Longitudinal study of changes in ego identity status from the freshman to the senior year at college.

Conducted ego identity status interviews with 53 male college seniors who had participated in a previous study of identity development during the freshman year. As hypothesized, significant increases in the frequency of students in the identity achiever status were observed for both occupational and ideological identity. Also as predicted, the achiever status was found to be the most stable status from the end of the freshman year to the senior year, while the moratorium status was the least stable. While the general developmental trend was positive, a substantial proportion of the Ss were completing their college years in the identity diffusion status. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The family origins of empathic concern: A 26-year longitudinal study.

This study examined whether adult empathic concern was associated with parent behavior in early childhood. Subjects were drawn from a longitudinal sample first investigated by R. R. Sears et al (1957). At age 31, 75 subjects completed the Adjective Checklist, from which an index of empathic concern was derived. Scores on this index were regressed on 11 parenting dimensions derived from maternal interviews when the subjects were 5 years old. The results revealed a significant multiple R indicating that, taken together, the parenting dimensions predicted the level of empathic concern at age 31. Adult levels of empathic concern were most strongly related to the following parenting dimensions: paternal involvement in child care, maternal tolerance of dependent behavior, maternal inhibition of child's aggression, and maternal satisfaction with the role of mother. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relationship between fluoxetine use and suicidal behavior in 654 subjects with anxiety disorders

BACKGROUND: In the past few years, there has been controversy over the relationship between suicidal behavior and fluoxetine use. This report examines the relationship between fluoxetine use and suicidal behavior in the Harvard/Brown Anxiety Disorders Research Program (HARP). METHOD: HARP is a naturalistic, prospective, longitudinal anxiety disorders study. Probabilities of suicidal behavior for 654 subjects were examined using life table analysis for the study group as a whole and stratified by depression status at intake. RESULTS: Subjects not using fluoxetine during follow-up had almost twice the probability of making a suicide attempt or gesture during the follow-up than subjects who were using fluoxetine, although this difference was not statistically significant. Subjects having episodes of major depressive disorder (MDD) at intake were more likely than those not having an episode to receive fluoxetine during follow-up (74/166 [45%] vs. 118/488 [24%], chi squared= 24.85, df= 1, p < .0001). Among those subjects having episodes of MDD at intake, there was a statistically significantly lower probability of suicide attempts/gestures for those taking fluoxetine than for those not using fluoxetine during follow-up (log-rank chi squared= 5.10, df= 1, p= .02). CONCLUSION: We found no evidence that fluoxetine use is associated with increased risk of suicide attempts or gestures. However, we did find that subjects with more suicide risk factors at intake were more likely to use fluoxetine than those without these risk factors.     

Factors that influence the use and perceptions of employee assistance programs at six worksites

Employee assistance programs (EAPs) have gained significant importance in contemporary worksites. This article uses data from 6 case studies to examine several research questions regarding the relationship between worker demographic (e.g., gender, job tenure, and marital status), substance use, and workplace policies and the actual and potential use of the company EAP. Unlike in most of the existing literature, the authors did not find that gender, marital status, or job dissatisfaction are statistically related to actual or potential EAP use at most worksites. However, job tenure and some substance use behaviors were related to actual EAP use in a positive and statistically significant way. Another important finding, underlying the credible integration of EAPs into worksite culture, is the positive and robust relationship between employee trust and confidence in the EAP and actual use. The results of our study both reinforce some long-established principles in the EAP field and encourage further consideration of other beliefs.     

Social power facilitates the effect of prosocial orientation on empathic accuracy.

Power increases the tendency to behave in a goal-congruent fashion. Guided by this theoretical notion, we hypothesized that elevated power would strengthen the positive association between prosocial orientation and empathic accuracy. In 3 studies with university and adult samples, prosocial orientation was more strongly associated with empathic accuracy when distinct forms of power were high than when power was low. In Study 1, a physiological indicator of prosocial orientation, respiratory sinus arrhythmia, exhibited a stronger positive association with empathic accuracy in a face-to-face interaction among dispositionally high-power individuals. In Study 2, experimentally induced prosocial orientation increased the ability to accurately judge the emotions of a stranger but only for individuals induced to feel powerful. In Study 3, a trait measure of prosocial orientation was more strongly related to scores on a standard test of empathic accuracy among employees who occupied high-power positions within an organization. Study 3 further showed a mediated relationship between prosocial orientation and career satisfaction through empathic accuracy among employees in high-power positions but not among employees in lower power positions. Discussion concentrates upon the implications of these findings for studies of prosociality, power, and social behavior. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Empathic embarrassment: Situational and personal determinants of reactions to the embarrassment of another.

Two experiments investigated the reactions of observers to actors' embarrassments. The first study manipulated the nature of the prior interaction between actor and observer (cooperative, competitive, or independent) and the observational set of the observer (empathic or nonempathic). The observers' self-reports and measures of their skin potentials indicated that an empathic set and any prior interaction generally increased their responsiveness to the actors' plight. Moreover, independent, empathic observers reported reactions that appear to be empathic embarrassment, embarrassment felt with another even though one's own social identity is not threatened. The second study showed that empathic embarrassment is strongest in subjects of high embarrassability who are chronically susceptible to embarrassment. The results portray social embarrassment as a robust, pervasive phenomenon that nevertheless affects some people more than others. The possible origins of empathic embarrassment and the joint influences of perception, interaction, and personality on the experience of empathic embarrassment are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Influence of paid work on the perceived health state in women

BACKGROUND: Several studies show that paid work has a positive effect on women's health, although few studies have shown this relationship in Southern-European countries. The aim of this paper was to analyze the self-perceived health status of women of Barcelona, Spain according to their type of work (homemaker or worker). PATIENTS AND METHODS: Cross sectional study using the 1992 Barcelona Health Interview Survey data. Subjects: 1194 women aged 25 to 64 years old. Bivariate analysis of women's perceived health status by all other variables. A logistic regression model was performed with the dependent variable being women's self-perceived health status and the independent variables: type of work (homemaker or worker), age, number of chronic diseases, medical care visits, children under 12 years and elderly over 65 years living at home and social class based on occupation. RESULTS: 15.8% of workers and 31.4% of homemakers reported poor self-perceived health status (p < 0.05). This same distribution was maintained when adjusting for all independent variables. Social class had an important relationship with health, with women from lower social classes reporting poorer self-perceived health status than homemakers from upper social classes. CONCLUSIONS: The 1992 Barcelona Health Interview Survey analysis confirms that in Barcelona as well, paid work has a positive relationship on women's self-perceived health status.     

The meaning and impact of empathic relationships in hospice nursing

This naturalistic field study was designed to explore the patient's perspective of the nature, meaning, and impact of empathic relationships with hospice nurses. The findings are part of a larger study, focused on the meaning and impact of empathic relationships that develop between hospice nurses and their patients. Data were generated through in-depth interviews with 14 terminally ill adults receiving home-based hospice care. According to the hospice patient, an empathic relationship developed through a process of reciprocal sharing and revealing of personhood within a context of caring and acceptance. The experience of an empathic relationship meant being acknowledged as an individual, a person of value. The outcome of the empathic relationships between hospice nurses and their patients was the improvement and maintenance of patients' physical and emotional well-being. Understanding the patient's perspective is critical for effective nursing interventions and meaningful outcomes. Future research needs to explore empathic relationships between the nurse and family caregivers in various settings.     

Effects of psychotherapy on significant others.

The primary aim of this study was to investigate some of the ways in which one partner in a relationship is affected by the other partner's therapy. Twenty significant others (SOs), never in therapy themselves, whose spouse or live-in heterosexual partner was currently engaged in psychotherapy, were administered a 20-question interview and the 40-item Likert-type Spouse's Perception of Therapy Scale. Results indicated that most SOs harbored conflicted feelings about their partners' therapy. On the positive side, SOs felt that their partners were more empathic and open, that communication in their relationship had improved, and that they themselves were more introspective and better able to understand their partners. On the negative side, the privacy of the therapist–patient relationship inspired feelings in SOs of exclusion, resentment, and inadequacy. Most SOs also reported displeasure with the cost of therapy. It is suggested that therapy initiates a process of change not only in the patient, but in the SO and their relationship as well. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

p53 in breast cancer. Its relation to histological grade, lymph-node status, hormone receptors, cell-proliferation fraction (ki-67) and c-erbB-2. Immunohistochemical study of 153 cases

The mutation of the p53 gene is a common phenomenon in numerous human tumors, leading to the accumulation of nonfunctioning p53 protein in the cell nucleus, which can be detected by immunohistochemistry. In breast cancer, it has been suggested that the overexpression of p53 protein in the nucleus is an indicator of poor prognosis, which must be borne in mind in selecting coadjuvant treatment for each patient. This study is an immunohistochemical analysis of p53 expression in 153 cases of mammary carcinoma, correlating it with histological grade, axillary node status, hormone receptors, cell-proliferation fraction and expression of the c-erbB-2 oncoprotein. Of all the breast-cancer tissue analyzed, 43.79% was positive for p53. The overexpression of this protein bears a direct statistically significant relationship to histological grade, cell-proliferation fraction and c-erbB-2, and an inverse relationship to estrogen and progesterone receptors. No statistically significant relationship was found with axillary node status. The expression of p53 in poorly differentiated tumors-commonly receptor negative and with a high proliferation fraction-may indicate greater tumor aggressiveness and a high risk of relapse.     

The role of expressive writing in ego identity formation.

Conducted 2 studies with 114 college students to assess the relationship between expressive writing and ego identity development. In both studies, poetry writers were more likely than students not writing poetry to be in the identity achievement status. Poetry writers were less frequently found in the foreclosure status (Study 1) and identity diffusion status (Study 2). No differences in identity development were found between students keeping personal journals and those who had not kept journals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Asian Indians' responses to discrimination: A mixed-method examination of identity, coping, and self-esteem.

The focus on racial injustice in ethnic minority psychology recognizes a need to understand the effects of racism experienced by Asian Indians in the U.S. Utilizing a mixed-method approach with 102 first and second generation Asian Indians, we examined (a) when and why race and ethnicity are salient for Asian Indians, (b) the mediating roles of racial identity and ethnic identity, and (c) the moderating roles of generational status and racial socialization on the relationship between racism related stress, self-esteem and coping. Qualitative analyses revealed distinct and overlapping themes related to race and ethnicity highlighting the relevance of both constructs to participants. Quantitative analyses revealed racial identity to be a significant mediator in the relationship between racism related stress, self-esteem, and coping. Neither generational status nor racial socialization experiences moderated this relationship. Implications of these findings for research and clinical intervention with Asian Indians are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Effect of mobile phase composition on the binding kinetics of chiral solutes on a protein-based high-performance liquid chromatography column: interactions of D- and L-tryptophan with immobilized human serum albumin

The relationship between central nervous system serotonergic activity, as reflected by cerebrospinal fluid (CSF) concentrations of the serotonin metabolite 5-hydroxyindoleacetic acid (5-HIAA), and sleep/wakefulness behavior was investigated in socially housed, juvenile rhesus macaques. Two cohorts of rhesus monkeys (Macaca mulatta), numbering 42 subjects (seventeen 39-month-olds and twenty-five 20-month-olds) were observed in their home cages between 21.30 h and 23.30 h for 10 nights using an infrared night scope. Over each 90-min observation period, the following states were recorded every 5 min using a scan sampling procedure: Sleep, Drowsy, Passive-awake and Active. After more than one quarter of the animals in the group had fallen asleep, states were recorded as they occurred. Six weeks prior to the collection of the behavioral data, a sample of cisternal CSF was obtained to assay for 5-HIAA concentrations. With cohort effects statistically controlled, there was a negative correlation between latency to fall asleep and CSF 5-HIAA concentrations (i.e., subjects with high CSF 5-HIAA concentrations were more likely to fall asleep early). Subjects with low CSF 5-HIAA concentrations were also more active during the daytime hours. Subjects who fell asleep first were, on average, also less active during nighttime hours. The positive correlation between CSF 5-HIAA and sleep onset was not a result of social status since there was no correlation between social dominance rank and time of sleep onset. These results support the hypothesis that the serotonergic system may play a role in sleep onset and possibly in the regulation of diurnal activity rhythms in non-human primates.     

Postpartum amenorrhoea in rural eastern Uttar Pradesh, India

This paper calculates the mean duration of the postpartum amenorrhoea (PPA) and examines its demographic, and socioeconomic correlates in rural north India, using data collected through 'retrospective' (last but one child) as well as 'current status' (last child) reporting of the duration of PPA. The mean duration of PPA was higher in the current status than in the retrospective data; the difference being statistically significant. However, for the same mothers who gave PPA information in both the data sets, the difference in mean duration of PPA was not statistically significant. The correlates were identical in both the data sets. The current status data were more complete in terms of the coverage, and perhaps less distorted by reporting errors caused by recall lapse. A positive relationship of the mean duration of PPA was found with longer breast-feeding, higher parity and age of mother at the birth of the child, and the survival status of the child. An inverse relationship was found with higher education of a woman, higher education of her husband and higher socioeconomic status of her household, these variables possibly acting as proxies for women's better nutritional status.     

Counselor cognitive complexity of self-reported emotional experience as a predictor of accurate empathic understanding.

40 social workers (aged 23–68 yrs) completed the WAIS Vocabulary scale, a self-report of emotional experience, and a demographic questionnaire. Accurate empathic understanding was operationalized as accurate identification of emotions expressed in audiotaped, simulated client statements. A significant positive correlation was found between cognitive complexity of self-reported emotional experience and accurate empathic understanding. Methodological difficulties encountered in the measurement of cognitive structure of emotional experience and accurate empathic understanding are discussed. Implications for future study of the conceptual processing of emotion are noted. (20 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dietary and nutritional factors and pancreatic cancer: a case-control study based on direct interviews

BACKGROUND: The relationship between diet and pancreatic cancer remains unclear. In this study, we assessed the role of diet and nutrition as risk factors for pancreatic cancer, using data obtained from direct interviews only, rather than data from less reliable interviews with next of kin. We evaluated whether dietary factors could explain the higher incidence of pancreatic cancer experienced by black Americans compared with white Americans. METHODS: We conducted a population-based case-control study of pancreatic cancer diagnosed in Atlanta (GA), Detroit (MI), and 10 New Jersey counties from August 1986 through April 1989. Reliable dietary histories were obtained for 436 patients and 2003 general-population control subjects aged 30-79 years. RESULTS: Obesity was associated with a statistically significant 50%-60% increased risk of pancreatic cancer that was consistent by sex and race. Although the magnitude of risk associated with obesity was identical in blacks and whites, a higher percentage of blacks were obese than were whites (women: 38% versus 16%; men: 27% versus 22%). A statistically significant positive trend in risk was observed with increasing caloric intake, with subjects in the highest quartile of caloric intake experiencing a 70% higher risk than those in the lowest quartile. A statistically significant interaction between body mass index (weight in kg/height in m2 for men and weight in kg/height in m1.5 for women) and total caloric intake was observed that was consistent by sex and race. Subjects in the highest quartile of both body mass index and caloric intake had a statistically significant 180% higher risk than those in the lowest quartile. CONCLUSIONS: Obesity is a risk factor for pancreatic cancer and appears to contribute to the higher risk of this disease among blacks than among whites in the United States, particularly among women. Furthermore, the interaction between body mass index and caloric intake suggests the importance of energy balance in pancreatic carcinogenesis.     

Impact of message valence, focus, expressive style, and gender on communication patterns among maritally distressed couples.

Explored the sequential communication patterns of maritally distressed couples. The findings confirmed the presence of negative and nonnegative (positive and neutral combined) reciprocity. The results indicated that partners tend to respond negatively if their spouses have just spoken about the partners or the relationship and that wives are more likely to respond negatively than husbands, regardless of how positive or negative the communication was. Analyses demonstrated that the speaker's gender, the positive/negative nature of the message, the focus, and the delivery skill of the message did not affect the empathic nature of the partner's subsequent response. Correlational findings reveal that patterns are happier when negative statements are expressed subjectively but positive statements are expressed more declaratively and emphatically. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Moral identity and the experience of moral elevation in response to acts of uncommon goodness.

Four studies using survey and experimental designs examined whether people whose moral identity is highly self-defining are more susceptible to experiencing a state of moral elevation after being exposed to acts of uncommon moral goodness. Moral elevation consists of a suite of responses that motivate prosocial action tendencies. Study 1 showed that people higher (vs. lower) in moral identity centrality reported experiencing more intense elevating emotions, had more positive views of humanity, and were more desirous of becoming a better person after reading about an act of uncommon goodness than about a merely positive situation or an act of common benevolence. Study 2 showed that those high in moral identity centrality were more likely to recall acts of moral goodness and experience moral elevation in response to such events more strongly. These experiences were positively related to self-reported prosocial behavior. Study 3 showed a direct effect on behavior using manipulated, rather than measured, moral identity centrality. Study 4 replicated the effect of moral identity on the states of elevation as well as on self-reported physical sensations and showed that the elevation mediates the relationship between moral identity, witnessing uncommon goodness, and prosocial behavior. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The impact of racial identity, ethnic identity, Asian values, and race-related stress on Asian Americans and Asian international college students’ psychological well-being.

The present study investigated the direct and moderating effects of racial identity, ethnic identity, Asian values, and race-related stress on positive psychological well-being among 402 Asian American and Asian international college students. Results revealed that the racial identity statuses Internalization, Immersion-Emersion, Dissonance, Asian values, and Ethnic Identity Affirmation and Belonging were significant predictors of well-being. Asian values, Dissonance, and Conformity were found to moderate the relationship between race-related stress on well-being. Specifically, individuals in low race-related stress conditions who had low Asian values, high Conformity, and low Dissonance attitudes started high on well-being but decreased as race-related stress increased. These findings underscore the importance of how racial identity statuses, Asian values, and ethnic identity jointly and uniquely explain and moderate the effects of race-related stress on positive well-being. Implications for future research and clinical practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)