Developmental regulation across adulthood: Primary and secondary control of age-related challenges.

This study addresses developmental regulation in adults at different ages. A conceptual model of optimization in primary and secondary control across the life span (OPS model) is presented, and predictions about age differences in developmental regulation are derived. Developmental goals, expectations about goal attainment and control, control strategies, life satisfaction, and age identification were assessed in a sample of 510 young, middle-aged, and old adults. At increasing age, the participants expressed (a) greater awareness of a reduced potential for growth and control, (b) increased focus on age-appropriate goals for primary control striving, (c) more goals directed at the avoidance of developmental losses and fewer goals aimed at developmental gains, and (d) a stronger tendency for compensatory secondary control, as shown in greater goal flexibility, more satisfaction with present life, and identification with younger age groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived control over development and subjective well-being: Differential benefits across adulthood.

The relationship between perceived control over development (PCD) and subjective well-being (SWB) across adulthood was examined in 3 studies. In Study 1, with 480 adults aged between 20 and 90 years, PCD was closely related to SWB. Chronological age moderated the associations between PCD and SWB beyond individual differences in health, intelligence, social support, and socioeconomic status. In the longitudinal Study 2, with 42 older adults, strong PCD was associated with increased positive affect only when desirable events had occurred previously. In Study 3, older adults experienced greater satisfaction when attributing attainment of developmental goals to their ability, whereas younger adults were more satisfied when attributing such successes to their own efforts. Findings point to adaptive adjustments of control perceptions to age-related actual control potentials across adulthood. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality–cognition relations across adulthood.

Although an increasing number of studies have investigated relations between dimensions of personality and level of cognitive functioning, the research results have been somewhat inconsistent. Furthermore, relatively little is known about whether the personality–cognition relations vary as a function of age in adulthood. The current project examined these issues with data from a sample of 2,317 adults between 18 and 96 years of age who each completed a personality inventory and performed a broad battery of cognitive tests. The results revealed strong relations of the personality trait of Openness with several distinct cognitive abilities and smaller relations of other personality traits with specific cognitive abilities. Comparisons across different age groups indicated that the personality–cognition relations were both qualitatively and quantitatively similar across the adult years. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Primary and secondary prevention strategies in the older adult

Most causes of death and disability in older people are partially to fully preventable. To achieve maximum benefits from prevention strategies, use an organized system tailored to individual health risks and circumstances.     

Primary and secondary prevention strategies among older postmenopausal women

Women may choose to initiate, reinitiate, or discontinue hormone replacement therapy (HRT) at any time beyond the perimenopausal period. HRT, exercise, and nutrition are reviewed in terms of their potential benefits as primary and secondary preventive therapies against coronary heart disease, osteoporosis, breast and genital cancers, and the maintenance of cognitive function among older postmenopausal women. Lifestyle alternatives involving nutrition and exercise that offer many of the same benefits as HRT are discussed. Since both pharmacologic and lifestyle interventions offer significant benefit for primary and secondary prevention of disease and disability, each should be offered to women for consideration as they enter the perimenopausal period. Additionally, each can be recommended for initiation even at much older ages and subsequent to adverse health occurrences, such as the experience of breast or genital cancer or a cardiac event. Each should be sustained over the long term. The decision whether to discontinue these interventions among the most elderly will be influenced by other quality of life considerations.     

Effectively managing asthma in young and middle adulthood

Revised national guidelines for managing asthma in nonpregnant young adults and adults stress education for self-management and include provisions for stepped care. These guidelines also include education on asthma pathophysiology; measures to control exacerbations; medications available to treat the disease; use of inhalers, spacers, holding chambers and self-monitoring; and peak expiratory flow meters. Treatment is based on frequency of exacerbations and readings from the peak flow meter. The stepped-care approach means aggressively treating patients at a higher step than current signs and symptoms may warrant, to gain rapid control over these signs and symptoms. The new guidelines suggest that patients with intermittent asthma use inhaled, short-acting bronchodilators, whereas those with persistent asthma should begin with daily inhaled, antiinflammatory medicines. Once control is maintained for weeks or months, dosages can gradually be reduced to the minimum effective level.     

Primary and secondary hypohedonia.

Having shown taxometrically that there exists a hypohedonic schizotypal taxon in a college population, J. J. Blanchard, S. W. Gargestad, S. A. Brown, and W. P. Horan (2000) suggested that P. E. Meehl erred in revising his 1962 theory by postulating a normal-range individual differences variable of hedonic capacity that potentiates schizotypy into schizophrenia. The aversive drift and secondary anhedonia of Meehl's theory imply that the schizotypal taxon will generate hypohedonic taxonicity in an adult population. Psychometrically measurable hedonic disposition (as distinguished from genetic primary hedonic capacity) is "dragged along" by the schizogene, especially in the social domain. To choose between causal interpretations, it could be ascertained whether the schizotypal anhedonic taxon is composed of individuals who are schizotaxic on the basis of psychophysiological, cognitive, and soft neurologic indicators. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Primary versus secondary and central versus consequence-related control in HIV-positive men.

Examined 2 dimensions of perceived control (primary vs secondary and central vs consequence-related) in a sample of 104 HIV-positive men. Two hypotheses regarding the use of primary control (acting to achieve specific outcomes) and secondary control (acceptance) were supported: The use of both primary and secondary control was associated with better adjustment. Secondary control served a protective role at lower levels of primary control, but was not associated with adjustment at higher levels of primary control. The 2 hypotheses regarding central control (over the infection) and consequence-related control (over consequences of the infection) were also supported. Perceptions of consequence-related control were higher than perceptions of control over HIV and more strongly associated with low depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Preventing and managing adolescent health problems.

Reviews the book, Health-promoting and health-compromising behaviors among minority adolescents by D. K. Wilson, J. R. Rodrique, and W. C. Taylor (1997). Although this book was not written specifically for the school-based practitioner, this edited volume provides a comprehensive review of the health-related behavior of diverse adolescent populations and describes empirically validated intervention and prevention models that are very useful to school mental health professionals, particularly those working in urban settings with culturally diverse youth. The editors have divided the text into four sections. The first section provides a useful theoretical framework encompassing developmental, biological, social, and cultural perspectives. The second section describes behavioral patterns among culturally diverse adolescents that compromise and promote health, including drug use, eating habits, physical activity, and sexual behavior. The third section describes several intervention models that have been demonstrated to be effective with minority adolescents. The concluding section provides insight into health policy issues impacting minority adolescents, including access to adequate health care. This volume represents an important contribution to the literature in the area of pediatric, prevention, and community psychology. Although the text generally fails to highlight sufficiently the power of the school as a protective context for adolescents, the conceptual models and examples of community-based programs presented offer the school psychologist very useful information about designing and implementing prevention and intervention programs in schools. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An Internet study of prospective memory across adulthood.

In an Internet study, 73,018 18–79-year-olds were asked to “remember to click the smiley face when it appears.” A smiley face was present/absent at encoding, and participants were told to expect it “at the end of the test”/“later in the test.” In all 4 conditions, the smiley face occurred after 20 min of retrospective memory tests. Prospective remembering benefited at all ages from both prior target exposure and temporal uncertainty; moreover, it resembled working memory in its linear decline from young adulthood. The study demonstrates the power of Internet methodology to reveal age-related deficits in a single-trial prospective memory task outside the laboratory. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Thought control strategies in acute stress disorder

Relapse after transplant for malignant lymphomas remains the main cause of treatment failure. Most conditioning regimens contain total body irradiation (TBI). We investigated the toxicity and efficacy of an intensified chemotherapy conditioning regimen without TBI in patients with relapsed or high-risk malignant lymphoma who had received prior radiation therapy and were therefore not eligible for TBI. Twenty patients with a median age of 38 (18-56) and relapsed or high-risk malignant non-Hodgkin's lymphoma (NHL, n = 16) or Hodgkin's disease (HD, n = 4) underwent high-dose chemotherapy consisting of busulfan (16 mg/kg), cyclophosphamide (120 mg/kg) and etoposide 30 mg/kg (n = 8) or 45 mg/kg (n = 12) followed by peripheral stem cell support (n = 14), autologous bone marrow (n = 3), allogeneic (n = 2) or syngeneic (n = 1) transplantation. All but two had chemosensitive disease before high-dose chemotherapy. The main toxicity -- according to the Bearman score -- was mucositis II in 18 (90%) patients; five patients (25%) suffered a grade I hepatic toxicity. GI toxicity I occurred in three (15%) and renal toxicity I in two patients (10%). Sixty percent of the patients developed transient dermatitis with erythema and three of them (15%) had skin desquamation; one patient experienced asymptomatic pancreatitis. Toxicity was slightly higher in patients treated with 45 mg/kg etoposide. One patient (5%) died of treatment-related venoocclusive disease. After a median follow-up of 50 months (24-84) the disease-free and overall survival were 50% and 55%. One of the nine relapsing patients developed secondary AML 18 months after transplant. High-dose busulfan, cyclophosphamide and etoposide is an effective regimen resulting in long-term disease-free survival in 50% of patients with relapsed malignant lymphoma and prior radiation therapy. The toxicity is moderate with a low treatment-related mortality (5%).     

Changes in the sensitivity to appetitive and aversive arousal across adulthood.

In 2 cross-sectional studies, the authors examined age-related differences in the evaluation of emotional stimuli in 2 community samples, with participants ranging in age from young to older adulthood (18–81 years old). Pictures of the International Affective Picture System were used in Study 1, and written verbs were used in Study 2. Participants rated these stimuli along the 2 major affective dimensions of hedonic valence and emotional arousal, thus yielding a 2-dimensional affective space for each participant. Young adults showed the expected pattern of 2 distinct clusters of stimuli in this space, representing increasing pleasantness (appetitive activation) and unpleasantness (aversive activation) with increasing emotional arousal. In contrast, for older adults, emotional valence and arousal ratings were linearly related: Low-arousing stimuli were rated as most pleasant, and high-arousing stimuli were rated as most unpleasant. When regressed on age, these changes revealed a gradual decrease of appetitive activation (i.e., the relationship between pleasure and arousal) across adulthood and a linear increase in aversive activation (i.e., the relationship between displeasure and arousal). These results extend previous work on emotional development, adding information as to the role of emotional intensity for affective experience in different age groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Primary and secondary control over age-related changes in physical appearance

Beliefs about appearance-related changes due to aging were used to test the effects of perceived control and secondary control (acceptance) in a sample of 412 young, early-middle-age, and late-middle-age college-educated adults. Mean difference in aging-related appearance control and hypotheses regarding the adaptiveness of primary and secondary control were examined. Primary control over aging-related appearance was lower in older adults and secondary control was higher. In addition, the results indicated support for the Primacy/Back-Up Model that primary perceived control is important at all levels of actual control. Those with stronger beliefs in their primary control were less distressed. Secondary control served a back-up function in that it was related to less distress only for those who had medium or lower beliefs in primary control. The implications of these findings, that primary control may be advantageous even in low-control circumstances, are discussed.     

Variation in civil commitment processes across jurisdictions: an approach for monitoring and managing change in mental health systems

This article demonstrates how unique local factors affect implementation of commitment statutes and, consequently, the extent to which implementation supports fundamental treatment philosophies. Four local variations in the implementation of Ohio's commitment statute are examined with a methodology designed to describe commitment processes. Qualitative case studies highlight factors that appear to contribute to variability across these sites. The authors contend that this information can be used as a system management tool at the state and local levels to (1) suggest needed changes in local service systems, (2) identify specific options/interventions for effecting change in desired directions and (3) assess the extent to which changes affect commitment processes in predictable ways that are consistent with philosophical principles.     

Blood is thicker than water: Kinship orientation across adulthood.

The importance of kin relationships was investigated across adulthood with 5 samples (total N=1,365). Within the personal networks, the genetic relatedness with relationship partners predicted subjective closeness (mean r=.50) and social support (mean r=.13). Effects were robust in 2 samples when controlling for residential proximity and contact frequency. These intraindividual correlations showed considerable variability and were interpreted as individual expressions of nepotism. The heritability of individual nepotism was zero. Variability of nepotism was unrelated to personality traits, but substantially related to sex, and parental and partner status. The authors discuss subjective closeness as 1 proximate cue to kinship, and suggest nepotistic adaptations as powerful mechanisms in social relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Observed maternal strategies and children's health locus of control in low-income Mexican Americans.

This study examined the relationship among mothers' health locus of control (HLOC) beliefs, their socialization strategies, and their children's HLOC beliefs in 80 low-income Mexican American families. Maternal socialization strategies were assessed from videotaped interactions of mothers and children engaged in a structured task. Factor analysis of the coded strategies yielded 4 factors: Tell Answer, Teaching, Clarify, and Reinforce. Findings indicated that maternal-health-internally scores negatively predicted mothers' use of the Tell Answer strategies and positively predicted their use of Teaching strategies. Mothers who believed that Powerful Others (e.g., health professionals) controlled their health were more likely to use the Tell Answer strategy. In contrast, mothers who believed that health was due to chance were less likely to use Teaching. Maternal use of Teaching strategies predicted children's internal HLOC, whereas maternal Tell Answer strategies predicted children's external HLOC. Findings suggest that mothers' HLOC beliefs influence the socialization strategies they use and that these strategies are associated with children's HLOC beliefs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Strength and vulnerability integration: A model of emotional well-being across adulthood.

The following article presents the theoretical model of strength and vulnerability integration (SAVI) to explain factors that influence emotion regulation and emotional well-being across adulthood. The model posits that trajectories of adult development are marked by age-related enhancement in the use of strategies that serve to avoid or limit exposure to negative stimuli but by age-related vulnerabilities in situations that elicit high levels of sustained emotional arousal. When older adults avoid or reduce exposure to emotional distress, they often respond better than younger adults; when they experience high levels of sustained emotional arousal, however, age-related advantages in emotional well-being are attenuated, and older adults are hypothesized to have greater difficulties returning to homeostasis. SAVI provides a testable model to understand the literature on emotion and aging and to predict trajectories of emotional experience across the adult life span. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparative analysis of goal-setting strategies across cultures.

Only a few studies that have examined the effects of participation on an individual's goal acceptance and performance have been conducted within a cross-cultural context. In the present study, we tested for the contingency between the effectiveness of goal-setting strategies and cultural values. We examined three goal-setting strategies within three different cultural groups—assigned goals, goals participatively set by a group representative and the experimenter, and goals participatively set by a group. The three cultural groups studied were U.S. students (n?=?60), individualistic and having a high power distance; Israeli students from urban areas (n?=?60), collectivistic and having a low power distance; and Israeli students from kibbutzim (n?=?60), highly collectivistic and having a low power distance. Results indicated that participative strategies led to higher levels of goal acceptance and performance than the assigned strategy. Culture did not moderate the effect of goal-setting strategies on goal acceptance, but it appeared to moderate the strategy on performance for extremely difficult goals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

New approaches for managing stress incontinence in women

Stress urinary incontinence is a problem for one in four women seen in the primary care setting. The incontinence usually is not identified as women do not view it as a problem, do not seek treatment, and turn to self-care practices. Technology in product development is evolving that can assist women in managing their incontinence. This article reviews new innovations in treatment that can be recommended by primary care providers.