Emotional Reactions During and After Trauma: A Comparison of Trauma Types

Peri- and posttraumatic emotional responses have been understudied, and furthermore, have rarely been compared among trauma types. The current study compared college students' retrospective self-reports of peri- and posttraumatic responses of fear, shame, guilt, anger, and sadness among four types of traumatic events: sexual assault, physical assault, transportation accident, and illness/injury. Overall emotional responding was generally high for all trauma types, and for those in the sexual assault group, emotion increased sharply from the peri- to posttraumatic time point. Generally, fear was higher during the trauma compared to after the trauma, whereas the other emotions tended to remain stable or increase posttrauma. The sexual assault group tended to report higher levels of posttrauma emotion than the other trauma type groups.     

Aging and Visual Short-term Memory: Effects of Object Type and Information Load

ABSTRACT

Previous research has observed that the size of age differences in short-term memory (STM) depends on the type of material to be remembered, but has not identified the mechanism underlying this pattern. The current study focused on visual STM and examined the contribution of information load, as estimated by the rate of visual search, to STM for two types of stimuli – meaningful and abstract objects. Results demonstrated higher information load and lower STM for abstract objects. Age differences were greater for abstract than meaningful objects in visual search, but not in STM. Nevertheless, older adults demonstrated a decreased capacity in visual STM for meaningful objects. Furthermore, in support of Salthouse's processing speed theory, controlling for search rates eliminated all differences in STM related to object type and age. The overall pattern of findings suggests that STM for visual objects is dependent upon processing rate, regardless of age or object type.     

Analyzing the role of culture in shaping American childhood: A twentieth-century case

Widespread beliefs about the nature and functions of children change over time, and affect actual treatment of children within and without the family. Significant changes in beliefs about children developed in the United States from the 1920s onward, with emphasis both on emotional value and on weakness or vulnerability. Increased consumption of expert advice played a key role in this shift, along with cultural translation of new issues concerning child labor and schooling. Key changes occurred in all industrial societies, but American culture generated some distinctive features that continue to show up in the anxieties many parents harbor about children and their effort to intervene on their children's behalf.     

An exploratory assessment of theory of mind and psychological impairment in patients with bulimia nervosa

This study aimed to investigate psychosocial functioning and different dimensions of theory of mind (ToM) in people with bulimia nervosa (BN) and Eating Disorder Not Otherwise Specified‐BN type (EDNOS‐BN). Psychosocial functioning and ToM were assessed in a sample of young adult females, 16 BN and 16 EDNOS‐BN outpatients and 16 healthy controls (HCs). They were assessed using the Eating Disorder Inventory‐Symptom Checklist‐2 (EDI‐2 SC) for evaluating psychological traits associated with eating disorders; the Symptom Checklist‐90‐Revised (SCL‐90‐R) for evaluating psychopathological status; and the Theory of Mind Assessment Scale (Th.o.m.a.s.), a semi‐structured interview aimed at assessing a person's different dimensions of ToM. The BN and EDNOS‐BN groups exhibited worse performance than the control group on all dimensions of the SCL‐90‐R, and on all dimensions of the EDI‐2 SC. The only difference for perfectionism was that BN obtained higher scores than EDNOS‐BN group. Our results also revealed an impairment of third‐person and second‐order ToM in patients with bulimia (BN and EDNOS‐BN) with respect to control subjects. These preliminary data have important implications for future empirical work, in that they provide valuable information regarding the importance of investigating the various facets of ToM ability separately, in order to provide a more detailed profile of ToM functioning in the clinical samples.     

Identification of risk factors for suffering fear of hypoglycemia in type 1 Diabetes Mellitus patients

Hypoglycemia is one of the main burdens for type I Diabetes Mellitus (DM I) patients. The consequences of hypoglycemia can be quite unpleasant due to the variety of disagreeable physical and psychological symptoms it triggers. The patient's previous experience with hypoglycemia episodes will condition his psychological reaction to future episodes, promoting behavioral modifications that associate with poor glycemic control and worse prognosis, and even with developing psychological disorders, leading to fear of hypoglycemia (FH). To be able to provide tailored prevention and treatment of patients with FH it is necessary to identify the risk factors in DM I patients. We developed and validated the FH‐15 scale, a novel instrument to assess FH, which showed good concurrent and predictive validity in DM I patients. In this work we aim to identify the risk factors for suffering FH by detecting DM I patients with FH using the FH‐15 scale and then analyzing the association of clinical and sociodemographic variables. We found that age, needing help to resolve an episode of hypoglycemia, and a perceived lack of social support are risk factors for suffering FH.     

网络心理教育在1型糖尿病青少年患者自我管理中的作用

探讨网络心理健康教育在1型糖尿病青少年患者中的实证效果,选取1型糖尿病青少年100例,随机分成对照组和干预组各50例.干预组实施网络健康教育,通过网络视频,讲授糖尿病的相关知识,进行定期随访;对照组采用常规健康管理模式,只发放糖尿病知识宣传册由1型糖尿青少年患者和家属自己学习.干预组糖尿病青少年患者自我管理、生活质量、心理状态情况有明显改善,干预后糖化血红蛋白水平下降,对照组上述指标无明显改变.网络心理教育课程是一种新型的有效的健康教育管理模式,能够让1型糖尿病青少年患者病情稳定,同时减少并发症的发生.     

暴发性1型糖尿病：一种不可忽视的重症糖尿病

暴发性1型糖尿病以起病急骤、代谢紊乱严重、胰酶升高并缺乏糖尿病相关抗体为特征。本文回顾分析我院收治的3例暴发性l型糖尿病的临床资料并结合文献与经典1型糖尿病进行对比复习,以提高对该病的认识。3例患者平均病程5．3天,入院平均血糖27．8mmol／L,平均糖化血红蛋白（HbAlC）6．8％,平均空腹C肽0．043ng／ml,平均餐后2hC肽0．04ng／ml,平均胰岛素使用剂量0．50U／（kg·d）。随访6个月HbAlC平均值为7．5％,胰岛8细胞功能无改善。暴发性1型糖尿病较经典1型糖尿病有更严重的胰岛素缺乏、代谢紊乱,更强烈的免疫反应,预后较差。     

The prevalence of in-vehicle driving distractions in road traffic collisions as a function of road type

While some previous research suggests that conversing with passengers is the most prevalent in-vehicle distraction while driving, others have concluded instead that it is mobile phone use. One possible explanation for these differences is that distraction prevalence varies with road type. To test this proposal the current study investigated the prevalence of in-vehicle driving distraction in road traffic collisions (RTCs) as recorded in national records from the US and New Zealand. Analysis using odds ratios suggested conversing with passengers to be a more prevalent distraction in RTCs on minor roads than on major roads, and mobile phone use to be a more prevalent distraction on major roads than on minor roads. These results show the importance of considering the type of road when investigating the prevalence of driving distractions in RTCs in future research.     

Make this detour and be unselfish! Influencing urban route choice by explaining traffic management

Traffic management policies aim to improve traffic flow by influencing the route choice of drivers, therefore preventing traffic jams in crowded cities. With respect to a system-optimum of the traffic network, drivers might have to make small-scale detours. The aim of this article is to encourage unselfish route choice behaviour in an urban context by informing drivers in advance about the objectives of traffic management. Two studies were conducted: (1) an online survey (N = 244) and (2) a driving simulation study (N = 48). The first study focussed on the general effect of recommendations for routes with longer travel times (system-optimal routes) when traffic management is explained. Other route choice attributes (travel time, red-light duration, time pressure) were analysed as well. Drivers were randomly confronted with 35 route choice scenarios consisting of a main route with certain red-light duration and an alternative route without. Results showed that the compliance with system-optimal routes is increased by around 10 percentage points when comparing the group with recommendation to the group without. This effect occurred independently of the variation of other route choice attributes. The second study aimed to determine if the compliance can be increased even more if drivers receive in-depth information about traffic management and experience ‘good’ as well as ‘bad’ recommendations in a driving simulator. Results showed no further effect of these manipulations on route choice. Only decision-making times and subjective evaluation were influenced by in-depth information compared to basic information. Altruism was partly correlated with decision-making. This article shows a novel approach to encouraging drivers to select routes with longer travel times for the benefit of the common good. Drivers’ knowledge gap regarding traffic management needs to be closed in order to enhance their understanding of traffic regulations. Finally, results of this research should be transferred to driver models within traffic simulations to estimate the effects on traffic networks.