: The perceived Need for help only mattered if the perceived Impact of a donation was high, and the perceived Amount donated by others was small. Implications for theory and practice are discussed.     

Empathy,Perspective Taking and Prosocial Behaviour: The Importance of Parenting Practices

The current study analyzed the relationships among maternal empathy (emotional and cognitive), parenting that encourages the child to take the perspective of others, child cognitive empathy and child prosocial behaviour. Participants were 72 typically developing children (66 Caucasian, six Asian) aged between 47 and 76 months (M = 61.5 months, SD = 8.3 months). Results support the facilitative effect of parenting that encourages the child to take the perspective of others. Thus, the role played by parents in the development of prosocial behaviour extends beyond warm/sensitive/responsive parenting in infancy. Together these forms of parenting are key factors that facilitate the development of prosocial behaviour. Copyright © 2011 John Wiley & Sons, Ltd.     

Cognitive Behaviour Therapy and Recovery from Acute Psychosis: Case Studies of Two Contrasting Styles

In the North Wales randomised controlled trial of cognitive behaviour therapy (CBT) for acute schizophrenia spectrum disorders, patients who received CBT as an adjunct to treatment-as-usual (TAU) had significantly better outcomes at 12 months than patients who received only TAU. However, patients who were offered CBT but dropped out of treatment early had outcomes that were no worse than patients who stayed in. The explanation for this curious finding might be that the drop-outs and the stay-ins had different but equally valid recovery styles. Two case studies from the trial are presented to illustrate these recovery styles: sealing-over and integrating. Discussion focuses on the idea that, rather than try to alter patients' recovery styles, a more appropriate aim might be to match treatment to the patients' styles.     

Aggressive fantasies, thought control strategies, and their connection to aggressive behaviour

The present study examined the relations between aggressive fantasies, thought control strategies and aggressive behaviour in a sample of non-clinical female participants (N = 72). First, the nature and prevalence of aggressive fantasies and thought control strategies were examined. Then, the relation between these constructs and aggressive behaviour was studied by means of correlations and regression analysis. Results indicated that aggressive fantasies were a common experience in these non-clinical participants, and that suppression, distraction and cognitive reappraisal were prevalent strategies to control aggressive intrusive thoughts. Most importantly, it was found that thought suppression and aggressive fantasies were positively correlated with aggressive behaviour. A regression analysis underlined the link between thought suppression and aggressive behaviour, but the relation between aggressive fantasies and aggressive behaviour was no longer significant. Further, some indications were found for distraction being an adaptive strategy for controlling aggressive intrusive thoughts.     

AD/HD Symptoms and Conduct Problems: Similarities and Differences in Maternal Perceptions

Several theories attempt to explain the high co-occurrence of Attention Deficit/ Hyperactivity Disorder (AD/HD) and Conduct Problems (CP). A strong possibility is that AD/HD behaviours lead to the development of CP, due to family coercive interaction patterns, maintained through parental false beliefs regarding child problem behaviour. We compared maternal perceptions about AD/HD behaviors and CP, and the possible reactions elicited by such behaviours. The sample consisted of 317 mothers of boys and girls aged 4–6. Four versions of The Parental Account of the Causes of Childhood Problems Questionnaire were used, in which a vignette was ascribed to either a boy or a girl displaying some of the major AD/HD behaviours or CP. The results showed that CP were perceived as significantly more severe than AD/HD behaviours. Moreover, AD/HD behaviours were attributed to biological causes more often than CP, and less strict rearing practices were chosen for AD/HD symptoms. Our findings provide evidence that mothers usually perceive AD/HD behaviours and CP as separate entities and may behave accordingly with their children.     

Relationships Between Locus of Control, Coping Strategies and Emotional Well-Being in Persons with Spinal Cord Lesion

Relations between locus of control, coping strategies and emotional well-being in persons with traumatically acquired spinal cord lesion (SCL) were examined. The sample included 132 community-residing adults. Structural equation modelling, including confirmatory factor analysis, was used. A model was hypothesized based on the transactional theory of stress and coping where coping strategies mediated the relation between locus of control and emotional well-being. The model showed acceptable fit to the data and was compared with five alternative models. The alternative models fitted the data less well or were difficult to interpret. In the preferred model, persons indicating internal control reported more coping strategies (Acceptance, Fighting spirit) related to increased well-being, whereas persons indicating external control reported a coping strategy (Social reliance) related to poorer well-being. The findings support the stress and coping framework in medical rehabilitation and illustrate why some persons need coping effectiveness training to enhance emotional adjustment.     

Shaping of rule-governed behaviour

Over an experimental session of 80 trials, subjects counted brief auditory stimuli ("clicks") in stimulus presentation periods and indicated the number counted by pressing a key the corresponding number of times in subsequent response periods. "Correct" answers resulted in feedback. Unknown to the subjects, the feedback criterion was based on speed of pressing rather than on the correct number of presses. Speed of pressing was modified by response consequences when feedback was made dependent on pressing faster or slower than baseline speed. Modification of speed occurred independently of rules and without the subjects' ability to describe contingency or response requirements. The results suggest that non-verbal contingencies may have a shaping effect on non-salient and non-described attributes of rule-governed behaviour, and it is argued that this may be an important control mechanism of low-level behavioural attributes that are unlikely to be guided by verbal discriminative stimuli.     

Concept formation in non-verbal categorization tasks in brain-damaged patients with and without aphasia

The study of thinking in patients with aphasic language impairments has long since been considered as means for learning about neuropsychological processes. In the present investigation, a non-verbal categorization task was used, requiring the subjects to sort several common objects according to different principles. The experimental group consisted of aphasic patients with motor and sensory aphasia. Two control groups were used, one consisting of normal subjects and the other of non-aphasic patients with injuries in the right hemisphere of the brain. The sorting behaviour was analysed according to several aspects. The final product of the categorization was assessed, as well as the behavioural processes observed during the sorting. The results were expressed in terms of different conceptual levels achieved. The results of the investigation showed that the aphasics were significantly inferior to normal controls both quantitatively and qualitatively in all sorting aspects. Possible mechanisms underlying the deficiencies in the sorting behaviour of the two aphasic groups were discussed.     

Ways of coping with excessive drug use in the family: A provisional typology based on the accounts of 50 close relatives

This paper outlines an eight-fold typology of coping actions based upon a qualitative analysis of the accounts provided by 50 close relatives of people with drug problems. In a number of different ways relatives draw attention to the contrasts between these distinguishable ways of coping. Emphasis is placed upon the provisional nature of this typology and upon the compromises between, and combinations of, ways of coping that are often used by relatives in practice. Different ways of coping represent alternative choices for relatives, often explicitly expressed by them as difficult dilemmas. Links are suggested between the ways of coping identified here and those discussed in the literature on coping with other disorders and disabilities in the family, with ways of coping described in the general literature on coping with stress, and with types of social action appearing in general models of interpersonal behaviour. Implications for counselling close relatives of people with drug problems are also outlined.