Changes over time from baseline poor self-rated health: for whom does poor self-rated health not predict mortality?

The aim of this study was to understand for whom and why poor self-rated health (SRH) is a less valid predictor of longevity or future health by examining the predictors of decline in health among people with poor baseline SRH. The sample included 409 participants in the Cross-Sectional and Longitudinal Study of the old-old (75+) in Israel, who were self-respondents and rated their health as poor at baseline and their status was known at follow-up 3.5 years later: deceased/moved to proxy interview/remained in poor SRH/or improved SRH. Baseline measures included self-reported medical status, physical, cognitive, psychological and social functioning. Findings showed that less decline in health was predicted by less difficulty in physical and cognitive functioning at baseline and by a more active physical and social life, after controlling for socio-demographics. Most of the predictors retained a unique contribution in a multivariate model, suggesting that engagement in meaningful activities serves as an indicator of better health and longer survival even within a group of old-old people in poor health. It may reflect greater social support, contribute to fitness and/or provide a sense of mastery, which could explain similar findings regarding gender and race/ethnicity groups for whom SRH is a less potent predictor of mortality.     

Social influence on physics and mathematics: local or attributive?

Summary  The article is devoted to the nature of science. To what extent are science and mathematics affected by the society in which they are developed? Philosophy of science has accepted the social influence on science, but limits it only to the context of discovery (a “locational” approach). An opposite “attributive” approach states that any part of science may be so influenced. L. Graham is sure that even the mathematical equations at the core of fundamental physical theories may display social attributes. He has used the investigations of the famous Soviet physicist V. Fock on the General Theory of Relativity which were under the influence of Marxism. The Goal of the article is to demonstrate: 1) Why Soviet science is not an appropriate subject-matter for testing the thesis of social constructivism, 2) That differnt levels of science and different stages in the development of science undergo social influences in different degrees ranging from very significant and unavoidable to absolutely trivial and easy eliminated.     

A Cost of Pretending

Two experiments were conducted to assess the effect of pretending on the pretenders' self-esteem. People use social pretenses to avoid criticism and receive praise to maintain and augment this self-esteem. Nevertheless, there is a hidden opportunity cost of pretending. Participants were led (or not) to pretend that they possessed knowledge they did not have (i.e., made-up words), and did or did not receive praise for being knowledgeable. Pretending blunts the effects of praise. Praise raised control participants' self-esteem more than it did that of pretenders.     

Color and number preferences of patients with psychiatric disorders in eastern Turkey

Color and number preferences have not been studied in healthy sublets and psychiatric patients in Turkey. The study group consisted of a total of 500 patients who had been referred to Firat University Medical Faculty Psychiatry Clinic between March and July 2000 and diagnosed with a psychiatric disorder according to DSM-IV criteria. Preferred colors were requested as a selection from the Lüscher Color Test. Then the patients were told to choose a number between 0 and 9. Green was the most frequently preferred of all colors and the number 3 was the most preferred number. Our results demonstrate that patients' choice of color and number reflect the region's religious and cultural milieu.     

Changes over time from baseline poor self-rated health: For whom does poor self-rated health not predict mortality?

The aim of this study was to understand for whom and why poor self-rated health (SRH) is a less valid predictor of longevity or future health by examining the predictors of decline in health among people with poor baseline SRH. The sample included 409 participants in the Cross-Sectional and Longitudinal Study of the old–old (75+) in Israel, who were self-respondents and rated their health as poor at baseline and their status was known at follow-up 3.5 years later: deceased/moved to proxy interview/remained in poor SRH/or improved SRH. Baseline measures included self-reported medical status, physical, cognitive, psychological and social functioning. Findings showed that less decline in health was predicted by less difficulty in physical and cognitive functioning at baseline and by a more active physical and social life, after controlling for socio-demographics. Most of the predictors retained a unique contribution in a multivariate model, suggesting that engagement in meaningful activities serves as an indicator of better health and longer survival even within a group of old–old people in poor health. It may reflect greater social support, contribute to fitness and/or provide a sense of mastery, which could explain similar findings regarding gender and race/ethnicity groups for whom SRH is a less potent predictor of mortality.     

Suicides in the developing world: case study from Pakistan

There are no official data on suicide from Pakistan, a conservative South Asian Islamic country with traditionally low suicide rates. Both suicide and attempted suicide are illegal acts, as well as socially and religiously condemned, making research in this area difficult. Recent reports suggest an increase in suicide rates. In this study, police data from the Sindh province were examined to provide a unique picture of trends of suicide over 15 years (1985-1999). During this period there were 2,568 reported suicides (71% men, 39% women; ratio 1.8). The lowest number was 90 in 1987 and maximum was 360 in 1999. Poisoning by organophosphates was the most common method followed by hanging. This study, although limited in scope, provides evidence of an increase in suicide rates in Pakistan, from one data source. There is urgent need for further research on suicide in Pakistan; interventions for suicide prevention in the country can then be planned.     

Female Suicide Rates in Ghizer,Pakistan

Suicide is an understudied subject in Pakistan. There are many social, legal, and religious sanctions against it. National rates of suicides are not known. We calculated suicide rates of women in the Ghizer District of the remote Northern Areas of Pakistan. During years 2000 to 2004, 49 women committed suicide. Taking average mean population for women for 5 years as 65,783, we calculated annual crude suicide rates for women as 14.89/100,000/year. For women over the age of 15 years, rates were 33.22/100,000/year; age‐specific rates for 15–24 years were 61.07/100,000 per year. These figures are considerably higher than suicide rates in other parts of Pakistan and may be related to high psychiatric morbidity in Pakistani women. This study underscores the need for a standardized system of registration of suicides in Pakistan. There is also urgent need to address high psychological distress in women in Pakistan.     

Gender Differences in Nonfatal Suicidal Behavior in Pakistan: Significance of Sociocultural Factors

Suicidal behavior is an understudied subject in Pakistan. A variety of social, legal, and religious factors make reporting and data collection on suicide and nonfatal suicidal behavior difficult. To study the problem, a retrospective case-note analysis was carried out in which the sociodemographic and clinical characteristics of 262 female and 185 male suicidal individuals admitted to a university hospital in Karachi, Pakistan, are compared. Three quarters of the suicidal persons were under the age of 30 years. Compared to men, women were younger and more often married. Both women and men tended to use self-poisoning with benzodiazepines, but more women used organophosphate insecticides. In Pakistani society, legal, social, and economic discrimination predisposes women to psychological distress and subsequent suicidal behavior. The study highlights the need for culture-specific research on suicidal behavior in Pakistan.