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Biomedical subjects

A A Stone

Publications and source records attributed to A A Stone.

At least 19 recordsLinked to original sources

Association between daily coping and end-of-day mood.

Research indicates that self-reports of coping with stressful occurrences are associated with psychological and health outcomes. However, measures of coping may be biased by retrospective distortion as they assess coping over relatively long periods. In this study, a sample of 79 men completed a coping assessment daily for several weeks about the day's most "bothersome" problem. Repeated daily measurement of coping allowed analysis of within-subject effects of coping efforts. Same-day mood reported by the men (targets) and reports of the men's mood by their spouses (observers) were outcome variables. Within-subject analyses indicated that catharsis and social supports were associated with increased negative affect, whereas use of acceptance was associated with less negative affect. Use of distraction, acceptance, and relaxation were associated with increased positive affect. These findings held for target- and observer-reported mood.

Adaptation, Psychological

Stress and humoral immunity: a review of the human studies.

Many studies have examined the relationship between stress and immunity, however, only a few have explored associations between stress and humoral immunity. In our review of this literature, three ways of characterizing the response of the humoral immunity system to stress were identified: total immunoglobulins, antibody to latent viruses and antibody to vaccines. These studies provide some support for the hypothesis that stress affects humoral immunity, particularly response to latent virus, but further research is required to confirm these observations. Several directions for future research are proposed.

Adult

Daily events are associated with a secretory immune response to an oral antigen in men.

To examine a hypothesized link between daily stressful events and secretory immunoglobulin A (sIgA) antibody, 96 adults from the community completed daily event questionnaires and gave daily saliva samples for up to 12 weeks. They also ingested a capsule of a novel protein to challenge their secretory immune systems. The questionnaire yielded measures of negative and positive experiences, of their content, and of negative and positive affect. On a within-subjects, day-to-day basis, reporting more desirable events was related to more sIgA antibody, and reporting more undesirable events was related to less. Desirable events also had lagged (1 and 2 days), positive effects on sIgA levels. Undesirable work events and desirable leisure and household events were more strongly related to sIgA than events in other categories. Positive affect related directly to sIgA, and negative mood related inversely to same-day sIgA.

Administration, Oral

Daily events and mood prior to the onset of respiratory illness episodes: a non-replication of the 3-5 day 'desirability dip'.

We attempted to replicate and extend the findings of three previous studies (Evans & Edgerton, 1991; Evans, Pitts & Smith, 1988; Stone, Reed & Neale, 1987) that found a lagged relationship between daily life events, mood and the onset of episodes of respiratory illness. The findings and methods of the three previous studies are reviewed, and similarities and differences in their analytic approaches are discussed. Seventy-nine middle-aged male subjects completed daily records of life events, mood and symptoms for an average of 83 days. Twenty-three men suffered at least one illness episode that met our selection criteria. Using the methodology of Stone et al. (1987) and Evans et al. (1988), we were unable to detect a relationship between daily events or mood and the onset of illness episodes. The necessity of standardizing procedures of defining illness episodes and control days and the importance of including analyses of variables that may mediate the relationship between events and illness are discussed.

Affect

Emotional disclosure about traumas and its relation to health: effects of previous disclosure and trauma severity.

This study sought to replicate previous findings that disclosing traumas improves physical health and to compare the effects of revealing previously disclosed versus undisclosed traumas. According to inhibition theory, reporting about undisclosed traumas should produce greater health benefits. Sixty healthy undergraduates wrote about undisclosed traumas, previously disclosed traumas, or trivial events. Contrary to expectations, there were no significant between-groups differences on longer term health utilization and physical symptom measures. However, Ss who disclosed more severe traumas reported fewer physical symptoms in the months following the study, compared with low-severity trauma Ss, and tended to report fewer symptoms than control Ss. Results suggest that health benefits occur when severe traumas are disclosed, regardless of whether previous disclosure has occurred.

Adaptation, Psychological

Development of common cold symptoms following experimental rhinovirus infection is related to prior stressful life events.

Previous studies of rhinovirus infection indicate that about one third of the persons with confirmed viral infection do not show evidence of cold symptoms. Factors that determine which infected individuals will develop colds are not known. Using a rhinovirus inoculation protocol, the authors explored the possible role of recent life events, current mood, and perceived stress in the development of symptoms in individuals known to be infected. As part of a larger study, 17 subjects were exposed to a rhinovirus and were individually isolated for 5 consecutive days; cold symptoms, mucus weights, and tissue use were monitored on a daily basis during this period. Although all 17 subjects had confirmed rhinovirus infection, only 12 subjects developed clinical colds, as indicated by self-reported symptoms and by objective symptom indices. The average number of reported major life events for the previous year was significantly higher for those who developed colds than for those who did not (p < .05). Measures of affect and perceived stress before the inoculation were not different for those who did and did not develop colds. Complementing recent research demonstrating psychosocial influences on experimental infection rates, these results provide evidence that the development of cold symptomatology in experimentally infected individuals is related to prior life events.

Adolescent

An alternative statistical treatment for summarizing the central tendency of replicate assay data.

Standard assay procedures call for multiple replicates for the purpose of averaging random error from individual replicate scores to obtain a reliable estimate of the true score and for the purpose of specifying the degree of variability within the assay. In this paper we focus on the variability and magnitude of within-assay replicates in order to improve the estimate of the true score. A rule is presented for deciding (1) when individual replicates should be omitted from the computation of the assay's summary score or (2) when an entire sample of replicates should be discarded based on the pattern of replicate scores. It is suggested that this rule improves the reliability of the estimated assay score and this is supported by an illustrative analysis of lymphocyte proliferation assays.

Data Interpretation, Statistical

Self-report, situation-specific coping questionnaires: what are they measuring?

Self-report, situation-specific assessments of coping, such as the Ways of Coping Scale (WOC), have been used frequently in recent years. Several potential issues in the development and use of these questionnaires have been identified, including the applicability of coping items to different kinds of stressful events, the definition of the period for which Ss report coping efforts, and the meaning of the "extent" response key that is used for reporting coping items. In this study, 91 college students completed the WOC and were then interviewed about their responses; interview questions were focused on the 3 issues stated above. The hypothesized concerns about the WOC were supported. Many of the coping items were not applicable to certain kinds of stressful events. Also, how the coping report period was defined varied across Ss and the way in which the extent response key was interpreted differed across both Ss and WOC items.

Adaptation, Psychological

Measuring daily events and experiences: decisions for the researcher.

There has been a burgeoning interest in studying daily events and experiences. This article discusses a variety of methodologic challenges that face daily event and experience researchers. The issues discussed include techniques for measuring events, the development of event checklists, sampling event content, specifying event appraisals, event validation procedures, and the creation of summary measures derived from event checklists. Procedural issues discussed include determining the number of observations and persons needed for daily event studies, the evaluation of response, attrition, and missing item bias, and problems linking event reports over time.

Adaptation, Psychological

The effect of exercise on normal mood.

Research has shown that aerobic exercise is effective in alleviating depression. However, the contention that aerobic exercise similarly has an enduring beneficial psychological effect on the mood of normal, non-depressed individuals has not been verified. Research examining the effects of exercise on normal mood has yielded inconsistent findings, due in part to methodological shortcomings. The present study attempted to rectify these methodological difficulties and evaluated the effect of 13 weeks of aerobic exercise on the mood of normal, non-depressed men and women. Groups intended to be non-aerobic and waiting list controls were included in the design, as were a stratified random sampling procedure, measurement of physical fitness, and a seven-day pre/post-program assessment period for both positive and negative mood. Results indicated that, although subjects demonstrated significant improvement in physical fitness, there were no significant changes in either positive or negative mood. Thus, in contrast to effects with clinical depressives, exercise does not appear to have any long-term beneficial effect on the mood of non-depressed individuals selected from a normal, i.e. non-clinical, population.

Adult

Self-focused attention, coping responses, and distressed mood in everyday life.

Several questions concerning the relation between self-focused attention and depressed mood were examined: (a) Does the association involve global negative affect, rather than sadness per se? (b) is self-focus associated with specific negative affects other than sadness? and (c) does the association occur at the between-subjects or within-subject level? Also hypothesized was that self-focus is associated with coping responses that may perpetuate negative mood. In an idiographic/nomothetic design, 40 male community residents completed daily reports for 30 days. Results suggest that self-focus is linked with global negative mood as well as specific negative affects other than sadness and that the association occurs on a between-persons, rather than a day-to-day within-person, basis. In addition, highly self-focused men reported using passive and ruminative coping styles, which in turn were associated with distressed affect.

Adaptation, Psychological

Effects of caring for a demented relative on elders' life events and appraisals.

Weekly ratings of events and appraisals were collected from 19 caregivers of dementia patients and 19 control subjects over 4 weeks. Caregivers reported more negative events overall and rated them as more undesirable than did control subjects, but significant differences were found in events of only 2 of the 11 life areas that were measured. Caregivers' negative appraisals were more frequent and more intense than those of control subjects in virtually every life area. These preliminary data fail to demonstrate a global disruption of caregiver's activities and suggest the importance of appraisals in determining the impact of caregiving.

Aged

Law, science, and psychiatric malpractice: a response to Klerman's indictment of psychoanalytic psychiatry.

The Osheroff litigation, which is central to Klerman's paper, ended in an out-of-court settlement. The author states that there is no legal precedent for the so-called right to effective treatment and that the case history was a much more complicated clinical scenario than Klerman reports. He concludes that there is neither in the law nor in the clinical facts a sound or certain basis for Klerman's conclusions or for the sweeping policy reforms and standardized clinical procedures he urges. Although they are directed against traditional psychoanalytic psychiatrists, Klerman's proposals could have serious consequences for the innovation, diversity, and independent thought essential to scientific progress in psychiatry.

Adult