Daily stress and anxiety and their relation to daily fluctuations of symptoms in asthma and chronic obstructive pulmonary disease (COPD) patients

Although stress and anxiety have long been assumed to play an exacerbatory role in asthma, no study has systematically documented that daily exacerbations of asthma symptoms are related to stress and/or anxiety. In this study, 24 airways obstruction patients (12 asthmatics and 12 chronic obstructive pulmonary disease patients) were instructed to monitor the severity of daily respiratory symptoms. In addition, subjects recorded their daily anxiety level and the number and perceived impact of daily stressors. The results showed that although there were differences between high- and low-stress days for both groups, there were no differences between groups on symptom severity or between high- and low-anxiety days, as measured by the State-Trait Anxiety Inventory (STAI). Thus, although the number and impact of daily stressors were found to be directly associated with the severity of asthma symptoms, anxiety does not appear to have a direct role in the exacerbation of asthma. The findings failed to support the anxiety theory of asthma but provided an explanation for the poor results obtained in previous treatment studies which employed anxiety management with asthmatics.     

Efficacy of behavioral management and patient education on vascular access cleansing compliance in hemodialysis patients

Compared four treatment conditions to test their ability to enhance compliance with vascular access cleansing (VAC) procedures in a group of 56 hemodialysis patients. The conditions were patient education, behavioral management with monetary incentive, patient education/behavioral management, and attention control. Behavioral observers rated VAC behavior at pretreatment, posttreatment 1-month follow-up, and 1-year follow-up. Knowledge of VAC procedures was also assessed via a questionnaire at pretreatment and posttreatment. Data were analyzed using repeated-measures multivariate analyses of variance. Results indicated that the patients in the education/behavioral, behavioral, and education groups gave significantly more correct answers on our VAC knowledge questionnaires at posttreatment than did patients in the attention control group. Further, patients in the education/behavioral and behavioral groups completed significantly more VAC steps at posttreatment and 1-month follow-up than did patients in the education group and in the attention control group. Differences were not maintained at 1-year follow-up, although more than 50% of the patients were lost to follow-up. Implications of the present findings for behavioral and educational interventions are discussed.     

Field Independence and Change Agent Correlation in Emerging Communities of Irian Jaya,Indonesia

Communities that are limited by oral traditions find theological truths communicated by missions a challenge to understand. Currently, linguists work in many of these minority language groups in order to create vital written languages and produce various literature titles that include the Scriptures. Development of a writing system requires indigenous language assistants who are adept in drawing meaning from unfamiliar cultural paradigms and accurately articulating them. Empirical studies in cognitive style conducted among the minority language groups of Irian Jaya, Indonesia show a correlation between field independence (a dimension of cognitive style) and the ability to grasp abstract linguistic concepts. The Brantley/Larsen Test was developed to identify language assistants, also known as change agents, in a culturally appropriate manner for Irian Jaya. Furthermore, this study suggests that the church would benefit from community lay counselors who manifest field independence, which indicates comprehension of abstract and complex linguistic notions found in Scriptures.Indonesia as Organizational Consultant;     

Children and Aging: Attitudes,Differentiation Ability,and Quantity and Quality of Contact

The attitudes and age differentiation ability of forty-seven 3- to 5-year-old children toward pictures of older and younger people were assessed. In addition, cognitive performance on a seriation task as well as the quantity and quality of each child's contact with adults over 60 years of age were measured. Chi squares were performed by sex and age of stimulus photograph on the attitudinal questions. One of the chi squares reached signficance on the age comparison and two on the sex comparison. In addition, sign tests were used to assess the direction of the trends on the questions, and both age and sex trends were significant at the .05 level with children being more likely to choose pictures of younger rather than older models and female rather than male models. Ability to correctly order pictures by age was signficantly related (r = .53, p < .001) to the seriation ordering task. Four of the 18 correlations between contact and attitudinal variables were significant and negative.     

The Psychosocial Vulnerability Model of Hostility as a Predictor of Coronary Heart Disease in Low-income African Americans

The current study examined social support and stress as mediators of the hostility—coronary heart disease (CHD) relationship as suggested by the psychosocial vulnerability model in a sample of low-income African Americans. Among 95 CHD patients and 30 healthy controls, hostility was negatively correlated with social support, but was not related to minor stress. CHD patients endorsed higher levels of hostility; however, the relationship between hostility and CHD status was diminished once stress and social support were included in the model. This study lends partial support for the psychosocial vulnerability model of hostility in African Americans, but suggests that the relationship between hostility and stress may be impacted by socioeconomic status.     

Children and aging: attitudes, differentiation ability, and quantity and quality of contact

The attitudes and age differentiation ability of forty-seven 3- to 5-year-old children toward pictures of older and younger people were assessed. In addition, cognitive performance on a seriation task as well as the quantity and quality of each child's contact with adults over 60 years of age were measured. Chi squares were performed by sex and age of stimulus photograph on the attitudinal questions. One of the chi squares reached significance on the age comparison and two on the sex comparison. In addition, sign tests were used to assess the direction of the trends on the questions, and both age and sex trends were significant at the .05 level with children being more likely to choose pictures of younger rather than older models and female rather than male models. Ability to correctly order pictures by age was significantly related (r = .53, p less than .001) to the seriation ordering task. Four of the 18 correlations between contact and attitudinal variables were significant and negative.     

Test-retest reliability and concurrent validity of the Morrow Assessment of Nausea and Emesis (MANE) for the assessment of cancer chemotherapy-related nausea and vomiting

The present study evaluated the concurrent validity of two assessment approaches for the measurement of cancer chemotherapy-related nausea and vomiting. The results indicated that the concurrent validity between the Morrow Assessment of Nausea and Emesis (MANE; Morrow, 1984b) and continuous self-monitoring and the reliability on the MANE were moderate. The heterotrait-monomethod and heterotrait-heteromethod matrices demonstrated moderate correlations among the frequency, severity, and duration of anticipatory nausea and vomiting as well as high correlations among the frequency, severity, and duration of posttreatment nausea and vomiting. Additionally, the heterotrait-monomethod matrices show a number of correlations above chance between anticipatory and posttreatment symptoms. The results are discussed in light of future research endeavors.This research was supported in part by Research Grant IN-150 from the American Cancer Society.