Menstrual symptom questionnaire: further psychometric evaluation

Novak, Jones, and Jones (1975) state that menstrual distress (dysmenorrhea) is the greatest cause of lost work hours among women, and Kistner (1970) estimate this to be 140 million annual work hours. Thirty-five percent of female adolescents. 25% of college women, and 60–70% of single females in their 30's and 40's are said to be invalid during menstruation (Green, 1971). Treatment procedures for primary dysmenorrhea have included hypnosis (Lackie, 1964), physical exercises (Golub. 1959). natural childbirth techniques (House, 1969), and oral contraceptives.

Though hormones are the most recent, frequent and effective treatment approach (Novak et al. 1975). Tyler (1973) cautions against their use because of possible adverse side effects. Recently, systematic desensitization (SD) has been used to relieve menstrual distress (Mullen, 1968, 1971; Reich, 1972; Tasto and Chesney, 1974) without risk of such side effects. Although SD has been effective, considerable response variability has been noted.

Becuase of this variability. Chesney and Tasto (1975a) developed the Menstrual Symptom Questionnaire (MSQ) to psychometrically identify two types of primary dysmenorrhea: spasdomic dysmenorrhea which designates distress during the flow period associated with excessive muscle tension, and congestive dysmenorrhea referring to premenstrual tension related to water retention. This instrument was designed to define types of menstrual symptoms and not symptom severity. Test-retest reliability was 0.87 and discrimination between spasdomic and congestive dysmenorrhea was highly significant. Of 48 women tested. 29 were identified as spasdomic with MSQ scores between 82 and 102, while 19 scored in the congestive range (46–68). Interestingly, no women scored in the median range (69–81), suggesting that there exists two unique types of primary dysmenorrhea identifiable by the MSQ. Subsequently, Chesney and Tasto (1975b) reported that congestive women did not respond to SD, while spasdomic symptoms were significantly reduced. It was hypothesized that the relaxation training component of SD was effective with spasmodic muscle tension symptoms and ineffective with congestive water retention symptoms. Consequently, the MSQ was thought capable of accounting for previously reported response variability of primary dysmenorrhea to SD.

The present study was intended to replicate Chesney and Tasto's (1975a, 1975b) findings. The following Null hypotheses were tested; (a) the MSQ does not have significant test-retest reliability; (b) the congestive-spasmodic symptom dimension of the MSQ is not dichotomous; and (c) the MSQ does not predict SD effectiveness     

EFFECTS OF DIRECT,INTERMITTENT, AND VICARIOUS REINFORCEMENT PROCEDURES ON THE DEVELOPMENT AND MAINTENANCE OF INSTRUCTION-FOLLOWING BEHAVIORS IN A GROUP OF YOUNG CHILDREN1

A group of young children (mean age: 2.5 yr) were instructed to follow different requests by a teacher in a day-care setting. Experiment I verified that mean group instruction following was low (10%) despite the opportunity for “observational learning”, i.e., the group of 12 children could watch a nonreinforced adult comply with the teacher's request. In Experiment II, when positive consequences were provided contingent on the adult model's behavior, mean group instruction following was relatively unaffected (14%). When direct reinforcement was given to four peer models, each for several sessions, the individual performances of three of the four peer models was elevated (from 50% to 80%); however, the mean performance of the remaining nonreinforced children (N = 7) was only moderately affected (21%). When reinforcement contingencies were again changed, so that each group member was provided direct, but intermittent reinforcement, mean group performance increased substantially to levels of over 70%. Once instruction following was high, presentation of reinforcement only to one peer model sufficed to maintain performance whereas earlier, this same vicarious reinforcement procedure had failed to establish group compliance. The maintenance of instruction-following behavior when reinforcement was applied solely to one child was interpreted mainly in terms of a high resistance to extinction following a history of intermittent reinforcement rather than a “vicarious”- or “self”-reinforcement mechanism. Finally, removal and re-introduction of group intermittent reinforcement, respectively, lowered performance (to levels of 40%) and elevated (to levels of 65%) the group's performance.     

Children's strategies in producing three-dimensional relationships on a two-dimensional surface

It is a common task to give children a picture containing implicit depth cues and to require them to extract depth information from it. The cues are always selected from the adult repertoire; little is known about children's production of their own cues. In this experiment, 5- to 10-year-old children were required to draw one object behind another in a situation in which adults invariably produce the further object partially occluded by the nearer. The results were an age-related decline in the tendency to segregate the objects and an increase in the tendency to group the objects using partial occlusion, with a cross-over at 8 years. At all ages some children drew one object inside the boundary of the other. It is argued that the results are composed of two tendencies, a gradual mastery of discrete scaling phenomena (e.g., “up” on the page means “further”) within a given style, and a set of decisions to be made between incompatible styles.     

Control of responding by location of auditory stimuli: adjacency of sound and response.

Four rhesus monkeys were trained to respond on one key when a one-second noise burst was presented through one speaker and to respond on a second key when the noise burst was presented through a second speaker. The acquisition of stimulus control was studied under three conditions, in each of which the relationship between the sound source and the response-key positions varied: an adjacent condition in which the noise burst was presented through the key and a response on this key was reinforced; a reversed-adjacent condition in which the noise burst was presented through one key and responding on the other key was reinforced: and a nonadiacent condition in which responding on the key nearer the sound was reinforced. Under adjacent conditions, stimulus control developed within one or two sessions. Under reversed and nonadjacent conditions, 10 sessions were required for the development of control. The asymptote of correct responding was the same under each condition in all animals.     

Control of pigeons' pecking by trace stimuli

In Experiment I, pigeons' pecking a white key was reinforced with grain when white was immediately preceded by a vertical white line on a green surround, but not by green alone. This procedure produced control of pecking by the line. Next, pecking white was reinforced after vertical line on green, but not after green alone or other orientations of the white line on green. The line-tilt dimension initially did not control pecking, a result that showed that interdimensional (line versus no line) training does not always result in dimensional control. Line-tilt control was eventually established but was accompanied by a decrease in interdimensional control. In Experiment II, interdimensional training, with or without a trace interval intervening between line on green or green alone and white, was followed by tests for line-tilt control. While interdimensional control was unaffected by the trace interval, line-tilt control tended to be less with the trace interval. This dissociation of interdimensional and dimensional control, as well as the failure of interdimensional training to produce dimensional control in Experiment I, suggests that the line stimulus is multidimensional.     

Positive contrast, negative induction, and inhibitory stimulus control in the rat

In Experiment I, 24 rats were trained on a multiple variable-interval variable-interval schedule with a doorlight and white noise serving as component cues. Two groups were then shifted to a multiple extinction variable-interval schedule, and a third group was maintained on the multiple variable-interval variable-interval schedule. The multiple extinction variable-interval condition produced positive contrast when either the light or noise signalled extinction, and both of these cues acquired inhibitory stimulus control as measured by a combined cue test. In Experiment II, the multiple variable-interval variable-interval condition was shifted to multiple extinction variable-interval for one group, to multiple variable-time variable-interval for a second group, and was unchanged for the third group. The two experimental conditions produced identical patterns of response-rate reduction in the altered component, but the multiple extinction variable-interval condition produced positive contrast, whereas the multiple variable-time variable-interval condition did not. Subsequent combined cue and resistance to reinforcement tests revealed that the cue signalling extinction acquired stronger inhibitory stimulus control than the cue signalling variable time.     

Signalled free-operant avoidance of shock by pigeons pecking a key

Two pigeons were trained to peck a key under a free-operant avoidance schedule. Then, changes in key color signalled the beginning (safe period) and the end (warning period) of the response-shock interval, with a response required to change the key color. Finally, a change in key color signalled the warning period and either a response or a shock reinstated the safe stimulus. During signalled avoidance, response rate was higher during the warning stimulus than during the safe stimulus. More responding tended to occur in the warning stimulus when it was terminated by either a response or a shock than by only a response. In either procedure, response latency during the warning stimulus was a function of the duration of the warning stimulus. In general, response and shock rate were higher during unsignalled than during signalled avoidance. When the warning stimulus was brief, the results were similar to those of unsignalled avoidance. These results confirm previous findings with pigeons, are in general agreement with data provided by other species in studies of signalled avoidance, and thereby indicate the transituationality of the key-pecking operant.     

Choice, time allocation, and response rate during stimulus generalization

Six pigeons were trained to discriminate between two noise intensities using a procedure that assessed choice, time allocation, and response rate simultaneously and independently. Responses on the left or right key (R1 or R2) were respectively correct in the presence of two different intensities, S1 and S2. After a correct response, reinforcement became available for pecks on the center key. Reinforcement density for R1¦S1 relative to R2¦S2 was varied across experimental conditions. Generalization tests followed extensive training at each condition. As a function of stimulus intensity, proportions of initial choices of R2, of time spent in R2-initiated components, and of center-key responses emitted in R2-initiated components all yielded sigmoidal gradients of similar slope, which shifted slightly in location when relative reinforcement density changed. Changeovers were maximal where initial choice proportions approximated 0.5. Gradients relating the absolute number of center-key responses to stimulus intensity were also roughly sigmoidal, but were more sensitive to changes in reinforcement density. Gradients of momentary response rate also depended on reinforcement density. During training, large but transitory shifts in choice responding occurred when reinforcement density changed, while differences in momentary response rate developed slowly, suggesting separate control of choice and response rate by the contingencies of reinforcement.     

The nature of control by spoken words over visual stimulus selection.

Eight retarded adolescents were trained to select one (a trained S+) of two visual stimuli in response to a spoken word (a trained word). Two different visual stimuli alternated randomly as the S-. To determine if the spoken work was merely a temporal discriminative stimulus for when to respond, or if it also specified which visual stimulus to select, the subjects were given intermittent presentations of untrained (novel) spoken words. All subjects consistently selected the trained S+ in response to the trained spoken word and selected the previous S- in response to the untrained spoken words. It was hypothesized that the subjects were responding away from the trained S+ in response to untrained spoken words, and control by untrained spoken words would not be observed when the trained S+ was not present. The two visual S- stimuli selected on trials of untrained spoken words were presented simultaneously. The untrained spoken words presented on these trials no longer controlled stimulus selections for seven subjects. The results supported the hypothesis that previous control by spoken words was due to responding away from the trained S+ in response to untrained spoken words.     

Reinforcing fluency in stutterers: An experimental study

Subject-specific periods of fluent reading responses of three adult stutterers were positively reinforced with the presentation of a dime. Subjects were run individually through a sequence of two base rate, two experimental, and two extinction sessions, each session lasting 45 min. Periods of fluent reading responses increased during the experimental condition for each of the three subjects. When the reinforcer was withdrawn during the extinction condition, the frequency of fluent periods showed a decrease. Concomitantly, disfluencies decreased during the experimental condition and they increased during the extinction condition. The clinical implications of fluency manipulation as against disfluency manipulation are discussed.