Prevention of nonadherence to nonsteroidal anti-inflammatory medications for newly diagnosed patients with juvenile rheumatoid arthritis.

Adherence to medications for chronic pediatric diseases decreases overtime. This randomized controlled trial evaluated a clinic-based, nurse-administered educational and behavioral intervention to prevent the anticipated drop in adherence to nonsteroidal medications among newly diagnosed patients with juvenile rheumatoid arthritis. Thirty-four participants completed the study (mean age = 8.44 years, SD = 3.96), including 19 in the experimental group and 15 in the standard-treatment (education) control group. There were significant group and Group x Time effects for adherence (assessed with an electronic monitor over a 13-month period) favoring the experimental group. In contrast, the groups did not differ significantly in disease activity or functional limitations. Factors that may have prevented detection of differences in these health parameters are dicussed.     

Does spreading activation summate?

Summary Network models of semantic memory assume implicitly or explicitly that the degree of activation of a node is a monotonic function of the total amount of excitation reaching that node from all sources. For example, the activation level of the node representing apple should be greater if it is receiving excitation due to the activation of the nodes for fruit and pear than if only one of these neighboring nodes is activated. This notion was tested by presenting semantic primes 80 ms or 320 ms before a letter string (e.g., apple or ipple) requiring a lexical decision. The prime stimuli consisted of a pair of simultaneous items that were identical in the single prime condition (e.g., fruit/fruit or pear/pear) or different in the double prime condition (e.g., fruit/pear or pear/fruit), and were either related (target = apple) or unrelated (target = copper) to the target, or neutral. As predicted by the summation of semantic activation assumption of network models there was a larger priming effect (in the 320 ms SOA condition) following the simultaneous activation of two related nodes than following the activation of only one node.This research was supported by grants to the first author from the Natural Sciences and Engineering Research Council of Canada.     

Single and combined effects of methylphenidate and behavior therapy on the classroom performance of children with attention-deficit hyperactivity disorder

Twenty-four boys with attention deficit-hyperactivity disorder (ADHD) participating in an intensive summer treatment program each received b.i.d. placebo and two doses of methylphenidate (MPH, 0.3 mg/kg and 0.6 mg/kg) crossed with two classroom settings: a behavior modification classroom including a token economy system, time out and daily home report card, and a regular classroom setting not using these procedures. Dependent variables included classroom observations of on-task and disruptive behavior, academic work completion and accuracy, and daily self-ratings of performance. Both MPH and behavior modification alone significantly improved children's classroom behavior, but only MPH improved children's academic productivity and accuracy. Singly, behavior therapy and 0.3 mg/kg PMH produced roughly equivalent improvements in classroom behavior. Further, the combination of behavior therapy and 0.3 mg/kg MPH resulted in maximal behavioral improvements, which were nearly identical to those obtained with 0.6 mg/kg MPH alone.The authors gratefully acknowledge the assistance of Patricia Donovan, Michelle Berry, Mary Ingram, Patricia Wells, Beth Gnagy, Karen Greenslade, Mary Hamilton, and the entire staff of the Western Psychiatric Institute and Clinic ADHD Summer Treatment Program.     

Agreeable fancy or disagreeable truth? Reconciling self-enhancement and self-verification

Three studies asked why people sometimes seek positive feedback (self-enhance) and sometimes seek subjectively accurate feedback (self-verify). Consistent with self-enhancement theory, people with low self-esteem as well as those with high self-esteem indicated that they preferred feedback pertaining to their positive rather than negative self-views. Consistent with self-verification theory, the very people who sought favorable feedback pertaining to their positive self-conceptions sought unfavorable feedback pertaining to their negative self-views, regardless of their level of global self-esteem. Apparently, although all people prefer to seek feedback regarding their positive self-views, when they seek feedback regarding their negative self-views, they seek unfavorable feedback. Whether people self-enhance or self-verify thus seems to be determined by the positivity of the relevant self-conceptions rather than their level of self-esteem or the type of person they are.     

Selective attention and rehearsal in the auditory short-term memory task performance of poor and normal readers

The performance of poor and normal sixth-grade readers was compared on an auditory short-term memory task in two studies. In the first study, the effects of distraction, list length, and speed of stimulus presentation were investigated to test the hypothesis that the performance of the poor readers is affected by deficits in selective attention. Group differences in performance, however, were obtained for both distraction and no-distraction conditions. The second experiment examined the hypothesis that group differences may reflect differences in the use of rehearsal. In the second experiment, half the reading-disabled children and half the controls were provided with rehearsal training prior to completing the same short-term memory task a second time. Rehearsal training resulted in improved performance relative to children who were not trained; however, there was no rehearsal training x reading group interaction. The poor readers continued to show deficits in performance relative to the performance of control children. The results of these two studies suggest that deficits observed for poor readers on short-term memory tasks may reflect processing difficulties in some area that precedes rehearsal and affects performance under both distraction and no-distraction conditions.The authors wish to express their thanks to the Sachem School District and Betty Gould, Nicholas Opinanate, and Guy Barber for their unlimited cooperation, and to John Neale for very helpful discussions of a number of issues in this paper.     

Mediating interpersonal expectancies via vocal cues: Differential speech intensity as a means of social influence

Differential vocal emphasis in the tape-recorded instruction reading for a standard person perception task was manipulated by mechanically raising or lowering the volume of the key words describing the success or failure response alternatives on the rating scale. In a series of three experiments, Ss exposed to success emphasis in the instructions rated the stimulus persons as more successful than did Ss exposed to failure emphasis. This trend was reversed for Ss who listened twice to the instructions. None of the Ss reported awareness of the influence attempt.     

The time it takes to imagine1

Stanley and Furedy (1966), using the paired-comparisons technique, reported that under conditions where size constancy held, Emmert’s law failed as distance increased beyond 90 in. Experiment 1, designed to check this report with a shorter-duration induction flash, did not yield 90 in. as the point of failure. However, although complete size constancy for direct images was again obtained, the results did not unambiguously suggest strict proportionality between afterimage size and distance. To allow a less ambiguous assessment of proportionality, Experiment 2 used magnitude-estimation procedures. Distance estimates were completely veridical, but afterimage size varied only linearly, and not proportionally, with apparent distance. It was concluded the Boring (1940) was mistaken in his attempt to reduce size constancy and Emmert’s law to the same principle.     

CHARACTERISTICS OF SUCCESSFUL AND DROPOUT MDTA TRAINEES1

A study was designed to compare several variables of Manpower Development Training Act (MDTA) clients who dropped out of the program with those of clients who completed the program. A random sample of application cards was drawn for individuals enrolled in MDTA adult classes in Milwaukee, Wisconsin. Trainees who completed the program were more likely to be married, older, characterized by a more stable employment history prior to entering the program, and slightly more educated than were program dropouts. Clients who completed the program versus those who did not were not significantly different on the following variables: (1) sex; (2) counseling versus no counseling; (3) race; and (4) client reported physical disability.     

The early development of empathy: Self-regulation and individual differences in the first year

A longitudinal study of 45 mothers and their first-born infants was conducted to identify developmentally meaningful, individual differences in children's primitive empathic responding at 12 months of age, and to determine whether differences in self-regulatory skills assessed at 4 months might underlie any differences in empathic responding observed. Personal distress responses analogous to those observed in older children and adults were identified in one-third of the sample at 12 months of age. These distress responses were associated with indices of poorer self-regulatory skills in social contexts at 4 months of age. The results are interpreted within the broader framework of the development of self-regulatory strategies in the early childhood years.This research was supported by grants from the Australian Research Council, the National Research Fellowship Scheme, and the Macquarie University Research Grant Scheme. We thank Judy Chan, Alison Malbourne, Sylvana Sturevska, and Lorraine Smith for their assistance in data collection and analysis.