Physical activity in infants with Down syndrome receiving a treadmill intervention

Despite the recognized relevance of physical activity in the development and health of children, assessment of physical activity levels (PA-level) in infancy is limited, especially in infants with Down syndrome (DS). Increasing PA-level using a treadmill training (TMT) intervention may benefit infants with motor delays. The purpose of this study was to investigate whether a higher intensity, individualized TMT protocol (HI) would elicit immediate and short-term higher PA-level in infants with DS than a lower intensity, generalized training protocol (LG).Thirty infants with DS were randomly assigned to the LG or the HI group. Training was terminated when the infants could walk three steps independently. Activity monitors were placed on infants’ trunks and legs for a 24-h period every other month during the intervention phase, and at set intervals 1-year post-independent walking onset. Data were analyzed to separate sedentary-to-light activity (Lowact) and moderate-to-vigorous activity (Highact).Overall our results demonstrate that infants receiving the HI TMT had higher levels of Highact than infants in the LG group, factoring out the activity produced by the intervention itself. Infants in the LG group spent more time in Lowact than the HI group. In addition, these results seemed to be retained during the post-intervention follow-up. Despite these exciting results, more work is needed to understand the relationship of the intensity of TMT on PA-level in infants with DS, and whether PA-level and TMT are related to motor milestone achievement and/or health benefits.     

The experiences of counselling for persons with ME

A number of studies have evaluated counselling interventions for people with myalgic encephalitis, but few report client perceptions in any detail. This study seeks to explore client perceptions using a qualitative methodology. A sample of 25 individuals with myalgic encephalitis were interviewed about their experiences in counselling. The interviews were transcribed and subjected to thematic analysis using grounded theory principles. The analysis showed that people with myalgic encephalitis endure significant changes to their lives, often involving great loss and trauma. After seeking help through counselling, participants had experienced a wide variety of approaches and there were positive and negative perceptions of each. Other perceptions related to therapist characteristics and the way in which interventions were carried out. Recommendations for practitioners are given.     

Quality of Life and General Health Perception in Women with Obesity

The purpose of this study was to determine the differences in general health status and quality of life between patients who present “non-normative eating behaviours” (namely, binge eating disorder, night eating syndrome, sweet /fat food cravings and continuous nibbling) and patients without these eating behaviour characteristics. A cohort of 168 women with obesity, all candidates to bariatric surgery, aged between 15 and 65 (M = 39.04; SD = 10.86), with a body mass index ranging between 30.37 and 80.65 (M = 48.79; SD = 8.37), was studied. Participants answered to a clinical interview, to SF-36 and to ORWELL-97, after their informed consent. Results suggest that women with obesity reporting binge eating disorder, night eating syndrome and continuous nibbling show poorer general health status and worst quality of life than those who do not present these “non-normative eating behaviours”. Moreover, the general health status and the quality of life of patients with sweet/fat food cravings do not differ from those who do not report this eating behaviour. Nevertheless, patients reporting the eating behaviours studied do not differ from the others regarding their body mass index.     

Coping with the threat of severe acute respiratory syndrome: Role of threat appraisals and coping responses in health behaviors

The present study examines the psychological impact of severe acute respiratory syndrome (SARS) by exploring the coping strategies and health behaviors enacted in response to the SARS epidemic. Hierarchical linear regression indicated that the use of wishful thinking in response to the threat of SARS was related to both avoiding public places and avoiding people perceived to be possible carriers of the SARS virus, but was not associated with the use of more adaptive health behaviors, such as using disinfectants and hand washing. Conversely, those who reported engaging in empathic responding in response to the threat of SARS were both less likely to report avoiding people perceived as being at a high risk for SARS and more likely to report engaging in effective health behaviors. Support seeking was not a significant predictor of the health behaviors examined in the present study. Results are discussed in terms of coping with health threats and health promotion.     

Service in the Gulf War and Significant Health Problems: Focus on the Central Nervous System

The consensus of several studies on health among Gulf War (GW)-deployed veterans is that they have elevated symptom complaints. Central nervous system (CNS) symptoms among these veterans have been assessed in several investigations. Studies have disagreed as to whether there are neuropsychological deficits in GW-deployed veterans relative to controls. When differences between these groups have been found, they have often been attributed to stress or psychiatric factors, although exposures to neurotoxic substances present in the GW theatre have also been indicted as possible explanations. A review of the existing literature as well as the 5 papers contained in this issue of Journal of Psychopathology and Behavioral Assessment suggests that the neuropsychological and health symptom sequelae of GW zone service are multidetermined and cannot easily be explained on the basis of simplistic models of causation. Psychological, historical, and exposure parameters must be considered in the scientific evaluation of this problem.     

An exploratory study of the kinematics of girls with Turner Syndrome in a visuo‐motor task

In this paper a study is reported in which a group of children with Turner Syndrome (TS) is compared on motor performance tests and real‐time kinematic data with a control group. The objective of this study was to identify possible kinematic variables that characterize the movement patterns utilized by this group of children in achieving their optimal performance. The underlying idea is that by comparing test results and movement kinematics one might gain more insight into the movement production of children than by just looking at the test results or by just using clinical movement observation. The children performed a pen and paper task, the flower trail (one of the sub‐tests of the Movement ABC) (Henderson and Sugden, 1992), on an XY‐tablet. We explored kinematic variables, such as trajectory length, movement time, velocity and pen pressure. It was found that, although girls with TS have a severe motor deficit, they are able to draw a line accurately between two narrow boundaries just as well as the control children (no significant difference in mean number of spatial errors). However, quantitative analysis revealed that girls with TS made a large amount of deviations from the optimal path such that their trajectory length increased with more than 10% per flower trail compared to the control group children. They also made more pen lifts and more changes in velocity. The study showed that children from the two groups may reach the same basic accuracy performance level by using very different strategies. Kinematic registration of fine motor tasks holds promise in gaining more insight into how clinical groups cope with their specific motor problems. Copyright © 2003 John Wiley & Sons, Ltd.     

The effects of early relational antecedents and other factors on the parental sensitivity of mothers and fathers

This study examines the effect of early relational antecedents (ERA, i.e. the quality of parenting parents recalled receiving as children), parenting stress, marital stress, socio‐economic factors and children's characteristics (gender and disability condition) on the parental sensitivity of mothers and fathers. The sample consisted of 116 mothers and 84 fathers of 117 eighteen month old children drawn from a larger longitudinal study on the adaptation of parents to a child with a disability. Thirty‐four children were diagnosed with Down syndrome (DS), 51 with a cleft lip and/or palate (CLP), and 32 were non‐disabled children. Multiple regression analyses reveal that mothers' sensitivity is best predicted by her level of education and family income, whereas fathers' sensitivity is best predicted by their ERA, marital stress, family income and the child's disability condition. Mothers with more education and a greater family income displayed a greater sensitivity to their children, as did fathers who perceive less marital stress, those with a greater family income and those who perceived their parents as less controlling. Also, fathers of children with DS displayed less sensitivity for their children than fathers of children with CLP or fathers of non‐disabled children. These results concord with many studies about the importance of socio‐economic factors, ERA, marital stress, parent's gender and children's factors in the understanding of parental sensitivity. Copyright © 2003 John Wiley & Sons, Ltd.     

从SARS看突发公共卫生事件的政策管理

在调研国外应对突发公共卫生事件政策管理经验的基础上,结合我国应对传染性非典型肺炎的措施,初步探讨了我们在应对突发公共卫生事件政策管理方面的不足,并就改进对策也进行了初步研究。     

Is the past prologue for some more than others? The hobo syndrome and job complexity

The current study examines the relationship between an individual's history of changing jobs and future turnover (the so-called “hobo syndrome”). Relying on self-consistency theory, it was hypothesized that the relationship between job mobility history and turnover is moderated by job complexity. Using a sample of 393 employees from two healthcare organizations, multiple methods were used to assess the variables of interest. Job mobility history was assessed with a biodata questionnaire collected before employees were hired. Job complexity was measured objectively by a job complexity index calculated from O*NET data. Turnover was assessed with actual turnover data collected over an 18-month post-hire period. Consistent with our hypothesis, results using event history analyses revealed that previous job changes were positively related to turnover likelihood. Additionally, job complexity moderated the relationship between previous job changes and turnover likelihood, such that previous job changes were more positively related to turnover in complex jobs. Implications for future research and practice are discussed.     

Do distracting activities increase tolerance for an infant cry?

Professionals recommend parents engage in distracting activities to mitigate negative effects of inconsolable infant crying (e.g., Deyo, Skybo, & Carroll, 2008; Goulet et al., 2009). We evaluated the availability of alternative activities on six undergraduates’ tolerance for a recorded infant cry; three students tolerated the cry longer when distracting activities were available. Our results show that distracting activities could decrease the aversiveness of inconsolable infant crying for some individuals; additional research in natural caregiving situations will help determine the generality and social validity of this finding.