Children with a recent history of TBI often demonstrate impaired memory, which can be affected by impaired attention, processing speed or impaired verbal information processing. The purpose of this study was to determine if qualitative differences exist among the narrative recall of TBI patients that is not adequately accounted for by standard scoring methods. Sixty-six TBI subjects ranging in age from 6 to 16 were given the Wide Range and Memory and Learning (WRAML) Story Memory subtest and selected subtests from the Wechsler Intelligence Scale for Children - Third Edition (WISC-III). Mean elapsed time since injury was 53 days. Recall of the story on the WRAML subtest was hand-recorded by the examiner. A supplemental scoring method accounted for differences in length, errors, and disorganization. Comparisons were made to a randomly selected control group consisting of 16 hospitalized subjects between 7 and 15 years with no history of head injury, neurological condition or event. Findings suggest the WRAML Story Memory subtest is relatively robust in providing information regarding the quality of recall, with the exception of not accounting for the addition of erroneous details. Subjects with both cortical and subcortical injuries were more likely to add superfluous details to their stories. …

The relationships among self-labeled sexual orientation, sexual preferences, and sexual behaviors were examined in samples from Taiwan and the USA. Subsamples matched on gender, age, and marital status were created to reduce sexual orientation cell size discrepancies and demographic differences. Sexual orientation self-label, the Kinsey Scale of Sexual Orientation, and a modified version for preference were used to assess participants' sexual orientation, behavior, and preference, respectively. Additional measures included an adaptation of the Early Sexual Experiences Checklist, and the Hopkins Symptom Checklist for psychological distress. For both Taiwan and USA subsamples, heterosexual participants reported significantly greater congruence between sexual orientation identity and preference than did nonheterosexual participants. A high proportion of the Taiwan sample were celibate, precluding analyses of congruence between sexual orientation identity and sexual behavior. Congruence between sexual behavior and preference in the USA sample was negatively correlated with psychological distress. In a cross-cultural comparison between the Taiwan and USA women (n = 176), the two samples reported similar congruence between sexual orientation identity and preference. Exploratory analyses revealed that heterosexual participants' sexual orientation label was more “public, ” (more categories of people who knew the participants' sexual orientation), than was nonheterosexuals' in both Taiwan and the USA. …

The Beck Depression Inventory (BDI) is a popular screening and research instrument for measuring severity of depression. The instrument was translated to Portuguese for use in Brazil in 1979; however, it was not until recently that its psychometric properties have been tested empirically for the Brazilian population. The purpose of the present study was to explore the BDI's psychometric properties in a northern region of Brazil and to test for possible relationships between certain demographic variables and BDI outcomes. Samples used in this study were from an urban area in Roraima, the northernmost state of Brazil. The BDI showed adequate levels of internal consistency in nonclinical and clinical samples. Female respondents had significantly higher scores than male respondents. Those who had lower levels of education, income, or occupational status had significantly higher scores than those with higher levels of these variables. Adolescents had significantly higher scores than adults from all age groups except those from age 19 to 22. No significant difference was found between those who identified themselves as “indigenous” and those who identified themselves as “non-indigenous.” Regression analysis results showed that the combination of gender, education, and age best accounted for the variance in BDI scores. An ANCOVA …

It has only been in recent years that eating disorder researchers have begun focusing on sexual orientation as a variable that may affect prevalence rates. Heeding the call for studies that extend beyond identification of fixed eating disorder risk factors (e.g., gender), this study was designed to explore factors that contribute to the development of disordered eating among lesbians. In this study, a hypothesized Lesbian Model of Disordered Eating was tested using structural equation modeling. Lesbian Sexual Identity and Social Supports were hypothesized to positively influence Psychological Health. In addition, Internalization of U.S. Societal Norms of beauty and attractiveness was hypothesized to negatively affect Psychological Health. Psychological Health, in turn, was hypothesized to negatively influence Body Image Concerns. Body Image Concerns was then hypothesized to positively affect Disordered Eating. The fit of the model was evaluated and one of the hypothesized pathways, Internalization of Norms was moved to directly predict Body Image Concerns. After adjusting the model, the model accounted for 54% of the variance in disordered eating. Most notably, the results highlight the potential affects of adopting a positive lesbian identity on disordered eating and underscore the importance of including sexual identity as a demographic variable in studies of …

Although men are more likely to experience traumatic events, the risk of developing Posttraumatic Stress Disorder is at least twice as high in women than in men after exposure to comparable traumas. These findings are more consistent in response to some types of trauma (e.g., assaultive violence) than others (e.g., natural disaster). There has been very little systematic study of the sources of these gender differences. This study began to explore the contribution of gender-related beliefs about appropriate responses to trauma by investigating the impact of victim sex and trauma type as well as participant sex, sex-role orientation, and personal trauma history on attitudes towards victims. Ninety-three male and 179 female students were administered the Bem Sex Role Inventory, the Trauma History Questionnaire, and a vignette measure of attitudes towards victims. Participants evaluated male victims significantly less favorably than female victims, and females had more positive attitudes towards victims than males. Feminine sex-typed and androgynous women rated victims more favorably than masculine sex-typed men and women. The interaction between sex of victim and trauma type was not significant. A positive relation was observed between personal trauma exposure and attitudes towards male victims among male participants only. These findings contribute towards …

The current study assessed 125 conjugally bereaved persons using multiple self-report measures as indicators of personal adjustment and bereavement distress across three times of testing (initial, 6-month, and 3-year follow-up). Cross-lagged panel analyses were conducted to examine the causal relationships between adjustment and bereavement distress indicators and overall factors. Exploratory factor analyses indicate measures of adjustment load on a single Adjustment factor and measures of bereavement distress load on a single Grief factor. Considering results using composite scores for each variable, adjustment was significantly more predictive of bereavement distress than bereavement distress was predictive of adjustment for both Time 1 to Time 3 and Time 2 to Time 3. Adjustment issues measured by indicators such as the UCLA, POMS, HSC, BDI, and RSES significantly influenced the extent of grief symptoms as measure by the BEQ and the severity of scope of grief symptoms as assessed by the IOLQ.

Physical activity has been demonstrated in the literature as an effective way to reduce the risk for development of chronic disease. The Transtheoretical Model (TTM) of behavior change has been developed as a means to predict and facilitate movement into healthier lifestyle behaviors. The model is centered on "stages of change", which describe a continuum of readiness to engage in a health behavior change. Stages contain temporal, qualitative, and quantitative characteristics. This was a six-month study that evaluated the effectiveness of stage-matched (theorized to be pertaining only to the maintenance stage of change) vs. generic (theorized to be pertaining to anyone, regardless of stage) newsletters in assisting subjects to attain the Maintenance stage of change. It also sought to identify further qualitative characteristics that can differentiate between the Action and Maintenance stages of change. Results indicated that monthly stage-matched newsletters were no more effective in helping subjects reaching Maintenance than were the generic newsletters. Exerciser self-schema was related to stages of change, but those relationships differed from baseline to six-month follow-up, indicating development of exerciser self-schema during the study period. Implications of this are discussed. Other concepts discussed included "structure" of change process, in that three new scores were developed …

Shared characteristics and predictors of psychological distress are beginning to be identified in research on women seeking genetic testing for BRCA1 and BRCA2 gene mutations. This study further explored patterns of psychological distress for 51 community women waiting to receive such genetic test results. There was no significant relationship between psychological distress and family cancer history, personal cancer history, social support networks, and family environment. Women in this sample tended to rely more on females and relatives for support than males and friends. Social support satisfaction was not related to gender or number of relatives providing support. Thirty-four of the 36 women classified on the family environment type were from Personal Growth-Oriented families. Comparisons with normal and distressed family means revealed increased cohesion and expressiveness with decreased conflict, indicative of supportive family environments. Limitations and implications are discussed.

For the past quarter century, the public has been educated and warned about the dangers of smoking, and both smokers and health researchers have been in search of cost-effective, smoking cessation programs that will lead to long-term cessation. This study used a randomized experimental design to investigate the effectiveness of adding Web-based support materials to a nationally sponsored self-help smoking intervention. There was no significant increase in abstinence rates nor progression through the stages of change by those participants who had access to the Web site. However, there were some overall significant trends that suggested these self-help interventions were successful at decreasing daily rates of smoking and nicotine dependency, as well as tended to encourage repeated quit attempts. Although Web-based supports did not appear to increase the effectiveness of the nationally sponsored self-help intervention, this study demonstrated overall 12 week follow-up abstinence rates of 30-32%--greater than what might be expected, given average success rates of other self-help interventions. This study also supports the notion that women may face additional barriers to smoking cessation. Limitations and implications for future research are discussed.

The main focus of this investigation was to examine the automaticity of facial expression recognition through valence judgments in a modified photo-word Stroop paradigm. Positive and negative words were superimposed across male and female faces expressing positive (happy) and negative (angry, sad) emotions. Subjects categorized the valence of each stimulus. Gender biases in judgments of expressions (better recognition for male angry and female sad expressions) and the valence hypothesis of hemispheric advantages for emotions (left hemisphere: positive; right hemisphere: negative) were also examined. Four major findings emerged. First, the valence of expressions was processed automatically (robust interference effects). Second, male faces interfered with processing the valence of words. Third, no posers' gender biases were indicated. Finally, the emotionality of facial expressions and words was processed similarly by both hemispheres.

There is a lack of clarity in the current literature in how potential etiological factors interact and result in disordered eating. The purpose of this study was to examine an expanded model of Personality, Social Support, Appraisal/Coping Processes, Abuse History, Internalization of Sociocultural Standards, Psychological Disturbances, and Body Disparagement in the development of disordered eating. The current model was evaluated using 276 women in their transition to college, a time period highly associated with symptoms believed to increase a woman's risk for the development of disordered eating including perceived difficulty coping, weight gain, and negative affect. Structural equation modeling was used to allow simultaneous examination of the causal relationships between the factors. Structural analyses confirmed that college women with previous stressful experiences appraised the adjustment to college as more stressful and reported feeling less able to cope with the transition. Those women who identified the transition as overwhelming were also aware of increased negative mood and psychological states since beginning the school semester. Further, women with previous traumatic sexual experiences appeared to be at additional risk for increased negative affective symptoms. The resulting model confirmed that those women who experience negative mood states and those that endorse strong internalization of …