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Naturalistic Setting (naturalistic + setting)

Distribution by Scientific Domains

Medical Sciences	65%
Psychology	19%
Education	7%
2 Other Domains	9%

Selected Abstracts

Examining Implementation Intentions in an Exercise Intervention: The Effects on Adherence and Self-Efficacy in a Naturalistic Setting,

JOURNAL OF APPLIED SOCIAL PSYCHOLOGY, Issue 10 2009
Terra C. Murray
Some studies have found positive associations between implementation intentions and exercise, independent of motivational factors. However, most research has not been conducted in actual exercise contexts. In a naturalistic setting, implementation intentions may be associated with self-efficacy (SE) beliefs. This study examined the effect of implementation intentions on adherence and SE over an 11-week exercise program. Women (N = 72) were randomly assigned to an experimental (i.e., implementation intention) or a control group, with 52 participants completing the study. Results showed that while adherence decreased over time in both groups, the experimental group had better adherence than did the control group. Scheduling SE was also higher in the experimental group. Implementation intentions may help to maintain adherence and scheduling SE. [source]

Students' Drinker Prototypes and Alcohol Use in a Naturalistic Setting

ALCOHOLISM, Issue 1 2010
Renske Spijkerman
Background:, Perceptions about the type of people who drink, also referred to as drinker prototypes, may strengthen young people's motivation to engage in alcohol use. Previous research has shown that drinker prototypes are related to alcohol consumption in both adolescents and young adults. However, the evidence for the strength of these relationships remains inconclusive. One of the caveats in former studies is that all insights about prototype relations are based on self-reported data from youngsters themselves, mostly gathered in a class situation, which may contain bias due to memory distortions and self-presentation concerns. Methods:, The present study examined the impact of drinker prototypes on young adults' drinking patterns by using a less obtrusive measure to assess alcohol consumption, i.e. ad lib drinking among friend groups in the naturalistic setting of a bar lab. Drinker prototypes, self-reported alcohol use in the past, and observed alcohol intake in the bar lab were assessed among 200 college students. Relations between participants' drinker prototypes and their self-reported and observed drinking behavior were examined by computing correlations and conducting multilevel analyses. Results:, Drinker prototypes were related to both self-reported and observed alcohol use. However, the drinking patterns of friend group members had a strong impact on participants' individual drinking rates in the bar lab. After these group effects had been controlled for, only heavy drinker prototypes showed relations with observed alcohol intake in the bar lab. Conclusions:, These findings further establish the value of drinker prototypes in predicting young adults' drinking behavior and suggest that people's motivation to drink alcohol in real-life drinking situations is related to their perceptions about heavy drinkers. [source]

Discussion on ,Personality psychology as a truly behavioural science' by R. Michael Furr

EUROPEAN JOURNAL OF PERSONALITY, Issue 5 2009
Article first published online: 14 JUL 200
Yes We Can! A Plea for Direct Behavioural Observation in Personality Research MITJA D. BACK and BORIS EGLOFF Department of Psychology, Johannes Gutenberg University Mainz, Germany mback@uni-leipzig.de Furr's target paper (this issue) is thought to enhance the standing of personality psychology as a truly behavioural science. We wholeheartedly agree with this goal. In our comment we argue for more specific and ambitious requirements for behavioural personality research. Specifically, we show why behaviour should be observed directly. Moreover, we illustratively describe potentially interesting approaches in behavioural personality research: lens model analyses, the observation of multiple behaviours in diverse experimentally created situations and the observation of behaviour in real life. Copyright © 2009 John Wiley & Sons, Ltd. The Categories of Behaviour Should be Clearly Defined PETER BORKENAU Department of Psychology, Martin-Luther University Halle-Wittenberg, Germany p.borkenau@psych.uni-halle.de The target paper is helpful by clarifying the terminology as well as the strengths and weaknesses of several approaches to collect behavioural data. Insufficiently considered, however, is the clarity of the categories being used for the coding of behaviour. Evidence is reported showing that interjudge agreement for retrospective and even concurrent codings of behaviour does not execeed interjudge agreement for personality traits if the categories being used for the coding of behaviour are not clearly defined. By contrast, if the behaviour to be registered is unambiguously defined, interjudge agreement may be almost perfect. Copyright © 2009 John Wiley & Sons, Ltd. Behaviour Functions in Personality Psychology PHILIP J. CORR Department of Psychology, Faculty of Social Sciences, University of East Anglia, Norwich, UK Philip.Corr@btopenworld.com Furr's target paper highlights the importance, yet under-representation, of behaviour in published articles in personality psychology. Whilst agreeing with most of his points, I remain unclear as to how behaviour (as specifically defined by Furr) relates to other forms of psychological data (e.g. cognitive task performance). In addition, it is not clear how the functions of behaviour are to be decided: different behaviours may serve the same function; and identical behaviours may serve different functions. To clarify these points, methodological and theoretical aspects of Furr's proposal would benefit from delineation. Copyright © 2009 John Wiley & Sons, Ltd. On the Difference Between Experience-Sampling Self-Reports and Other Self-Reports WILLIAM FLEESON Department of Psychology, Wake Forest University, Winston-Salem, NC, USA fleesonW@wfu.edu Furr's fair but evaluative consideration of the strengths and weaknesses of behavioural assessment methods is a great service to the field. As part of his consideration, Furr makes a subtle and sophisticated distinction between different self-report methods. It is easy to dismiss all self-reports as poor measures, because some are poor. In contrast, Furr points out that the immediacy of the self-reports of behaviour in experience-sampling make experience-sampling one of the three strongest methods for assessing behaviour. This comment supports his conclusion, by arguing that ESM greatly diminishes one the three major problems afflicting self-reports,lack of knowledge,and because direct observations also suffer from the other two major problems afflicting self-reports. Copyright © 2009 John Wiley & Sons, Ltd. What and Where is ,Behaviour' in Personality Psychology? LAURA A. KING and JASON TRENT Department of Psychology, University of Missouri, Columbia, USA kingla@missouri.edu Furr is to be lauded for presenting a coherent and persuasive case for the lack of behavioural data in personality psychology. While agreeing wholeheartedly that personality psychology could benefit from greater inclusion of behavioural variables, here we question two aspects of Furr's analysis, first his definition of behaviour and second, his evidence that behaviour is under-appreciated in personality psychology. Copyright © 2009 John Wiley & Sons, Ltd. Naturalistic Observation of Daily Behaviour in Personality Psychology MATTHIAS R. MEHL Department of Psychology, University of Arizona, Tucson, AZ, USA mehl@email.arizona.edu This comment highlights naturalistic observation as a specific method within Furr's (this issue) cluster direct behavioural observation and discusses the Electronically Activated Recorder (EAR) as a naturalistic observation sampling method that can be used in relatively large, nomothetic studies. Naturalistic observation with a method such as the EAR can inform researchers' understanding of personality in its relationship to daily behaviour in two important ways. It can help calibrate personality effects against act-frequencies of real-world behaviour and provide ecological, behavioural personality criteria that are independent of self-report. Copyright © 2009 John Wiley & Sons, Ltd. Measuring Behaviour D. S. MOSKOWITZ and JENNIFER J. RUSSELL Department of Psychology, McGill University, Montreal, Canada dsm@psych.mcgill.ca Furr (this issue) provides an illuminating comparison of the strengths and weaknesses of various methods for assessing behaviour. In the selection of a method for assessing behaviour, there should be a careful analysis of the definition of the behaviour and the purpose of assessment. This commentary clarifies and expands upon some points concerning the suitability of experience sampling measures, referred to as Intensive Repeated Measurements in Naturalistic Settings (IRM-NS). IRM-NS measures are particularly useful for constructing measures of differing levels of specificity or generality, for providing individual difference measures which can be associated with multiple layers of contextual variables, and for providing measures capable of reflecting variability and distributional features of behaviour. Copyright © 2009 John Wiley & Sons, Ltd. Behaviours, Non-Behaviours and Self-Reports SAMPO V. PAUNONEN Department of Psychology, University of Western Ontario, London, Canada paunonen@uwo.ca Furr's (this issue) thoughtful analysis of the contemporary body of research in personality psychology has led him to two conclusions: our science does not do enough to study real, observable behaviours; and, when it does, too often it relies on ,weak' methods based on retrospective self-reports of behaviour. In reply, I note that many researchers are interested in going beyond the study of individual behaviours to the behaviour trends embodied in personality traits; and the self-report of behaviour, using well-validated personality questionnaires, is often the best measurement option. Copyright © 2009 John Wiley & Sons, Ltd. An Ethological Perspective on How to Define and Study Behaviour LARS PENKE Department of Psychology, The University of Edinburgh, Edinburgh, UK lars.penke@ed.ac.uk While Furr (this issue) makes many important contributions to the study of behaviour, his definition of behaviour is somewhat questionable and also lacks a broader theoretical frame. I provide some historical and theoretical background on the study of behaviour in psychology and biology, from which I conclude that a general definition of behaviour might be out of reach. However, psychological research can gain from adding a functional perspective on behaviour in the tradition of Tinbergens's four questions, which takes long-term outcomes and fitness consequences of behaviours into account. Copyright © 2009 John Wiley & Sons, Ltd. What is a Behaviour? MARCO PERUGINI Faculty of Psychology, University of Milan,Bicocca, Milan, Italy marco.perugini@unimib.it The target paper proposes an interesting framework to classify behaviour as well as a convincing plea to use it more often in personality research. However, besides some potential issues in the definition of what is a behaviour, the application of the proposed definition to specific cases is at times inconsistent. I argue that this is because Furr attempts to provide a theory-free definition yet he implicitly uses theoretical considerations when applying the definition to specific cases. Copyright © 2009 John Wiley & Sons, Ltd. Is Personality Really the Study of Behaviour? MICHAEL D. ROBINSON Department of Psychology, North Dakota State University, Fargo, ND, USA Michael.D.Robinson@ndsu.edu Furr (this issue) contends that behavioural studies of personality are particularly important, have been under-appreciated, and should be privileged in the future. The present commentary instead suggests that personality psychology has more value as an integrative science rather than one that narrowly pursues a behavioural agenda. Cognition, emotion, motivation, the self-concept and the structure of personality are important topics regardless of their possible links to behaviour. Indeed, the ultimate goal of personality psychology is to understanding individual difference functioning broadly considered rather than behaviour narrowly considered. Copyright © 2009 John Wiley & Sons, Ltd. Linking Personality and Behaviour Based on Theory MANFRED SCHMITT Department of Psychology, University of Koblenz-Landau, Landau, Germany schmittm@uni-landau.de My comments on Furr's (this issue) target paper ,Personality as a Truly Behavioural Science' are meant to complement his behavioural taxonomy and sharpen some of the presumptions and conclusions of his analysis. First, I argue that the relevance of behaviour for our field depends on how we define personality. Second, I propose that every taxonomy of behaviour should be grounded in theory. The quality of behavioural data does not only depend on the validity of the measures we use. It also depends on how well behavioural data reflect theoretical assumptions on the causal factors and mechanisms that shape behaviour. Third, I suggest that the quality of personality theories, personality research and behavioural data will profit from ideas about the psychological processes and mechanisms that link personality and behaviour. Copyright © 2009 John Wiley & Sons, Ltd. The Apparent Objectivity of Behaviour is Illusory RYNE A. SHERMAN, CHRISTOPHER S. NAVE and DAVID C. FUNDER Department of Psychology, University of California, Riverside, CA, USA funder@ucr.edu It is often presumed that objective measures of behaviour (e.g. counts of the number of smiles) are more scientific than more subjective measures of behaviour (e.g. ratings of the degree to which a person behaved in a cheerful manner). We contend that the apparent objectivity of any behavioural measure is illusory. First, the reliability of more subjective measures of behaviour is often strikingly similar to the reliabilities of so-called objective measures. Further, a growing body of literature suggests that subjective measures of behaviour provide more valid measures of psychological constructs of interest. Copyright © 2009 John Wiley & Sons, Ltd. Personality and Behaviour: A Neglected Opportunity? LIAD UZIEL and ROY F. BAUMEISTER Department of Psychology, Florida State University, Tallahassee, FL, USA Baumeister@psy.fsu.edu Personality psychology has neglected the study of behaviour. Furr's efforts to provide a stricter definition of behaviour will not solve the problem, although they may be helpful in other ways. His articulation of various research strategies for studying behaviour will be more helpful for enabling personality psychology to contribute important insights and principles about behaviour. The neglect of behaviour may have roots in how personality psychologists define the mission of their field, but expanding that mission to encompass behaviour would be a positive step. Copyright © 2009 John Wiley & Sons, Ltd. [source]

Influence of smoking cues in movies on craving among smokers

ADDICTION, Issue 12 2009
Kirsten Lochbuehler
ABSTRACT Aims Research has shown that smoking-related cues are important triggers for craving. The objective of the present study was to test whether smoking cues in movies also function as triggers to evoke craving. To accomplish this, we conducted a pilot study in which we examined smokers' reactivity to smoking cues from a particular movie in a common cue,reactivity paradigm using pictures. In the main study, we tested whether smokers who are confronted with smoking characters in a movie segment have a greater desire to smoke than smokers confronted with non-smoking characters. Design Using an experimental design, participants were assigned randomly to one of two movie conditions (smoking versus non-smoking characters). Setting In a laboratory, that reflected a naturalistic setting, participants watched a 41-minute movie segment. Participants A total of 65 young adults who smoked on a daily basis participated in the experiment. Measurements Craving was assessed before and after watching the movie. Findings The pilot study revealed that pictures of smoking characters had strong effects on craving. However, when smokers actually watched a movie segment, no differences in craving were found between those who watched smoking characters and those who watched non-smoking characters. This finding was not affected by baseline craving, the time of the last cigarette smoked and daily smoking habits. Conclusions No effect of smoking cues in movies on craving was found, in contrast with research supporting the cue-craving link. Thus, if replicated, this might indicate that smoking cues in such contexts do not affect smokers' desire to smoke as expected. [source]

The effects of alcohol expectancies on drinking behaviour in peer groups: observations in a naturalistic setting

ADDICTION, Issue 9 2005
Sander M. Bot
ABSTRACT Aims To study the functionality of alcohol expectancies in predicting drinking behaviour in existing peer groups of young adults in a ,naturalistic' setting. Design and setting Young adults were invited to join an experiment with their peer group in a bar annex laboratory. During a ,break' of 50 minutes in this experiment, their activities, social behaviour and drinking behaviour were observed with digital video and audio equipment. Participants Twenty-eight peer groups were involved in this study. A peer group consisted of seven to nine people, with relationships ranging from intimate relations and close friendships to being acquaintances. A total of 238 participants were involved. Measurements Information of the drinking behaviour from observations and questionnaire data on alcohol expectancies provide the opportunity to look at how and which expectancies are related to actual drinking patterns. Multiple regression and multi-level analyses were applied. Findings Expectancies on the positive and arousing effects of alcohol consumption were related to alcohol consumption in a naturalistic, social drinking situation, in addition to group effects of drinking. Expectancies on the negative and sedative effects of drinking, however, were not related to drinking. Conclusions The findings indicate that among young adults observed in a peer group and naturalistic drinking setting, positive expectancies about the effects of alcohol and expectancies about the effects of alcohol on arousal are related positively to drinking level. [source]

Effect of antipsychotic replacement with quetiapine on the symptoms and quality of life of schizophrenic patients with extrapyramidal symptoms

HUMAN PSYCHOPHARMACOLOGY: CLINICAL AND EXPERIMENTAL, Issue 7 2006
Takahide Taniguchi
Abstract Replacement of antipsychotic drugs with quetiapine (QTP) was tried in a naturalistic setting in chronic schizophrenic patients who still showed moderate psychiatric symptoms and either showed extrapyramidal symptoms (EPS) or took anti-parkinson drugs for the EPS. QTP was added on and gradually increased while the previous drugs were tapered and discontinued whenever possible. Clinical symptoms, objective and subjective QOL, and EPS were measured before and 6 months after QTP addition, using Brief Psychiatric Rating Scale (BPRS), Quality of Life Scale (QLS), Schizophrenia Quality of Life Scale (SQLS) and Drug-Induced Extrapyramidal Symptom Scale (DIEPSS), respectively. Twenty-one patients completed the trial and received the assessment. It was found that replacement with QTP-improved clinical symptoms, objective and subjective QOL and EPS. This improvement was equally observed in not only patients who switched to QTP monotherapy (n,=,11) but also patients who took QTP together with reduced small doses (4.4,±,4.3,mg/day) of previous drugs (n,=,11). The results suggest that replacement with QTP improves symptoms as well as objective and subjective QOL in a subgroup of schizophrenia. Copyright © 2006 John Wiley & Sons, Ltd. [source]

Mirtazapine naturalistic depression study (in Sweden),MINDS(S): clinical efficacy and safety

HUMAN PSYCHOPHARMACOLOGY: CLINICAL AND EXPERIMENTAL, Issue 3 2006
Jan Wålinder
Abstract Objective To study how implementation of a naturalistic trial design for mirtazapine treatment in major depressive disorder for six (up to 12) months could be used and evaluated by means of clinical efficacy and safety. Method An open-labelled, prospective, multicenter, non-comparative trial was conducted during a 2-year period in patients with major depression according to DSM-IV treated in psychiatric departments and primary care in Sweden. Minimal inclusion and exclusion criteria were used in order to diminish the potential patient selection bias. Maximum flexibility of the dosage of mirtazapine was allowed, and clinical assessments included MADRS, CGI, vital signs and spontaneous reporting of adverse events. Results 192 patients were found eligible and enrolled in the study. A significant improvement in depressive symptoms according to MADRS and CGI was observed including particularly marked sleep improvement early in the treatment. Slight increases in body weight and BMI were observed. The investigational drug was well tolerated overall. Conclusion The clinical efficacy and safety of mirtazapine found in this naturalistic setting is in line with previously reported data on mirtazapine in traditional controlled clinical trials. The results confirm that the naturalistic study design facilitated conduct of the trial. The authors suggest that this type of study design should also be applied to other antidepressant drugs that are frequently prescribed in the general population. Copyright © 2006 John Wiley & Sons, Ltd. [source]

Times to pain relief and pain freedom with rizatriptan 10 mg and other oral triptans

INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, Issue 7 2007
D. S. Ng-Mak
Summary Background:, In the clinical trial setting, oral rizatriptan 10 mg has greater efficacy than other oral triptans in freedom from migraine headache pain 2 h after dosing. Objective:, The study objective is to compare the effectiveness of rizatriptan 10 mg and other oral triptans for acute migraine attack in a naturalistic setting. Methods:, A total of 673 patients took rizatriptan 10 mg or their usual-care oral triptans for two migraine attacks in a sequential, cross-over manner and recorded outcomes using a diary and a stopwatch. Mean and median times to pain relief (PR) and pain freedom (PF) for rizatriptan and other oral triptans were compared. The effect of rizatriptan on times to PR and PF, adjusting for potential confounding factors (treatment sequence, treatment order and use of rescue medication), was computed via a Cox proportional hazard model. Results:, Significantly, more patients taking rizatriptan achieved both PR and PF within 2 h after dosing than other oral triptans. Times to PR and PF were shorter with rizatriptan than with other oral triptans (median time to PR: 45 vs. 52 min, p < 0.0001; median time to PF: 100 vs. 124 min, p < 0.0001). The adjusted proportional hazard ratios (rizatriptan vs. other oral triptans) for times to PR and PF were 1.32 (95% CI: 1.22,1.44) and 1.27 (95% CI: 1.16,1.39) respectively. Conclusion:, The times to PR and PF in a ,naturalistic' setting were significantly shorter for patients treating a migraine attack with rizatriptan 10 mg than with other oral triptans. [source]

Examining Implementation Intentions in an Exercise Intervention: The Effects on Adherence and Self-Efficacy in a Naturalistic Setting,

Administration of enoxaparin by continuous infusion in a naturalistic setting: analysis of renal function and safety,

JOURNAL OF CLINICAL PHARMACY & THERAPEUTICS, Issue 3 2005
S. L. Kane-Gill Pharm D MSc
Summary Study objective:, To describe the clinical use and safety of continuous infusion (CI) enoxaparin in a naturalistic setting and to evaluate the influence of renal function on enoxaparin elimination. Design:, Retrospective medical record review. Setting:, 1000-bed tertiary care teaching centre. Patients:, Hospitalized patients that received enoxaparin by CI during a 2-year period. Interventions:, None. Measurements:, Specific details of dosage and monitoring were collected. Adverse drug reactions (ADR) were recorded. Creatinine clearance (CrCl) was calculated using Cockroft and Gault and Brater equations. A population pharmacokinetic analysis was performed using the non-linear mixed effect model (NONMEM). For patients located in the intensive care unit (ICU) and ward, POSTHOC pharmacokinetic parameter estimates were evaluated using the Wilcoxon rank-sum. Pearson correlation coefficient was calculated to determine the association between renal function and anti-Xa clearance. Main results:, Sixty-seven patients received enoxaparin by CI of which 61·2% were in the ward and 38·8% in the ICU. The average initial rate and duration of infusion were 5·2 mg/h and 5·6 days, respectively. The number of anti-Xa concentration measurements averaged five per patient. Nine patients experienced an ADR. The most frequent ADR was gastrointestinal bleeding (n = 4). Among the 67 patients, 48 had available anti-Xa concentrations and were included in the NONMEM model. The anti-Xa CL and volume of distribution for ICU and ward patients averaged 0·64 ± 0·34 L/h, 10·6 ± 1·55 L and 1·01 ± 0·39 L/h, 9·08 ± 1·17 L, respectively. CrCl was not a significant covariate when included in the NONMEM model, and the association between CrCl and anti-Xa clearance was not significant (R2 = 0·0005; P = 0·8916). Conclusions:, This study is the first to report the use and safety of prolonged CI enoxaparin. Pharmacokinetic parameters of enoxaparin differ in ICU vs. ward patients. Overall, we found the safety of CI to be comparable to subcutaneous administration. Also, we found no effect of renal function on enoxaparin elimination. [source]

The modality effect tested in children in a user-paced multimedia environment

JOURNAL OF COMPUTER ASSISTED LEARNING, Issue 2 2010
M.J. Witteman
Abstract The modality learning effect proposes that learning is enhanced when information is presented in both the visual and the auditory domains (e.g. pictures and spoken information) compared with presenting information solely in the visual channel (e.g. pictures and written text). Most of the evidence for this effect comes from adults in a laboratory setting. Therefore, we tested the modality effect with 80 children in the highest grade of elementary school in a naturalistic setting. In a between-subjects design, the children either saw representational pictures with speech or representational pictures with text. Retention and transfer knowledge was tested at three moments: immediately after the intervention, one day after and after one week. The present study did not find any evidence for a modality effect in children when the lesson was learner-paced. Instead, we found a reversed modality effect directly after the intervention for retention. A reversed modality effect was also found for the transfer questions one day later. This effect was robust, even when controlling for individual differences. [source]

Primacy effect or recency effect?

JOURNAL OF CONSUMER BEHAVIOUR, Issue 1 2010
A long-term memory test of Super Bowl commercials
The serial position effects for television commercials were tested within a naturalistic setting in this study, at both the micro level and the macro level. Television viewers' brand memory (recall and recognition) for the 2006 Super Bowl commercials were analyzed. At the micro level, the serial position of each commercial in a same commercial pod was measured. When the length of a commercial pod was controlled for, an earlier position for a commercial generated better brand recall. When the number of preceding ads was held constant, a commercial in a pod with fewer ads generated better brand recognition. At the macro level, the serial position of each commercial pod within the whole Super Bowl game broadcast was measured. The commercial pods at earlier positions generated better brand memory. Both findings confirmed a strong primacy effect. Managerial implications of the findings were also discussed. Copyright © 2009 John Wiley & Sons, Ltd. [source]

Students' Drinker Prototypes and Alcohol Use in a Naturalistic Setting

Translating Effective Web-Based Self-Help for Problem Drinking Into the Real World

ALCOHOLISM, Issue 8 2009
Heleen Riper
Background:, Drinking Less (DL) is a 24/7 free-access anonymous interactive web-based self-help intervention without therapeutic guidance for adult problem drinkers in the community. In a randomized controlled trial (referred to here as DL-RCT), DL has been shown effective in reducing risky alcohol consumption. Objective:, To assess whether the findings of DL-RCT are generalizable to a naturalistic setting (DL-RW) in terms of ability to reach the target group and alcohol treatment response. Methods:, Pretest,posttest study with 6-month follow-up. An online survey was conducted of 378 of the 1,625 people who used DL-RW from May to November 2007. Primary outcome measures were (1) problem drinking, defined as alcohol consumption in the previous 4 weeks averaging >21 or >14 standard units (male/female) per week or ,6 or ,4 units (m/f) on 1 or more days per week; and (2) mean weekly alcohol consumption. DL-RW and DL-RCT data were compared and pooled. Intention-to-treat (ITT) analysis was performed to analyze and compare changes in drinking from baseline to follow-up. Results:, In the DL-RW group, 18.8% (n = 71) were drinking successfully within the limits of the Dutch guideline for low-risk drinking (p < 0.001) 6 months after baseline (ITT). The DL-RW group also decreased its mean weekly alcohol intake by 7.4 units, t(377) = 6.67, p < 0.001, d = 0.29. Drinking reduction in DL-RW was of a similar magnitude to that in the DL-RCT condition in terms of drinking within the guideline [,2(1) = 1.83, CI: 0.82,3.00, p = 0.18, RD = 0.05, OR = 1.55] and mean weekly consumption (a negligible difference of d = 0.03 in favor of DL-RW group). Conclusion:, The results from DL-RCT and DL-RW were similar, and they demonstrate that web-based self-help without therapeutic guidance is feasible, well accepted, and effective for curbing adult problem drinking in the community. [source]

The effects of the spontaneous presence of a spouse/partner and others on cardiovascular reactions to an acute psychological challenge

PSYCHOPHYSIOLOGY, Issue 6 2006
Anna C. Phillips
Abstract The presence of supportive others has been associated with attenuated cardiovascular reactivity in the laboratory. The effects of the presence of a spouse and others in a more naturalistic setting have received little attention. Blood pressure and heart rate reactions to mental stress were recorded at home in 1028 married/partnered individuals. For 112 participants, their spouse/partner was present; for 78, at least one other person was present. Women tested with a spouse/partner present showed lower magnitude systolic blood pressure and heart rate reactivity than those tested without. Individuals tested with at least one nonspousal other present also displayed attenuated reactivity. This extends the results of laboratory studies and indicates that the spontaneous presence of others is associated with a reduction in cardiovascular reactivity in an everyday environment; spouse/partner presence would appear to be especially effective for women. [source]

Oxcarbazepine treatment in male epilepsy patients improves pre-existing sexual dysfunction

ACTA NEUROLOGICA SCANDINAVICA, Issue 2 2009
G. Luef
Objective,,, To collect data on sexual dysfunction in a larger population of male patients with epilepsy treated with oxcarbazepine in a naturalistic setting. Patients and methods,,, Six hundred seventy-three adult male patients with partial epilepsy in whom monotherapy with oxcarbazepine was indicated were evaluated at baseline and after approximately 12 weeks of treatment with regard to the number of seizures and occurrence of any adverse drug reactions. All patients were questioned regarding their sexual function. Results,,, Out of 228 patients with pre-existing sexual function impairment at baseline, an improvement was observed in 181 (79.4%) patients, 23 (10.1%) patients experienced no impairment at the final visit. The improvements were more marked in those patients, who were pretreated with enzyme-inducing antiepileptic drugs. No worsening of the sexual dysfunction was observed. Conclusions,,, Oxcarbazepine was found to have beneficial effects on sexual dysfunction and to be effective and well tolerated in male patients with partial epilepsy. [source]

Long-term assessment of oxcarbazepine in a naturalistic setting: a retrospective study

ACTA NEUROLOGICA SCANDINAVICA, Issue 5 2008
U. Seneviratne
Background,,, New antiepileptics seem to be better tolerated by patients. The retention rate of an antiepileptic would be a useful indicator of its practical usefulness. Aims,,, To assess the long-term outcome of oxcarbazepine (OXC) in a naturalistic setting by determining the retention rate. Methods,,, This is a retrospective study. All epilepsy patients treated with OXC at a tertiary care epilepsy center during a period of 3.5 years were included in this study. Retention rates of OXC at 1 and 3 years were estimated for each cohort group using Kaplan,Meier estimates and corresponding 95% confidence intervals. Results,,, A total of 98 patients were studied. OXC was used as monotherapy in 14 (14.3%) and as add-on therapy in 84 (85.7%). The mean daily dose was 947 ± 492 mg and 60% received ,900 mg/day. Using the Kaplan,Meier survival analysis, the retention rates of OXC at 1 and 3 years were estimated to be 0.853 (0.749,0.956) and 0.737 (0.570,0.904), respectively. Conclusions,,, OXC is well tolerated by patients as both monotherapy and add-on therapy. [source]

Level of purposeful hand function as a marker of clinical severity in Rett syndrome

DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 9 2010
JENNY DOWNS
Aim, We investigated relationships between hand function and genotype and aspects of phenotype in Rett syndrome. Method, Video assessment in naturalistic settings was supplemented by parent-reported data in a cross-sectional study of 144 females with a mean age of 14 years 10 months (SD 7y 10mo; range 2y,31y 10mo), 110 of whom had a mutation of the methyl CpG binding protein 2 (MECP2) gene. Ordinal logistic regression was used to assess relationships between hand function and MECP2 mutation, age, a modified Kerr score, Functional Independence Measure for Children (WeeFIM), ambulation level, and frequency of hand stereotypies. Results, Approximately two-thirds of participants demonstrated purposeful hand function, ranging from simple grasping skills to picking up and manipulating small objects. In participants with a confirmed MECP2 mutation, those with the p.R168X mutation had the poorest hand function on multivariate analysis with C-terminal deletion as the baseline (odds ratio [OR] 0.19; 95% confidence interval [CI] 0.04,0.95), whereas those with the p.R133C or p.R294X mutation had better hand function. Participants aged 19 years or older had lower hand function than those aged less than 8 years (OR 0.36; 95% CI 0.14,0.92). Factors that were associated with better hand function were lower Kerr scores for a 1-point increase in score (OR 0.77; 95% CI 0.69,0.86), higher WeeFIM scores for a 1-point increase in score (OR 1.08; 95% CI 1.04,1.12), and greater ambulation than those completely dependent on carers for mobility (OR 22.64; 95% CI 7.02,73.08). The results for participants with a confirmed pathogenic mutation were similar to results obtained when participants without a mutation were also included. Interpretation, Our novel assessment of hand function in Rett syndrome correlated well with known profiles of common MECP2 mutations and overall clinical severity. This promising assessment could measure clinical responses to therapy. [source]

The role of maternal responsiveness in predicting infant affect during the still face paradigm with infants born very low birth weight

INFANT MENTAL HEALTH JOURNAL, Issue 2 2008
Sarah J. Erickson
There is limited empirical literature addressing infants' response to a standardized stressor with infants born very low birth weight (VLBW). The purpose of this study was to assess the relative strength of maternal responsiveness in predicting infant affect in response to the Still Face (SF) paradigm in a cross-sectional cohort of ethnically diverse infants born VLBW and their mothers (N = 50; infants 6,8 months old). Infant affect and maternal responsiveness were coded in 1-s intervals while dyads participated in the SF. In addition, perinatal medical status, developmental status, and infant temperament were assessed. Findings revealed that positive infant affect during and after the SF stressor were strongly associated with baseline infant positive affect and maternal responsiveness at the reunion episode, respectively. In contrast, when predicting negative infant affect during and after the SF stressor, prior infant negative affect was strongly and uniquely significant. Infant positive affect, negative affect, and maternal responsiveness were not significantly associated with gender, infant perinatal medical history, developmental status, or temperament. Future research is warranted to determine how these findings relate to infants' stress reactions in naturalistic settings and if relationship-focused interventions may reverse infant negative emotionality, enhance positive emotionality, and thereby improve self-regulation and longer term social and cognitive developmental outcomes in medically at-risk infants. [source]

Intention and Meaning in Young Children's Drawing

INTERNATIONAL JOURNAL OF ART & DESIGN EDUCATION, Issue 2 2005
Sue Cox
In this article I present some ideas, based on qualitative research into young children's drawing, related to the developing discourse on young children's thinking and meaning making. I question the relationship between perception and conception and the nature of representation, challenging traditional ideas around stage theory and shifting the focus from the drawings themselves to the process of drawing, and thus to the children's own purposes. I analyse examples of my observations (made in naturalistic settings within a nursery classroom) to reveal the range of representational purposes and meaning in children's drawing activity. My analysis shows that, rather than being developmentally determined, the way children configure their drawings is purposeful; children can recognise the power of drawing to represent, and that they themselves can be in control of this. I explore aspects of the process, including transformation and talk to show the importance of understanding drawing in its specific contexts. I show how children's drawing activity is illuminated by the way in which it occurs and the other activities linked to it, presenting drawing as part of children's broader, intentional, meaning-making activity. As an aspect of the interactive, communicative practices through which children's thinking develops, representation is a constructive, self-directed, intentional process of thinking in action, through which children bring shape and order to their experience, rather than a developing ability to make visual reference to objects in the world. I suggest that in playing with the process, children are actively defining reality rather than passively reflecting a given reality. [source]

Experiences of U.S. Military Nurses in the Iraq and Afghanistan Wars, 2003,2009

JOURNAL OF NURSING SCHOLARSHIP, Issue 1 2010
Elizabeth Scannell-Desch RN
Abstract Purpose: The purpose of this study is to describe the lived experience of U.S. military nurses who served in Iraq or Afghanistan during the war years 2003 to 2009, and life after returning from war. Methods: Colaizzi's phenomenological method guided discovery. This method includes elements of both descriptive and interpretive phenomenology. The sample consisted of 37 military nurses who served in the Army, Navy, or Air Force in the Iraq or Afghanistan wars. Four data-generating questions guided the interview process. Most interviews were face-to-face and conducted in naturalistic settings chosen by the participants. Several interviews were conducted telephonically due to geographic constraints. Data analysis followed Colaizzi's method of analysis. Seven themes emerged from the data, including "deploying to war;""remembrance of war: most chaotic scene;""nurses in harm's way: more than I bargained for;""kinship and bonding: my military family;""my war stress: I'm a different person now;""professional growth: expanding my skills;" and "listen to me: advice to deploying nurses." Analysis continued until data saturation was achieved. Results: Results indicated that wartime deployment was a difficult challenge, lessons learned should be shared with nurses deploying in future years, homecoming was more difficult than most nurses anticipated, and reintegration after coming home takes time and effort. Conclusions: Nursing in war is a unique experience regardless of education, preparation and training. There are a myriad of variables that enter into the experience and effect outcomes, both personal and professional. Clinical Relevance: Wartime nursing is a reality in the current clinical practice arena. War takes its toll on everyone involved, including the caregivers. Nurses returning from war can provide valuable insights to those that follow. [source]

Attributing Social Meaning to Ambiguous Visual Stimuli in Higher-functioning Autism and Asperger Syndrome: The Social Attribution Task

THE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 7 2000
Ami Klin
More able individuals with autism and Asperger syndrome (AS) have been shown to pass relatively high level theory of mind (ToM) tasks without displaying commensurate levels of social adaptation in naturalistic settings. This paper presents a social cognitive procedure,the Social Attribution Task (SAT),that reduces factors thought to facilitate ToM task performance without facilitating real-life social functioning. Sixty participants with autism (N= 20), AS (N= 20), and normally developing adolescents and adults (N= 20) with normative IQs were asked to provide narratives describing Heider and Simmel's (1944) silent cartoon animation in which geometric shapes enact a social plot. These narratives were coded in terms of the participants' abilities to attribute social meaning to the geometric cartoon. The SAT provides reliable and quantified scores on seven indices of social cognition. Results revealed marked deficits in both clinical groups across all indices. These deficits were not related to verbal IQ or level of metalinguistic skills. Individuals with autism and AS identified about a quarter of the social elements in the story, a third of their attributions were irrelevant to the social plot, and they used pertinent ToM terms very infrequently. They were also unable to derive psychologically based personality features from the shapes' movements. When provided with more explicit verbal information on the nature of the cartoon, individuals with AS improved their performance slightly more than those with autism, but not significantly so. [source]