Do Medicare HMOs cost shift?

We tested the hypothesis that health maintenance organizations (HMOs) increase their commercial premiums when Medicare pays less. Such a linkage would be taken as evidence of "cost shifting." Other studies have tested the cost-shifting hypothesis among health care providers, but this is the first to examine the HMO industry. Our data consisted of annual observations on all HMOs that operated in the United States between 1990 and 1995 and had a Medicare risk contract. A comparison group of HMOs that had no Medicare contract during that period also was analyzed. The main finding from this study is that HMOs have not shifted costs from Medicare to commercial premiums. This results supports the skeptical consensus that is developing toward the cost-shifting hypothesis. Additional findings include the negative effects of competition and for-profit status on HMOs' commercial premiums.     

Do Applied Psychologists Die Young?

Examined whether psychologists engaged in applied fields of psychology die earlier than psychologists in other fields. Data for two samples of male psychologists in 1960 were analyzed. The answer to the question, "Do applied psychologists die young?", appears to be, "Yes, at least in comparison to other psychologists in 1960." Whether 1960 was simply an unfortunate year for applied psychologists does not seem likely though it is possible. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do offensive words harm people?

The harm thesis—the assumption that words harm people—is a defining feature of sexual harassment, hate speech, verbal abuse, and obscene telephone call (OTC) offenses. This thesis ignores the possibility that swearing can be advantageous, cathartic, or an acceptable substitute for physical aggression. Observational data, courtroom evidence and verbal abuse research reviewed here produce conflicting conclusions on the question of harm. The best evidence of harm resides in harassment and OTC studies, but verbal abuse research is indeterminate because of flawed research methodology. Public swearing research reveals that swearing is a common conversational practice resulting in no obvious harm. “Common sense” (folk psychology) views of swearing are mistaken and inadequate for some decisions regarding harm. Meanwhile, efforts to restrict speech in media and instructional settings continue, despite the lack of a convincing need to do so. Harm from offensive speech is contextually determined; therefore attempts to restrict speech on a universal basis are misguided. Psychologists’ research needs to be informed by public policy and courtroom practices, and public policy and litigation need to be better informed by psychologists’ research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do intercultural experiences affect attitudes?

The attitudes and personality traits of 183 secondary school and college students who went to Europe in the summer of 1950 were tested before and after their trip. The principal findings of the study are: (1) S's who establish close personal ties with Europeans are more likely than others to engage in international oriented activities. (2) An unstructured, heterogeneous intercultural experience does not have a significant impact on social attitudes. (3) Knowledge of a S's pre-existing attitudes is a better predictor of response to an intercultural experience than knowledge of the experience itself. (4) There are significant personality differences between world minded and nationalistic S's. (5) Changes in attitude can be measured over a two month interval. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do Applied Psychologists Die Less Often?

Comments on the J. M. Reisman ("Do applied psychologists die young?" American Psychologist, 1962, 17, 265) article, which examined the longevity of applied psychologists. After a re-analysis of Reisman's data, the present author concludes that the answer to the question, "Do applied psychologists die less often?" is, "Yes, at least in comparison to other psychologists in 1960." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do low-numeracy people avoid shared decision making?

Objectives: Doctors have been increasingly encouraged to involve patients in decision making rather than pursuing the paternalistic model in which they make the decisions for their patients. But do patients want to participate in making decisions about their health? Is there a relationship between their preferences for shared decision making and numeracy skills? Are those preferences different in countries with different medical systems, and for different age groups? Extant studies cannot answer these questions because most are based on nonprobabilistic, highly selective patient samples that prevent generalizations to a broader population. Design: In a survey on probabilistic national samples in the United States and Germany, we interviewed participants with low numeracy skills (Germany: n = 127, mean numeracy = 37; United States: n = 117, mean numeracy = 36) and high numeracy skills (Germany: n = 133, mean numeracy = 96; U.S.: n = 121, mean numeracy = 91). Main Outcome Measures: Usual and preferred role in medical decision making. Results: A significant number of people with low numeracy in both the United States (35%, SE = 8.2) and Germany (30%, SE = 6.1) preferred to be more passive than they currently were. High-numeracy people, in contrast, were mostly satisfied with their current role. On average, Americans were more active than Germans. Middle-aged participants preferred to be more active compared to both younger and older ones. Conclusions: Shared decision-making preferences are related to numeracy skills, country, and age. Education efforts to increase numeracy, as well as using nonquantitative communication formats, may foster involvement of low-numeracy patients in decisions about their health. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Do noncontingent interview mm-hmms facilitate interviewee productivity?

Two studies investigated the hypothesis that noncontingent interviewer "mmhmms" facilitate interviewee verbal productivity. In Study 1, 1 male interviewer interviewed 48 female undergraduates. In Study 2, 3 male interviewers interviewed 24 male undergraduates, and 3 female interviewers interviewed 24 female undergraduates. Within- and between-S comparisons did not support the hypothesis, although interviewees' ratings indicated that the mm-hmms were perceived as the social reinforcers they were intended to be. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do parents reinforce somatic complaints in their children?

Objective: To examine the influence of parental solicitousness on self-reported somatic complaints in school-age children. Design and Main Outcome Measures: Participants were 564 children (mean age 10 years) and their parents. Children completed self-report measures of somatic complaints, parental solicitousness, depressiveness, fear, and sense of coherence. Somatic complaints were assessed again 6 months later. Parents also completed a questionnaire about solicitousness. Results: Parental solicitousness as reported by children or parents was unrelated to the frequency of self-reported somatic complaints. Symptoms of depression, fear, and lower sense of coherence were associated with more somatic complaints, but did not interact with parental solicitousness. Conclusion: Parental solicitousness seems unrelated to more frequent somatic complaints in schoolchildren. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do conscientious individuals live longer? A quantitative review.

Objective: Following up on growing evidence that higher levels of conscientiousness are associated with greater health protection, the authors conducted a meta-analysis of the association between conscientiousness-related traits and longevity. Design: Using a random-effects analysis model, the authors statistically combined 20 independent samples. In addition, the authors used fixed-effects analyses to examine specific facets of conscientiousness and study characteristics as potential moderators of this relationship. Main Outcome Measures: Effect sizes were computed for each individual sample as the correlation coefficient r, based on the relationship between conscientiousness and mortality risk (all-cause mortality risk, longevity, or length of survival). Results: Higher levels of conscientiousness were significantly and positively related to longevity (r = .11, 95% confidence interval = .05-.17). Associations were strongest for the achievement (persistent, industrious) and order (organized, disciplined) facets of conscientiousness. Conclusion: Results strongly support the importance of conscientiousness-related traits to health across the life span. Future research and interventions should consider how individual differences in conscientiousness may cause and be shaped by health-relevant biopsychosocial events across many years. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

True or false: Do 5-year-olds understand belief?

In 3 studies (N = 188) we tested the hypothesis that children use a perceptual access approach to reason about mental states before they understand beliefs. The perceptual access hypothesis predicts a U-shaped developmental pattern of performance in true belief tasks, in which 3-year-olds who reason about reality should succeed, 4- to 5-year-olds who use perceptual access reasoning should fail, and older children who use belief reasoning should succeed. The results of Study 1 revealed the predicted pattern in 2 different true belief tasks. The results of Study 2 disconfirmed several alternate explanations based on possible pragmatic and inhibitory demands of the true belief tasks. In Study 3, we compared 2 methods of classifying individuals according to which 1 of the 3 reasoning strategies (reality reasoning, perceptual access reasoning, belief reasoning) they used. The 2 methods gave converging results. Both methods indicated that the majority of children used the same approach across tasks and that it was not until after 6 years of age that most children reasoned about beliefs. We conclude that because most prior studies have failed to detect young children's use of perceptual access reasoning, they have overestimated their understanding of false beliefs. We outline several theoretical implications that follow from the perceptual access hypothesis. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do heavy smokers benefit from higher dose nicotine patch therapy?

Heavy smokers (N?=?408, smoking more than 25 cigarettes/day) were randomized to receive high-dose (25 mg) or standard-dose (15 mg) nicotine patch therapy delivered during the daytime only (16 hr) for a period of 6 weeks. Treatment effects of each dose were similar. The percentages of participants not smoking at 2-, 6-, and 12-month follow-ups were 26 versus 20, 14 versus 16, and 14 versus 14 for the 15-mg and 25-mg doses, respectively. The higher dose was well tolerated, and adverse event profiles for both treatment doses were very similar. Stepwise Cox proportional hazards analyses indicated that initial postrandomization craving and baseline scores on the Center for Epidemiological Studies Depression Instrument predicted time-to-relapse during treatment; only initial craving predicted relapse over the entire study interval (12 months). The results of this trial do not support the routine use of higher dose nicotine patch therapy in the treatment of nicotine dependence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do prospective workday appraisals influence end-of-workday affect and self-monitored performance?

The current study uses self-regulation as the basis for a model that examines the influence of three types of workday appraisals (resource, task, and response). At the beginning of their workday, a total of 170 faculty, graduate students, and staff of a university completed appraisal ratings of their anticipated workday tasks, resources, and responses. At the end of the workday, they completed assessments of positive and negative affect and self-monitored performance. Results suggested that resource appraisals of control and skills were predictive of task appraisals of difficulty, threat, and ambiguity. Task appraisals were then predictive of both response appraisals, in terms of anticipated support and effort, and self-monitored performance at the end of the day. Anticipated effort and self-monitored performance were both positively related to positive affect at the end of the day. Anticipated support and self-monitored performance were both negatively related to negative affect at the end of the day, while threat task appraisals were positively related to negative affect. Implications of the results for workplace interventions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do the Kallikaks look "menacing" or "retarded?"

To extend R. E. Fancher's (see record 1987-31600-001) review of claims that photographs of the Kallikak family in H. H. Goddard's (1912) study had been retouched to make them look more menacing and retarded, 29 Ss (aged 18–69 yrs) were surveyed for their impressions of the photographs. Overall, Ss were strongly inclined to view the photographed individuals as "kind" and "very bright." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do adolescent smokers experience withdrawal effects when deprived of nicotine?

This is the first controlled prospective study of the effects of nicotine deprivation in adolescent smokers. Heart rate and subjective withdrawal symptoms were measured over and 8-hr period while participants smoked normally. Seven days later, participants were randomized to wear a 15-mg (16-hr) nicotine patch or placebo patch for 8 hr, and they refrained from smoking during the session. Those wearing the placebo experienced a decrease in heart rate across sessions and an increase in subjective measures of nicotine withdrawal. Those wearing the active patch also reported significant increases for some subjective symptoms. Expectancy effects were also observed. The findings indicate that adolescent smokers experience subjective and objective changes when deprived of nicotine. As in previous research with adults, expectancies concerning the effects of nicotine replacement also influenced perceptions of withdrawal. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do women's provider-role attitudes moderate the links between work and family?

The authors examined the links between mothers' work qualities and their individual well-being and marital quality, as well as adolescent daughters' and sons' gender-role attitudes, as a function of mothers' provider-role attitudes, in 134 dual-earner families. In home interviews, mothers described their work, provider-role attitudes, family relationships, and mental health; their offspring reported gender-role attitudes. Women's attitudes about breadwinning were coded into main-secondary, coprovider, and ambivalent coprovider groups. Mothers' provider-role attitudes moderated the links between status indicators and mothers' depression, marital conflict, and daughters' gender-role attitudes. For example, depression and marital conflict were negatively related to coprovider mothers' earnings and occupational prestige. The same was not true for main-secondary and ambivalent coprovider mothers. These findings underscore the importance of considering employed women's interpretation of their work roles when exploring work-family links. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Change in posttraumatic stress disorder symptoms: Do clinicians and patients agree?

This study assessed the longitudinal association between clinician and patient ratings of posttraumatic stress disorder (PTSD) symptoms over the course of 2 different randomized clinical trials of veterans with chronic PTSD. One trial, the Department of Veterans Affairs Cooperative Study 420 (CSP 420; N = 360) compared trauma-focused and present-centered group therapies, and the 2nd trial compared cognitive processing theory and a waitlist control condition (N = 60). Linear mixed effects modeling revealed significant associations between clinician ratings (Clinician-Administered PTSD Scale; CAPS; D. D. Blake et al., 1990) and patient ratings (Posttraumatic Stress Disorder Checklist; PCL; F. W. Weathers, B. T. Litz, J. A. Herman, J. A. Huska, & T. M. Keane, 1993) in total and symptom clusters of PTSD. Contrary to hypothesis, the amount of change on the CAPS ranged from .75 to .82 standard deviations for every 1 standard deviation change on the PCL. The CAPS and PCL were more closely associated in the trauma-focused vs. present-centered treatment condition in CSP 420, and especially regarding hyperarousal symptoms. When comparing categorization of clinically significant change on the CAPS and PCL, the authors found no differences in the percentages of agreement between clinicians and patients in improvement and exacerbation. The value of multimodal assessment of PTSD treatment outcomes is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do children's perceptions and attributions mediate the effects of mothers' child-rearing actions?

The authors analyzed whether the relation between maternal child-rearing behaviors and a child's self-regulation was mediated by the accuracy in the child's perceptions of the mother's goals and methods and by the direction of attributions for the mother's intentions. Sixty mothers with children 7–10 years old were asked how and why they would react in 15 hypothetical situations. Children were interviewed to assess the accuracy of their perceptions and the direction of their attributions. To assess the children's self-regulation, mothers and children were observed planning an excursion. LISREL analysis showed that the reported use of both control and demandingness and of responsiveness has a positive influence on the accuracy of children's perceptions and, in turn, on their self-regulation. However, part of the positive impact of control and demandingness on children's self-regulation was due to the effect of positive attributions on the accuracy of perceptions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The stability of working memory: Do previous tasks influence complex span?

Schmeichel (2007) reported that performing an initial task before completing a working memory span task can lower span scores and suggested that the effect was due to depleted cognitive resources. We showed that the detrimental effect of prior tasks depends on a match between the stimuli used in the span task and the preceding task. A task requiring participants to ignore words reduced performance on a subsequent word-based verbal span task but not on an arrow-based spatial span task. Ignoring arrows had the opposite pattern of effects: reducing performance on the spatial span task but not on the word-based span task. Finally, we showed that antisaccade, a nonverbal task that taxes domain-general processes implicated in working memory, did not influence subsequent performance of either a verbal or a spatial span task. Together these results suggest that while span is sensitive to prior tasks, that sensitivity does not stem from depleted resources. (PsycINFO Database Record (c) 2011 APA, all rights reserved)