Meta-analysis of psychological interventions for chronic low back pain.

The purpose of this meta-analysis of randomized controlled trials was to evaluate the efficacy of psychological interventions for adults with noncancerous chronic low back pain (CLBP). The authors updated and expanded upon prior meta-analyses by using broad definitions of CLBP and psychological intervention, a broad data search strategy, and state-of-the-art data analysis techniques. All relevant controlled clinical trials meeting the inclusion criteria were identified primarily through a computer-aided literature search. Two independent reviewers screened abstracts and articles for inclusion criteria and extracted relevant data. Cohen's d effect sizes were calculated by using a random effects model. Outcomes included pain intensity, emotional functioning, physical functioning (pain interference or pain-specific disability, health-related quality of life), participant ratings of global improvement, health care utilization, health care provider visits, pain medications, and employment/disability compensation status. A total of 205 effect sizes from 22 studies were pooled in 34 analyses. Positive effects of psychological interventions, contrasted with various control groups, were noted for pain intensity, pain-related interference, health-related quality of life, and depression. Cognitive-behavioral and self-regulatory treatments were specifically found to be efficacious. Multidisciplinary approaches that included a psychological component, when compared with active control conditions, were also noted to have positive short-term effects on pain interference and positive long-term effects on return to work. The results demonstrated positive effects of psychological interventions for CLBP. The rigor of the methods used, as well as the results that reflect mild to moderate heterogeneity and minimal publication bias, suggest confidence in the conclusions of this review.     

The gestural repertoire and its evolution over the second year

The entire repertoire of communicative gestures was documented in a longitudinal, observational study of 10 infants, whose combined ages covered the range from 9 to 22 months. Early in the second year, giving as a request to do something with the object increased, while emotive gestures decreased. Later in the second year, pointing gestures increased, while protest gestures tended to decrease. Combining gestures with vocalization tended to increase only for protest gestures later in the second year. Eye contact showed a small but continuous increase in coordination with gestures over the second year, particularly with comment, request, and emotive gestures. These findings indicate an increasing use of the parent as an agent and of the informative function in non-verbal communication during this period of transition to verbal communication.     

Prevalence of weight reducing and weight gaining in adolescent girls and boys

This is a survey of the prevalence of weight reducing and weight gaining in high school children. Our sample of 1,373 high school girls and boys was geographically, racially, and economically diverse. On the day of the survey, 63% of the girls and 16.2% of the boys reported being on weight reducing regimens; 9.1% of the girls and 28.4% of the boys were trying to gain weight. Most female reducers and male gainers were already normal weight. Compared to other racial groups, whites and Hispanics were more likely to be reducing, whereas blacks were more likely to be gaining. Exercise and moderate caloric reduction were most popular for weight reducing, and a small but significant number were regularly using fasting, vomiting, laxatives, and appetite suppressants. The direction of weight modification for girls and boys conformed to stereotyped physical ideals. The rate of weight reducing in female high school adolescents has increased significantly since similar surveys of American youths 20 years ago.     

The effects of labor shortages on starting salaries for sex-typed jobs

An experimental simulation was conducted to examine potential differences in sensitivity to forces to supply and demand among male and female sex-typed jobs. Respondents faced with a labor shortage favored raising salaries for male sex-typed jobs, but favored alternatives to salary increases for female sex-typed jobs at entry and middle levels. Findings are discussed in terms of occupational sex stereotypes and differing perceptions regarding the urgency and difficulty of filling vacancies in male and female positions.Portions of this study were presented at the National Academy of Management Meetings, Chicago, 1986.     

How efficacious,caring samaritans cope when their help is rejected unexpectedly

This experiment, with 167 introductory psychology subjects, successfully replicated and extended to a wider array of affective, evaluative, and cognitive reactions, previous research on how would-be helpers cope when their help is rejected. It again supported the thesis that violation of perceived expectancy of acceptance mediates the effects of rejection. Using an individual difference measure of generalized self-perceptions of being a person who is sufficientlyefficacious and caring (acronym, EFCA) to help others, we found support for the predictions that high EFCAs would react more strongly than low EFCAs on “proximal” forms of coping, but relatively less strongly on “confrontational” (future-oriented) forms. Our rationale was that high EFCAs expect more acceptance, are more optimistic, and have greater self-investment in the outcome. Mixed support was obtained for the prediction that situational differences in prior expectancy of acceptance moderate the effects of rejection. Portions of the research were presented by the first author at the 98th Annual Convention of the American Psychological Association, Boston, August 1990.