Vocational interests of middle-aged men with traumatic spinal cord injury.

Objectives: Describe vocational interests of middle-aged men with traumatic spinal cord injury (SCI). Participants: Seventy-nine Caucasian men with traumatic SCI (mean age?=?44 years; mean time since onset?=?20 years), 74% with quadriplegia. Measure: Strong Interest Inventory. Results: Replicated the unique pattern of interests found by D. E. Rohe and G. T. Athelstan (1982) among younger men with SCI. Compared with the normative sample, participants were more introverted, less academically oriented, and primarily interested in physically challenging and action-oriented occupations despite their functional limitations. Conclusions: Middle-aged men with traumatic SCI have the same unique vocational interest pattern as their younger peers. This pattern is not an artifact of age or time since onset and may partially explain low rates of employment after SCI. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Associations and Predictors of Posttraumatic Stress Levels According to Person-Related, Disability-Related, and Trauma-Related Variables Among Individuals With Spinal Cord Injuries.

Objective: To examine the associations and predictors of posttraumatic stress among individuals with spinal cord injuries (SCI) in the framework of a Person x Disability x Traumatic Event model. Design: An exploratory study involving analyses of variance, correlations, and a hierarchical multiple regression of a cross-sectional sample. Participants: Three hundred twelve individuals with SCI using a veteran or a civilian SCI clinic. Main Outcome Measures: Purdue Posttraumatic Stress Disorder--Revised scale (PPTSD-R). Results: Four out of all the examined variables had significant regression coefficients: spiritual-religious coping, pain level, severity of SCI, and number of traumatic events. Severity of SCI was a significant predictor, but data suggested that severity of SCI had a curvilinear association with both total posttraumatic stress levels and hyperarousal scores. Conclusion: Treatment of an individual's pain may reduce posttraumatic stress symptoms. Clinicians also can evaluate for previous trauma unrelated to the onset of the SCI and can intervene with the goal of reducing the impact of previous trauma on the individual's present emotional state and reactions to SCI. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Brief Symptom Inventory norms for spinal cord injury.

Investigated the effects of spinal cord injury (SCI) upon a person's response to the Brief Symptom Inventory (BSI) by analyzing differences across item-response distributions from 225 Ss with SCI (aged 17–68 yrs) vs a nonpatient normative sample of 719 Ss. The study also developed more appropriate BSI normative data for persons with SCI. Because Ss' time since injury varied at time of BSI administration, normative scores were provided within 3 groupings: at discharge from the hospital; 0–24 mo post-discharge; and beyond 24 mo. Results show that SCI Ss had higher BSI scores when compared with Ss in the normative sample. These differences were particularly significant across 8 BSI items that reflected actual SCI physical and psychosocial symptoms. SCI Ss reported more distress during the period immediately following discharge to 24 mo. Overall, BSI scores tended to be lower at discharge and after 24 mo post-discharge. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Most of the girls are alright, but some aren't: Personality trajectory groups from ages 14 to 24 and some associations with outcomes.

Personality traits show normative patterns of development toward maturity during adolescence. Yet individuals follow these normative patterns to differing degrees. This study used growth mixture modeling to characterize personality development patterns and their associations with outcomes in a population-based sample of 1,537 girls aged 14 to 24. The authors used latent class analysis to identify 3 trajectory groups labeled alright (47%), growing up (42%), and trouble (11%). Alright group members were more likely at age 24 to have completed college, remained involved with their families, and obtained good jobs. Trouble group members were more likely to be involved with drugs and alcohol, to display interpersonal problems, and to behave antisocially. Growing up group members fell in between. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical characteristics of Meckel''s diverticulum in a population of children

BACKGROUND: Over the past 10-20 years, evidence has accumulated suggesting that it is not just biological risk factors that are important for the development of coronary heart disease. The present study is one of a series of case-control studies in which a wide range of psychosocial factors have been analysed in the same population to obtain information on their relationship with myocardial infarction, as well as of the interaction between psychosocial and biomedical variables. METHODS: The relationship between behavioural factors and non-fatal myocardial infarction was studied by comparing consecutively admitted male (n = 288) and female (n = 55) patients with a population sample of 283 men and 129 women. All participants were under 65 years of age. The behavioural variables (type-A behaviour, health locus of control, sleep problems and alcohol consumption) were investigated by means of a self-administered questionnaire. RESULTS: No significant differences emerged between patients with myocardial infarction and controls in terms of their type-A behaviour pattern. After controlling for traditional risk factors (smoking, hypertension, serum cholesterol level and diabetes), men with myocardial infarction reported a significantly stronger external health locus of control (i.e. a weak belief in their capacity to control their health) compared with their controls, as well as more problems with sleep and a lower alcohol consumption; women with myocardial infarction reported significantly more problems with sleep than their controls. CONCLUSION: The importance of health locus of control, sleep problems and alcohol consumption is amplified by the fact that they are related to myocardial infarction independently of conventional biomedical risk factors. These behavioural factors should be studied further in prospective investigations.     

Rey Auditory Verbal Learning Test (AVLT) performance in individuals with recent-onset spinal cord injury.

Objective: To present Rey Auditory Verbal Learning Test (AVLT) normative data for persons with recent-onset spinal cord injury (SCI). Setting: A Southeastern rehabilitation facility. Participants: One hundred eighty-four persons (133 males and 51 females) with recent-onset SCI assessed with the Rey AVLT during their inpatient rehabilitation hospitalization. Results: General trends toward decreased recall with increasing age and increased recall with increasing educational level were noted. Gender differences were not detected. Average scores are presented in tables by age and by education separately. Conclusions: The normative information presented may assist rehabilitation psychologists in providing interpretations and recommendations to rehabilitation team members regarding each individual's ability to learn and benefit from verbal instruction in rehabilitation therapies in comparison with other individuals with SCL. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Romantic attachment in individuals with physical disabilities.

Objective: To examine the relationship between adult attachment style and physical disability in intimate romantic relationships. Method: Participants were 50 individuals with adult-onset spinal cord injuries (SCI) and 50 individuals with congenital disabilities (CON) living in the community. The main outcome measures were adult attachment style and dyadic relationship adjustment. Results: Participants with SCI and CON did not differ in rates of secure versus insecure attachment, and the rates of neither group differed significantly from rates reported for persons without disability. Dyadic adjustment was clearly predicted by attachment variables and differed between the participants with SCI and those with CON; individuals with SCI reported greater total dyadic adjustment. Avoidance showed a strong negative association with dyadic satisfaction, but no association was found with dyadic cohesion. Social participation variables were associated with dyadic adjustment. For instance, mobility was positively associated with dyadic satisfaction. Conclusions: Dyadic adjustment in people with disabilities, as in other groups, is affected by attachment style, but disability and social participation variables may also affect dyadic adjustment. Clinicians should consider differences in attachment styles among persons with disabilities and their implications for intimate close relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Objective sleep measures and subjective sleep satisfaction: How do older adults with insomnia define a good night's sleep?

The relationship between objective sleep measures and subjective sleep satisfaction was explored in a sample of 47 older adults (59 years and older; 35 women, 12 men) with primary insomnia. Participants submitted to all-night sleep evaluations (polysomnography) for 2 nights. After each night, participants provided subjective sleep-satisfaction ratings. Depth of sleep (decreased Stage 1 sleep and increased Stages 3 and 4 sleep) and sleep latency were the best predictors of subjective sleep satisfaction. For other sleep variables such as sleep efficiency and wake time after sleep onset, no value predicted satisfaction on a particular night. However, for these sleep variables, relative improvement from Night 1 to Night 2 predicted greater subjective satisfaction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neuropsychological functioning in older insomniacs with or without obstructive sleep apnea.

The relationships between neuropsychological functioning and sleep loss, sleep apnea, and hypoxemia were examined. Forty-five older insomniacs (M age?=?64.6 yrs) with or without sleep apnea were administered neuropsychological tests after 1 night of nocturnal monitoring in a sleep laboratory. The results showed few differences on cognitive and psychomotor performance between individuals with sleep disruptions alone compared with those whose insomnia was associated with sleep apnea and hypoxemia. There were no significant relationships between nocturnal sleep and respiratory variables and daytime functioning. Furthermore, cognitive and psychomotor performance in older insomniacs with or without sleep apnea revealed minimal impairment compared with age-matched normative data. The results suggest that when the severity of sleep disruptions is controlled, there are minimal differences in neuropsychological functioning of older adults with mild to moderate sleep apnea compared with those without apnea. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Characteristics of participants in a large group awareness training.

A study was conducted to assess the psychosocial characteristics of individuals who become involved in large group awareness training (LGAT) programs. Prospective participants in The Forum, which has been classified as an LGAT, were compared with nonparticipating peers and with available normative samples on measures of well-being, negative life events, social support, and philosophical orientation. Results revealed that prospective participants were significantly more distressed than peer and normative samples of community residents and had a higher level of impact of recent negative life events compared with peer (but not normative) samples. Prospective participants also held preparticipation values more similar to those espoused by the LGAT than peer or normative samples, and the three groups failed to be distinguished by their levels of social support. The implications of the findings are considered for understanding participation in LGATs and other self-change promoting activities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Using sleep dysfunction to explore the nature of resilience in adult survivors of childhood abuse or trauma

OBJECTIVE: In early studies, resilience to trauma was equated with psychological well-being. This study explores the possibility that such resilience is better described as social-behavioral competency and that, in turn, such competency can conceal emotional pain. METHOD: A university sample of 97 participants, 79 women and 18 men, completed measures of childhood abuse and trauma, resilient characteristics, and sleep dysfunction. The measures of sleep problems could be divided into those tapping psychological well-being (e.g., nightmare frequency) and those reflecting social-behavioral functioning (e.g., measures of the impact of nightmares on waking functioning). RESULTS: Fifty-three participants reported experiencing one or more types of trauma or abuse in childhood. As a group they scored more negatively than those reporting no abuse on measures of sleep dysfunction. Resilient characteristics were only related to measures of social-behavioral functioning, not well-being. CONCLUSIONS: The findings are consistent with current conceptualizations of trauma/abuse recovery as involving multiple dimensions of functioning, some of which are more publicly observable than others. Therefore, some apparently resilient individuals may have good social-behavioral competency while still experiencing psychological pain.     

Prevalence and relationships of posttraumatic stress in families experiencing pediatric spinal cord injury.

Objective: To investigate the severity of posttraumatic stress (PTS) and the prevalence of posttraumatic stress disorder (PTSD) in individuals with pediatric spinal cord injury (SCI) and their parents and to assess relationships among family members' degree of PTS and PTSD diagnoses. Study Design: Cross-sectional mail survey. Setting: A pediatric orthopedic surgical and rehabilitation hospital. Participants: A volunteer sample of 64 pediatric SCI patients (59% male and 41% female), 64 mothers, and 49 fathers. Main Outcome Measures: The Posttraumatic Diagnostic Scale was used for parents and for patients more than 18 years of age and the Child Posttraumatic Stress Scale was used for patients 18 years of age and under. Results: Sixteen (25.4%) patients, 25 (41%) mothers, and 16 (35.6%) fathers reported current PTSD. Mothers' total PTS scores statistically predicted patients' and fathers' PTS scores, and patients' PTS scores statistically predicted mothers' PTS scores. In addition, mothers' and patients' PTSD diagnoses related significantly. Conclusions: PTSD may be among the most prevalent psychological comorbidities in families experiencing pediatric SCI. Screening and treatment for PTSD appear warranted as part of standard psychosocial care for these families. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The well-being of women who are late deafened.

The main purpose of this study was to examine potential within-group differences in well-being in individuals who experienced postlingual, late deafness between the ages of 13 and 65 years old. Two related issues were also examined: (a) the psychometric qualities of 2 popular measures of well-being when used with this sample and (b) the well-being of individuals who are late deafened compared to normative data on well-being. A sample of 138 women who were late deafened completed an online survey. The results indicated internal consistency and validity (convergent and partial discriminant) of the 2 well-being measures with this sample. Well-being in this sample was significantly lower than that in samples from the general population. Investigation of within-group differences indicated that individuals from lower socioeconomic groups reported lower levels of well-being. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Children's objective and subjective sleep disruptions: Links with afternoon cortisol levels.

Objective: The purpose of this study was to determine possible relations between the quality and amount of children's sleep and cortisol in healthy children. Design: Children's sleep was monitored with actigraphs for 7 nights. Children came to the laboratory to provide saliva samples, which were used to assess cortisol. Children reported on their sleepiness and sleep/wake problems. Sixty-four healthy children participated (M = 8.75 years; SD = .55). Main Outcome Measures: Self-reported sleepiness and sleep/wake problems, actigraphy-measured total sleep minutes, sleep efficiency, minutes awake after sleep onset, and sleep activity, and afternoon cortisol levels. Results: After controlling for demographic variables and child characteristics, higher levels of cortisol were related to increased subjective sleep problems and objective measures of shorter sleep duration and poorer sleep quality. Conclusion: These findings are of importance for understanding critical facets of children's health and well-being, and are noteworthy given the high prevalence of sleep disruptions in otherwise normally developing children in the United States. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Lipid lowering in a multidisciplinary clinic compared with primary physician management

OBJECTIVE: This study analyzed questionnaire items that address complaints about sleep from the National Vietnam Veterans Readjustment Study, a nationally representative sample of the 3.1 million men and women who served in Vietnam. This study compared the frequency of nightmares and difficulties with sleep onset and sleep maintenance in male Vietnam theater veterans with male Vietnam era veteran and male civilian comparison subjects. It focused on the role of combat exposure, nonsleep posttraumatic stress disorder (PTSD) symptoms, comorbid psychiatric and medical disorder, and substance abuse in accounting for different domains of sleep disturbance. METHOD: The authors undertook an archival analysis of the National Vietnam Veterans Readjustment Study database using correlations and linear statistical models. RESULTS: Frequent nightmares were found exclusively in subjects diagnosed with current PTSD at the time of the survey (15.0%). In the sample of veterans who served in Vietnam (N = 1,167), combat exposure was strongly correlated with frequency of nightmares, moderately correlated with sleep onset insomnia, and weakly correlated with disrupted sleep maintenance. A hierarchical multiple regression analysis showed that in Vietnam theater veterans, 57% of the variance in the frequency of nightmares was accounted for by war zone exposure and non-sleep-related PTSD symptoms. Alcohol abuse, chronic medical illnesses, panic disorder, major depression, and mania did not predict the frequency of nightmares after control for nonsleep PTSD symptoms. CONCLUSIONS: Frequent nightmares appear to be virtually specific for PTSD. The nightmare is the domain of sleep disturbance most related to exposure to war zone traumatic stress.     

Infant sleep and parental sleep-related cognitions.

Infant sleep is a major source of distress in many families. The purpose of this study was to assess infant sleep and parental sleep-related cognitions about infant sleep in clinical and control samples. The clinical sample consisted of 48 infants referred to a sleep clinic because of night-wakings problems. The control sample included 48 infants with no parental complaints about sleep difficulties. Sleep of all participating infants was monitored for 1 week with actigraphs and parental daily logs. Parents completed 2 questionnaires testing their cognitions about infant sleep. As expected, significant group differences were found with regard to the sleep-quality measures and parental cognitions. Parental cognitions about difficulties in limit setting were associated with poorer sleep quality. Significant differences were found between fathers and mothers on the cognitions scales. The results highlight the links between parental cognitions and infant sleep and the unique perspective of each parent in this area. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dimensions of subjective well-being after spinal cord injury: an empirical analysis by gender and race/ethnicity

OBJECTIVE: The purpose of this study was twofold: (1) to identify the underlying dimensions of subjective well-being after spinal cord injury (SCI), and (2) to develop reliable scales based on measurement of these dimensions. DESIGN: A field study was conducted by surveying the subjective well-being of two large samples of participants with SCI. Principal axis factor analysis with varimax rotation was applied to participant responses to 50 subjective well-being items. SETTING: All participants were selected from the outpatient files of two midwestern rehabilitation hospitals and from a large southeastern rehabilitation hospital. PARTICIPANTS: There were a total of 1,032 participants, 435 from the Midwest and 597 from the Southeast. MAIN OUTCOME MEASURES: The Life Situation Questionnaire-revised version (LSQ-R) was used to measure subjective well-being. It included two prominent sections, one for life satisfaction (20 items) and the other for self-reported problems (30 items). RESULTS: Seven subjective well-being factor scales were identified across the full participant sample: Engagement, Negative Affect, Health Problems, Career Opportunities, Finances, Living Circumstances, and Interpersonal Relations. The average alpha coefficient was .86 for the factor scales. Separate analyses of the midwestern and southeastern samples suggested stability of the factor structure, although gender and race/ ethnicity were related to subtle differences in subjective well-being. CONCLUSIONS: The results suggest that rehabilitation professionals need to pay attention to multiple aspects of subjective well-being after SCI.     

Predicting preschoolers' externalizing behaviors from toddler temperament, conflict, and maternal negativity.

Rarely have researchers elucidated early childhood precursors of externalizing behaviors for boys and girls from a normative sample. Toddlers (N=104; 52 girls) were observed interacting with a same-sex peer and their mothers, and indices of conflict-aggression, emotion and behavior dysregulation, parenting, and child externalizing problems were obtained. Results indicated that boys initiated more conflictual-aggressive interactions as toddlers and had more externalizing difficulties 2 years later, yet girls' (not boys') conflict-aggressive initiations at age 2 were related to subsequent externalizing problems. When such initiations were controlled for, emotional-behavioral undercontrol at age 2 also independently predicted externalizing problems at age 4. Moreover, the relation between conflict-aggressive initiations at age 2 and externalizing problems at age 4 was strongest for dysregulated toddlers. Finally, the relation between age 2 conflict-aggressive initiations and age 4 externalizing problems was strongest for those toddlers who incurred high levels of maternal negativity. These findings illustrate temperament by parenting connections in the development of externalizing problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Exercise as stigma management for individuals with onset-controllable and onset-uncontrollable spinal cord injury.

Studies have suggested that individuals with physical disabilities are often stigmatized and are perceived to possess less favorable physical and psychological characteristics than individuals without disability. Purpose: To investigate whether able-bodied adults' perceptions of people with different causes of spinal cord injury (SCI) are influenced by physical activity status information. Method and Participants: Each participant (N = 198) read all five vignettes describing individuals with SCI who had varying levels of physical activity participation and cause of injury information (e.g., onset-uncontrollable [hit by impaired driver] and onset-controllable [caused by impaired driving]). After reading each vignette, participants completed a 12-item Warmth and Competence Questionnaire to evaluate each target. One-way repeated measures multivariate analyses of variance were conducted to examine the within-subjects differences. Results: Physically active individuals with onset-uncontrollable SCI were rated most favorably on warmth and competence. Physically active individuals with onset-controllable SCI also were rated more favorably on warmth and competence than physically inactive targets with onset-controllable SCI. Conclusion: A physically active lifestyle may be beneficial in managing the stigma experienced by individuals with both onset-controllable and onset-uncontrollable SCI. (PsycINFO Database Record (c) 2010 APA, all rights reserved)