Formal education and back-related disability. In search of an explanation

STUDY DESIGN: The present study is a 2-year prospective study with repeated measurements. OBJECTIVES: To examine the association of education with back-related disability along with four sets of variables that might explain this relationship: clinical, behavioral, and environmental factors; occupational variables; health care use; and interactions between stressful events and coping strategies. SUMMARY OF BACKGROUND DATA: Although education has been found to be associated with back-related disability in previous reports, this relationship remains to be explained. Examination of this association may yield a better understanding of the causes and natural history of disability resulting from back pain. METHODS: Subjects were 1213 enrollees of a Health Maintenance Organization (HMO) who consulted a primary care physician for back pain in 1989-1990, completed a baseline telephone interview, and had a follow-up evaluation after 1 and 2 years, using a modified version of the Roland-Morris Scale to measure disability. RESULTS: Subjects who completed 13 years or more of schooling had less disability and a greater decline in their disability over time than those who completed less schooling. Occupational characteristics and somatization were among the strongest explanatory factors. Cigarette smoking contributed to the explanation of the cross-sectional association. CONCLUSIONS: Education is associated cross-sectionally and longitudinally with disability resulting from back pain. A wide range of variables may mediate the education-back-related disability association, including a propensity to report diffuse physical symptoms (somatization), lifestyle (e.g., cigarette smoking), and occupational factors.     

Rehabilitation psychology and law.

Examines the relationship between rehabilitation psychology and the law, noting that written laws can be another source of barriers on the disabled, just as societal attitudes also have a negative impact on handicapped individuals. A model of psycholegal research on the disabled and the concept of both disability and handicap is presented: rehabilitation psychologists need to scientifically determine the components of the law (e.g., legal systems, legal processes). Rehabilitation psychologists also can be involved professionally in helping the law achieve its behavioral goals (e.g., in eligibility hearings for disability). Articles by B. Sales, H. E. Yuker, I. Keilitz and R. Van Duizend, M. Rosenthal and K. I. Kolpan, and P. H. DeLeon et al (see PA, Vol 74:18687, 19815, 19868, and 18635, respectively) are also summarized in this special issue. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of color and pattern on implicit and explicit picture memory.

The degree to which repetition priming is perceptually specific is informative about the mechanisms of implicit memory as well as of perceptual processing. In 2 sets of experiments with pictures as stimuli, we tested the effects of color and pattern manipulations between study and test on implicit memory (i.e., naming facilitation) and explicit memory (i.e., 2 forms of recognition). These manipulations did not affect priming. However, participants were able to explicitly detect stimulus changes at above-change levels. changes in color also produced small decrements in participants' ability to judge that repeated stimuli were old on a recognition tests. Experiment 2 showed diminished priming with changes in the stimulus exemplar (i.e., a different picture of the same named object) from study to test, which demonstrated that the picture-naming paradigm is sensitive to changes in physical attributes. The results suggest that physical attributes that are not essential to the formation of a shape representation do not influence repetition priming in a basic identification paradigm. Suggestions for how priming may be mediated are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clonal genetic alterations in the lungs of current and former smokers

BACKGROUND AND PURPOSE: Genetic damage has been identified at multiple chromosomal sites (i.e., loci) in lung cancer cells. We questioned whether similar damage could be detected in the bronchial epithelial cells of chronic smokers who do not have this disease. METHODS: Biopsy specimens from six different bronchial regions were obtained from 54 chronic smokers (40 current smokers and 14 former smokers). The presence of squamous metaplasia and dysplasia (abnormal histologic changes) in the specimens was documented by examination of hematoxylin-eosin-stained sections, and a metaplasia index ([number of biopsy specimens with metaplasia/total number of biopsy specimens] x 100%) was calculated for each subject. Loss of heterozygosity (i.e., loss of DNA sequences from one member of a chromosome pair) involving microsatellite DNA at three specific loci-chromosome 3p14, chromosome 9p21, and chromosome 17p13-was evaluated by means of the polymerase chain reaction. Fisher's exact test and logistic regression analysis were used to assess the data. Reported P values are two-sided. RESULTS: Data on microsatellite DNA status at chromosomes 3p14, 9p21, and 17p13 were available for 54, 50, and 44 subjects, respectively. The numbers of individuals who were actually informative (i.e., able to be evaluated for a loss of heterozygosity) at the three loci were 36 (67%), 37 (74%), and 34 (77%), respectively. DNA losses were detected in 27 (75%), 21 (57%), and six (18%) of the informative subjects at chromosomes 3p14, 9p21, and 17p13, respectively. Fifty-one subjects were informative for at least one of the three loci, and 39 (76%) exhibited a loss of heterozygosity. Forty-two subjects were informative for at least two of the loci, and 13 (31%) exhibited losses at a minimum of two loci. Loss of heterozygosity at chromosome 3p14 was more frequent in current smokers (22 [88%] of 25 informative) than in former smokers (five [45%] of 11 informative) (P = .01) and in subjects with a metaplasia index greater than or equal to 15% (21 [91%] of 23 informative) than in subjects with a metaplasia index of less than 15% (six [46%] of 13 informative) (P = .003). In five informative individuals among nine tested nonsmokers, a loss of heterozygosity was detected in only one subject at chromosome 3p14 (P = .03), and no losses were detected at chromosome 9p21 (P = .05). CONCLUSIONS: Genetic alterations at chromosomal sites containing putative tumor-suppressor genes (i.e., 3p14 and the FHIT gene, 9p21 and the p16 gene [also known as CDKN2], and 17p13 and the p53 gene [also known as TP53]) occur frequently in the histologically normal or minimally altered bronchial epithelium of chronic smokers.     

Discerning direct and mediated effects of ecological structures and processes on adolescents' educational outcomes.

This short-term longitudinal study examined the relations among family and school characteristics, family-level processes (youth perceptions of parent-adolescent interactions), school-level processes (youth perceptions of school belonging, school climate), adolescents' school engagement, and later academic performance. Participants were an ethnically diverse, urban sample of 1,120 9th-grade students (M age = 14.6 years). The structural characteristics of families and schools influenced the proximal processes that occurred therein, and these proximal processes, in turn, influenced students' proximal (i.e., engagement) and distal educational outcomes (i.e., grades in school). Moreover, the structural characteristics of families and schools influenced proximal and distal outcomes indirectly through their influence on the proximal processes. The multimediated ecological model suggested that intervening at the process level may be a successful means of improving both adolescents' engagement in school and their subsequent school performance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Modeling the adversary and success in competition.

Competition has been studied as something to be averted, yet rarely has it been asked what processes may be involved in successful competition. The authors tested whether more accurate modeling of an adversary can assist competitive success. Pairs played a zero-sum game with no specific skill component over 40 trials. The authors measured the relative accuracy of the players' second-order model (i.e., what I think about my opponent: R2MA) and third-order model (i.e., what I think my opponent thinks of me: R3MA), using responses to adjectives indicating personality traits. Performance correlated with both R3MA and having a better strategy (i.e., a better distribution of responses), but these variables contributed separately to performance variance. However, R2MA did not correlate with performance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Proactive interference between cues trained with a common outcome in first-order Pavlovian conditioning.

The nature of interference between cues (X, A) trained apart with a common outcome (O; an unconditioned stimulus) was explored by assessing proactive interference in first-order Pavlovian conditioning (i.e., A-O, X-O, resulting in attenuated responding to X). Three lick-suppression studies were conducted with water-deprived rats. Posttraining extinction of the interfering cue (A) attenuated proactive interference (Experiment 1), which mirrors the observation that extinction of the competing cue can reduce competition between cues trained together (e.g., recovery from overshadowing). Proactive interference was also attenuated with manipulations known to attenuate interference between outcomes trained apart (e.g., counterconditioning), namely reminder cues (Experiment 2) and renewal (Experiment 3). The findings suggest that similar processes underlie interference between cues trained apart, between cues trained together, and between outcomes trained apart. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differential susceptibility to discipline: The moderating effect of child temperament on the association between maternal discipline and early childhood externalizing problems.

This study investigated the interaction of child temperament and maternal discipline in the prediction of externalizing problems in early childhood. Interaction effects were evaluated in a sample of 227 one- to three-year-old children with relatively high externalizing problems scores on the Child Behavior Checklist/1 1/2-5. Child temperament was reported by the mothers, maternal discipline was observed in a laboratory session, and child outcome measures included both mother-reported externalizing problems and observed physical aggression. Results indicate that children with difficult temperaments are more susceptible to negative discipline (i.e., they showed more externalizing problems) as well as more susceptible to positive discipline (i.e., they showed fewer externalizing problems and less physical aggression), as compared with children with relatively easy temperaments. These findings provide empirical evidence for the differential susceptibility hypothesis and suggest directions for enhancing the effectiveness of interventions aimed at reducing early childhood externalizing problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Independence or redundancy? Two models of conscious and unconscious influences.

L. L. Jacoby et al (1993) assume that the conscious and unconscious processes make independent contributions to task performance. As an alternative to the independence model, it is suggested that a redundancy model based on the assumption that conscious processes are always associated with correlated unconscious processes can also be used to dissociate the separate influences of these processes. Using data reported by Jacoby et al, it is shown that each model leads to different but equally plausible estimates of conscious and unconscious influences, following both variations in attention (i.e., focused vs divided) and in encoding (i.e., read vs generate). Given these results, both the dependence and redundancy models must be considered plausable models of the underlying relation between conscious and unconscious processes. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Work environments, stress, and productivity: An examination using ASSET.

In this study (N = 16,001), the predictors of productivity (i.e., work performance) were investigated with A Shortened Stress Evaluation Tool (E. B. Faragher, C. L. Cooper, & S. Cartwright, 2004), which incorporates individual work stressors, stress outcomes (physical and psychological wellbeing), and commitment (both to and from an organization). Psychological well-being, commitment from the organization to the employee, and resources were found to be predictive. Physical health, individual work stressors (with the exception of resources), and commitment from the employee to the organization were not identified as important. The findings are discussed with reference to both previous and future research. The large sample size and broad range of occupations included suggest the findings are generalizable to other employee groupings. Implications for both stress and management theory are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Cultural transitions and epidemiology

The analysis of cultural patterns, as an observational and qualitative tool in epidemiological research, is advanced. This approach to epidemiology, biomedicine, human and cultural ecology, focuses on the following theoretical points of view: (i) the intrinsic non-linearity of natural dynamics, (ii) the role of fluctuations in the evolution of self-organized systems, (iii) the reformulation of the homeostasis concept, through the hypothesis of the co-existence of different levels of boundaries of stability (the non-linear processes of adaptation) and the dynamics of transitions (the physiological jumps) between them, (iv) the image of the psychobiological status in peripheral cells (i.e. blood lymphocytes) due to the morphofunctional unity of neuroendocrine and immune systems, (v) the significance of emic/ethic operations used in cultural anthropology. In this conceptual framework, transitions among migrants or within populations, following sudden changes in cultural patterns, are particular events that can also be very interesting for epidemiological research; they can leave the marks of underlying intertwined psychobehavioral, metabolic and immune physiology; they can also be informative as regards the modulation of autonomy, disability, morbidity and mortality curves.     

Control cognitions and psychological disturbance in people with contrasting physically disabling conditions

PURPOSE: This study examines the role of control cognitions, i.e. locus of control (LOC), in predicting adaptation to two contrasting physically disabling conditions. METHOD: Locus of control beliefs were investigated in terms of their relationship with psychological distress (anxiety and depression) experienced by people facing either spinal cord injury (SCI) or multiple sclerosis (MS). The role of pain experience was also considered in terms of its impact on psychological distress in both groups. RESULTS: Results indicated that although SCI subjects were more internally oriented than MS subjects, internality was not linked to lower levels of depression or anxiety in either group, although within the SCI group an external LOC was associated with increased depression and physical disability. CONCLUSIONS: For people facing a future with the challenge of physical disability, the pattern of progression of disability over time may be of significance in the development of psychological distress.     

From inequity to burnout: The role of job stress.

This research examined burnout (i.e., emotional exhaustion, depersonalization, and lack of personal accomplishment) among 2 samples of Dutch teachers as a function of inequity and experienced job stress in 3 different exchange relationships (with students, colleagues, and the school). It was hypothesized that inequity would he linked to burnout through the stress resulting from this inequity. Analysis of a cross-sectional sample (N?=?271) revealed that this was indeed the case. Findings were replicated longitudinally using an independent sample of 940 teachers. It is concluded that the often-reported effect of inequity on burnout can partly be interpreted in terms of elevated levels of job stress. Implications of the findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Combination of peptide profiling by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry and immunodetection on single glands or cells

The combination of two sensitive and powerful analytical techniques on the same biological sample was examined: (i) matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS), which gives informative peptide profiling on complex samples such as organs or cells; (ii) immunological tools such as enzyme-linked immunosorbent assay (ELISA) and immunocytochemistry to probe for specific peptides in biological extracts or cells. The cellular expression of the two precursors of the hyperglycemic hormone (cHH) was analyzed in neurosecretory cells (30-micron diameter) from the crayfish Orconectes limosus. Neurohemal organs were used to optimize the sample preparation and to demonstrate that, after peptide fingerprinting by MALDI-TOF MS, the sample can be recovered from the MALDI plate for further immunological analysis by ELISA. It was also established that, after immunocytochemistry following 4% paraformaldehyde fixation of the organ, the stained tissue could be recovered for further MALDI-TOF MS analysis. This dual characterization was successfully scaled down to the level of a single crayfish neurosecretory cell. Direct peptide profiling by MALDI-TOF MS on a single cHH-producing cell previously identified by immunocytochemistry demonstrated that both procHH isoforms were expressed in each cell analyzed.     

Does distraction reduce the alcohol–aggression relation? A cognitive and behavioral test of the attention-allocation model.

Objective: This study provided the first direct test of the cognitive underpinnings of the attention-allocation model and attempted to replicate and extend past behavioral findings for this model as an explanation for alcohol-related aggression. Method: A diverse community sample (55% African American) of men (N = 159) between 21 and 35 years of age (M = 25.80) were randomly assigned to 1 of 2 beverage conditions (i.e., alcohol, no-alcohol control) and 1 of 2 distraction conditions (i.e., distraction, no-distraction). Following beverage consumption, participants were provoked via reception of electric shocks and a verbal insult from a fictitious male opponent. Participants' attention allocation to aggression words (i.e., aggression bias) and physical aggression were measured using a dot probe task and a shock-based aggression task, respectively. Results: Intoxicated men whose attention was distracted displayed significantly lower levels of aggression bias and enacted significantly less physical aggression than intoxicated men whose attention was not distracted. However, aggression bias did not account for the lower levels of alcohol-related aggression in the distraction, relative to the no-distraction, condition. Conclusions: These results replicated and extended past evidence that cognitive distraction is associated with lower levels of alcohol-related aggression in highly provoked males and provide the first known cognitive data to support the attentional processes posited by the attention-allocation model. Discussion focused on how these data inform intervention programming for alcohol-related aggression. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The dynamics of dimensions of age-related disability 1982 to 1994 in the U.S. elderly population

Declines in chronic disability were observed in the National Long Term Care Survey (NLTCS) 1982 to 1994. We analyzed the 1982, 1984, 1989, and 1994 NLTCS to identify the dimensions of chronic disability from multivariate analyses of a rich battery of measures of the ability (or inability) to perform specific activities. Changes over time in the prevalence of individual disability dimensions can be tracked to evaluate the rate of age-related losses of specific functions, 1982-1994. Seven dimensions described changes in the age dependence of 27 activities of daily living, instrumental activities of daily living, and physical performance measures in community and institutional resident elderly individuals over the 12 year period. Adjusted for age, the healthiest dimension with the best physical function experienced the largest increase in prevalence (3.3%) implying a decline in age-related disability. Disability declines were correlated with reductions in select health conditions (e.g., dementia and circulatory disease) over the study period.     

A simulation study of the effects of assignment of prior identity-by-descent probabilities to unselected sib pairs, in covariance-structure modeling of a quantitative-trait locus

Sib pair-selection strategies, designed to identify the most informative sib pairs in order to detect a quantitative-trait locus (QTL), give rise to a missing-data problem in genetic covariance-structure modeling of QTL effects. After selection, phenotypic data are available for all sibs, but marker data-and, consequently, the identity-by-descent (IBD) probabilities-are available only in selected sib pairs. One possible solution to this missing-data problem is to assign prior IBD probabilities (i.e., expected values) to the unselected sib pairs. The effect of this assignment in genetic covariance-structure modeling is investigated in the present paper. Two maximum-likelihood approaches to estimation are considered, the pi-hat approach and the IBD-mixture approach. In the simulations, sample size, selection criteria, QTL-increaser allele frequency, and gene action are manipulated. The results indicate that the assignment of prior IBD probabilities results in serious estimation bias in the pi-hat approach. Bias is also present in the IBD-mixture approach, although here the bias is generally much smaller. The null distribution of the log-likelihood ratio (i.e., in absence of any QTL effect) does not follow the expected null distribution in the pi-hat approach after selection. In the IBD-mixture approach, the null distribution does agree with expectation.     

Generation of CD8+ and CD4+ T-cell response to dendritic cells genetically engineered to express the MART-1/Melan-A gene

Both CD8+ and CD4+ T cells have demonstrated roles in antitumor immune response in many animal tumor systems. In many human tumor systems, although abundant literature exists on the evidence of tumor antigen-specific CD8+ CTL response, only limited information is available on tumor antigen-specific CD4+ T-cell response. Using the MART-1/Melan-A (MART-1) antigen system as a prototype human tumor-associated antigen (TAA)- and dendritic cell (DC)-based MART-1 antigen presentation system (i.e., DCs transduced with an adenoviral vector-based construct carrying the MART-1 gene), we explored, in vitro, the feasibility of generating both CD8+ and CD4+ T-cell responses in the same individual. Here, we show that autologous DCs from both HLA-A2-positive melanoma patients and normal healthy individuals that are transduced with an adenoviral vector containing the MART-1 antigen are capable of inducing both MART-1-specific CD8+ and CD4+ T cells in in vitro coculture. After several rounds of stimulation, both the CD4+ and CD8+ T cells synthesized IFN-gamma when they were specifically stimulated. The CD8+ T cells generated in such cocultures also recognized the MART-1(27-35) peptide, AAGIGILTV, in 4-h cytotoxicity assays. These observations, therefore, suggest that Th1-type responses can be generated, in vitro, by stimulation with DCs that are genetically modified to express a TAA. Although the outcome of this type of genetically engineered DC-based stimulation may vary from system to system, this type of in vitro antigen presentation may be very useful in more comprehensive analyses of CD4+ T-cell response to defined TAAs, and such genetically engineered autologous DCs might be better candidates to serve as surrogate cancer vaccines.     

Gender differences in emotional risk for self- and other-directed violence among externalizing adults.

Objective: Women and men generally differ in how frequently they engage in other- and self-directed physical violence and may show distinct emotional risk factors for engagement in these high-impact behaviors. To inform this area, we investigated gender differences in the relationship of emotional tendencies (i.e., anger, hostility, and anhedonic depression) that may represent risk for other-directed violence (i.e., physical fighting, attacking others unprovoked) and self-directed violence (i.e., self-injury, suicide attempts). Method: The ethnically diverse sample consisted of 372 adults (252 men and 120 women age 18–55) with a history of criminal convictions. Facets of emotional risk assessed with the Aggression Questionnaire (Buss & Warren, 2000) and Mood and Anxiety Symptom Questionnaire (Watson et al., 1995) were entered simultaneously as explanatory variables in regression analyses to investigate their unique contributions to other- and self-directed physical violence in men and women. Results: Analyses revealed that anhedonic depressive tendencies negatively predicted other-directed violence and positively predicted self-directed violence in men and women, consistent with a model of depression in which aggression is turned inward (Henriksson et al., 1993). Gender differences, however, emerged for the differential contributions of anger and hostility to other- and self-directed violence. Trait anger (i.e., difficulty controlling one's temper) was associated with other-directed violence selectively in men, whereas trait hostility (i.e., suspiciousness and alienation) was associated with self- and other-directed violence among women. Conclusions: The divergent findings for trait anger and hostility underscore the need to examine gender-specific risk factors for physical violence to avoid excluding potentially useful clinical features of these mental health outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)