The impact of television,print, and audio on children's recall of the news.

Recent research has shown that children remember more from television news than from print news, a finding that has been explained by the extra mnemonic support offered by redundant television pictures (the dual‐coding hypothesis). The present study was designed to examine three alternative explanations, which attribute children's superior recall of television news to (a) underutilization of the print medium, (b) a recall advantage of listening compared with reading, and imperfect reading ability. A sample of 192 fourth and sixth graders was presented with children's news stories, either in (a) their original television form, (b) a bare print version, a print version supplemented with photo material or in (d) an audio version. Results indicated that the television presentation was remembered better than any of the other three versions. The results of the study were consistent with the dual‐coding hypothesis, whereas no support was found for the alternative explanations tested in the study.     

Negative affect and 24-hour ambulatory physiological recordings as predictors of spontaneous improvement of medically unexplained symptoms

The predictive value for spontaneous improvement in individuals suffering from medically unexplained symptoms (MUS) was explored of (1) anxiety and depression obtained from questionnaires, (2) negative affective states obtained from experience-sampling, and (3) ambulatory-assessed real-life physiological recordings. Sixty-seven individuals with MUS and 61 healthy controls were included. Twenty-four hour ambulatory recordings of cardiac autonomic activity, respiration, end-tidal CO(2) and saliva cortisol were combined with experience-sampling of somatic complaints and mood. Complaints were assessed again after one year. Although a reduction in symptoms (25%) was found, this could not be predicted from initial anxiety and depression. Improvement was somewhat related to relatively low diary reports of fatigue, especially in the late-afternoon and evening (3% variance explained). From the physiological measures only relatively high PetCO(2) values in the morning predicted improvement (5% explained). It was concluded that spontaneous recovery from MUS is hard to predict from self-reported distress and ambulatory physiological recordings.     

Acquired sensitivity to relevant physiological activity in patients with chronic health problems

The hypothesis that biased symptom perception toward excessive symptoms is common when relatively normal chronic patients enter symptom-relating situations, irrespective of emotional variables, was tested in 19 women with severe asthma, 18 with somatization-like characteristics, and 18 controls. Each underwent three experimental conditions: mental stress, resting, and physical exercise. Each condition included three breathing conditions: breathing normally, normal compressed air, and 5.5% CO2-enriched compressed air. Results yielded no group differences in physiological measures, e.g. elevated CO2 in exhaled air (end-tidal partial pressure of CO2, PetCO2), or lung function. Asthma patients experienced more breathlessness, and somatization-like participants more breathlessness, miscellaneous symptoms, and subjective stress than controls. Although these differences suggested acquired biased symptom perception, as it turned out, breathlessness in asthmatics was more influenced by PetCO2 and less by subjective stress compared to controls. Likewise, breathlessness in somatization-like participants was similarly influenced by PetCO2 and subjective stress compared to controls, and miscellaneous symptoms were even more influenced by PetCO2 and less by subjective stress compared to controls. It was concluded that acquired sensitivity to physiological activity associated with habitual symptoms may account for excessive symptoms in patients with chronic health problems.     

The day‐to‐day concurrence of bodily complaints and affect in patients with severe somatoform disorder

Based on the concept of somatization, psychological distress can be experienced as symptoms of physical illness. This suggests a close‐fitting intra‐individual association between bodily complaints and mood in patients with somatoform disorder (SFD). The contemporaneous day‐to‐day complaints‐mood association was investigated in patients with severe chronic SFD using an ecological momentary assessment (EMA) design. Eleven patients, who had recently received specialized tertiary care treatment for severe chronic SFD, kept an online electronic diary for four consecutive weeks. They were prompted at intervals throughout the day to complete questions on their momentary primary symptoms (pain and fatigue), and mood state (negative and positive). For each measure, day‐mean aggregated values were computed and analyzed using linear multilevel (mixed model) regression analysis. Fixed factor results showed that symptoms were associated with both negative mood state (β = 0.47) and positive mood state (β = –0.59). Random results, however, indicated large inter‐individual differences, with correlations varying between 0.17 and 0.99 for negative affect, and between –0.88 and 0.14 for positive affect. A substantial day‐to‐day contemporaneous association between symptoms and affect across subjects, as well as large inter‐individual differences in this association, were demonstrated in patients with severe chronic SFD. EMA‐data showing the relationship between both negative and (inverse) positive mood and complaints has potential clinical relevance: providing SFD patients with feedback consisting of their personal day‐to‐day concurrency graph may promote their understanding of their own complaints in a broader context than the somatic area.