Biomedical subjects

J M Golding

Publications and source records attributed to J M Golding.

At least 37 records · Page 2Linked to original sources

PubMed1996

To forget or not to forget: the effect of probability of test on directed forgetting.

Two experiments investigated how individuals use explicit memory cues that designate different probabilities of test. As in typical directed forgetting studies, subjects received words explicitly cued as having either a 0% or a 100% chance of being on a subsequent memory test (i.e. forget and remember cues, respectively). In addition, some words were explicitly cued as having the potential to be either forgotten or remembered (i.e. a 50% cue). Recall of 50% words was between that of 0% and 100% words. In addition, the presence of 50% words lowered recall of the 100% words compared to that of a control group that did not receive 50% words, but received the same number of 100% words. A think-aloud task indicated that these results were due to 50% words being treated like either 100% of 0% words at encoding. The results are discussed in terms of the effect of different probabilities of test on the strategic processing and representation of information.

Adult↗

PubMed1996

Sexual assault history and women's reproductive and sexual health.

Associations of sexual assault history with reproductive and sexual symptoms were evaluated in 3419 women randomly selected from two communities. Sexual assault was associated with excessive menstrual bleeding, genital burning, and painful intercourse (whether or not attributable to disease or injury), medically explained missing two menstrual periods, and medically unexplained dysmenorrhea, menstrual irregularity, and lack of sexual pleasure. Physically violent assaults and those committed by strangers were most strongly related to reproductive symptoms. Multiple assaults, assaults accomplished by persuasion, spouse assault, and completed intercourse were most strongly related to sexual symptoms. Assault was occasionally associated more strongly with reproductive symptoms among women with lower income or less education, possibly because of economic stress or differences in assault circumstances. Associations with unexplained menstrual irregularity were strongest among African American women; ethnic differences in reported circumstances of assault appeared to account for these differences. Assault was associated with sexual indifference only among Latinas.

Americas↗

PubMed1996

Sexual assault history and eating disorder symptoms among White, Hispanic, and African-American women and men.

Data from two Epidemiologic Catchment Area Program sites (Los Angeles and North carolina) were analyzed to examine relations of sexual assault history to eating disorder symptoms. In regression analyses controlling for age, gender, ethnicity, income, socioeconomic status, and study site, persons with sexualy assault history (n = 514) were more likely than those not assaulted (n = 5511) to report thinking they were too fat (odds ratio [OR] = 1.6); losing > or = 15 lb (OR = 1.86); weight loss to 85% of normal (OR = 2.08); one or more anorexia symptoms (OR = 1.81); and sudden weight change (OR = 2.32). Ethnicity and income modified the relations. The data support an association of sexual assault history with eating disorder symptoms.

Adolescent↗

PubMed1995

Gender differences for the risk of alcohol-related problems in multiple national contexts.

The primary research question asked is: After holding alcohol consumption constant, will men and women be at equal risk for a variety of alcohol-related problems? Since women are actually at a higher blood alcohol content at the same consumption levels, a physiological argument would suggest that women are at equal or greater risk for alcohol problems than men. However, variation in societal norms surrounding gender roles and/or societal-level stress may mediate the experience of men and women, regardless of the differences in physiology. Ten cross-sectional general population studies are used. Analyses control for individual-level variables (age, quantity, and frequency of drinking) and societal-level variables (proportion of women in the work force and female suicide rate) that might confound these relationships; cross-study homogeneity is examined.

Alcohol Drinking↗

PubMed1994

Sexual assault history and physical health in randomly selected Los Angeles women.

Associations of sexual assault history with multiple measures of physical health were examined among randomly selected women living in Los Angeles (N = 1,610). Sexually assaulted women were more likely than nonassaulted women to report poor health perceptions, functional limitation, several chronic diseases, medically explained somatic symptoms, and medically unexplained somatic symptoms. Sexual assault was associated with increased risk of symptoms in a variety of organ systems rather than solely reproductive or sexual symptoms.

Adolescent↗

PubMed1994

Relationships of measures of alcohol consumption with alcohol-related problems in multiple studies: a research synthesis from the collaborative alcohol-related longitudinal project.

Two measures of alcohol consumption were used to predict groups of alcohol problems in 21 general population studies from 11 countries to determine (a) if quantity of drinking per occasion or frequency of drinking per month constituted significant "risk" for alcohol problems, having controlled for each as well as individual-level and aggregate-level variables which might confound these relationships and (b) if these associations were homogeneous across studies. A two-tiered analysis assessed these relationships within each study by modeling age, sex, quantity per occasion and frequency per month as predictors of alcohol problems. Meta-analysis combined test statistics to determine if they were homogeneous across studies. The meta-analysis was repeated, blocking for per capita consumption of alcohol (a trait of nations thought to measure drinking norms) and the female rate of suicide (a trait of nations thought to measure societal-level stress). When only individual-level variables were controlled (age and sex), both quantity and frequency were risk factors for each drinking problem. However, except in the case of the association of quantity with alcohol treatment, the magnitude of these risks were heterogeneous across studies. When blocking for the societal-level traits, each had more relevance for some, but not all, of the relationships between consumption and problems. Particularly striking was the well-documented finding that per capita consumption of alcohol significantly distinguished the relationships of frequency of drinking and health problems (while the female suicide rate did not) and the previously undocumented finding that the female suicide rate significantly distinguished the relationships of both quantity and frequency with treatment (while the per capita consumption of alcohol did not). These findings suggest that the impact of norms and the impact of societal stress in groups have different but significant consequences for the relationships of consumption to problems.

Adolescent↗

PubMed1994

Societal-level predictors of groups' drinking patterns: a research synthesis from the Collaborative Alcohol-Related Longitudinal Project.

OBJECTIVES: Period effects of per capita consumption of alcohol and divorce rates are assessed for change in quantity and frequency among age/sex groups in multiple longitudinal studies. METHODS: Twenty-five studies of quantity and 29 studies of frequency are used. Studies are from 15 nations and cover periods of 1 to 21 years. Models predict the standardized mean difference for quantity and frequency based on period effects and group-level and methodological variables. RESULTS: When both the period effects of per capita consumption and the divorce rate are considered, the divorce rate significantly predicts change in quantity and frequency. An increase in the divorce rate is associated with a stronger decrease in frequency among younger people; men are more likely than women to decrease their frequency of drinking when divorce rates rise. CONCLUSIONS: Multiple societal-level factors should be considered critical in influencing the drinking patterns of groups. These results suggest that an increase in the divorce rate is associated with more "dry" social contexts, characterized possibly by drinking patterns of a more "volitive" nature (i.e., heavier quantity per occasion and less frequent drinking).

Age Factors↗

PubMed1993

Risk factors for secondary depression among Mexican Americans and non-Hispanic whites. Alcohol use, alcohol dependence, and reasons for drinking.

We evaluated demographic (age, gender, income), cultural (ethnicity, acculturation), clinical (alcohol use, alcohol dependence), and motivational (subjective reasons for drinking) potential risk factors for secondary depression in 372 persons with lifetime alcohol abuse or dependence (from a randomly selected community sample of 2393). Lifetime alcohol abuse or dependence increased the risk of major depression by a factor of approximately 2 to 7. Recent secondary depression was present in 2% to 18% of persons meeting criteria for alcohol use disorders. Low income, female gender, and among Mexican Americans, low acculturation were associated with increased risk of secondary depression. Persons with lifetime alcohol diagnoses who currently drank, but did not name relaxation as a reason for drinking, were also at higher risk for secondary depression. Drinking to forget was associated with increased risk of secondary depression among Mexican American alcoholics, but not among non-Hispanic white alcoholics. Current abstinence was associated with greater risk among lifetime alcoholics born in Mexico, but not among those born in the United States.

Adult↗

PubMed1993

Alcohol use, depressive symptoms, and cultural characteristics in two Mexican-American samples.

We modeled associations of quantity and frequency of alcohol use with depressive symptoms (negative affect, lack of positive affect, somatic disturbance, interpersonal problems) in two household surveys of Mexican-Americans (Ns = 1,313 and 3,577). Multivariate analyses controlled cultural (immigration, acculturation) and demographic (age, income, household size, marital status, employment status) characteristics, and assessed interactions of these two classes of predictors. Alcohol use was inconsistently related to depression. In some analyses, cultural characteristics accounted for associations of alcohol use with depression. In others, associations of alcohol use with depression depended on cultural characteristics. Associations of drinking with depression tended not to be robust across samples.

Acculturation↗

PubMed1992

Family psychiatric history of patients with somatization disorder.

We estimated the prevalence of psychiatric disability and disorders (depression, mania, schizophrenia, alcohol disorder, drug disorder, antisocial personality, and somatization) in the parents, siblings, and children of three groups of index cases: primary care patients with somatization disorder (n = 70), primary care patients who approached, but did not reach, DSM-III-R criteria for somatization disorder (n = 29), and randomly-selected community residents with no psychiatric disorder (n = 1633). Nearly all psychiatric disorders were more common in relatives of both patient samples than in relatives of community residents, and the patient samples rarely differed from each other. In the patient samples, the 22.9% rate of patients with multiple unexplained medical problems is substantially higher than previous investigations of somatization would predict. The most common disorders in patients' relatives were depression and alcohol disorder. There was little difference in the rates of depression in relatives of somatization patients who were or were not themselves depressed. A similar pattern occurred for alcohol disorder. There was a high risk for antisocial personality disorder in parents of patients meeting DSM-III-R criteria for somatization disorder, but this increase was not found for other relatives.

Adult↗

PubMed1991

Does somatization disorder occur in men? Clinical characteristics of women and men with multiple unexplained somatic symptoms.

Somatization disorder is thought to be rare or nonexistent in men. We examined this hypothesis by assessing gender differences in DSM-III-R diagnostic status, demographic and clinical characteristics, functional limitations, self-reported health status, and psychiatric comorbidity in 30 men and 117 women who were referred for multiple unexplained somatic complaints. Twelve men and 68 women met DSM-III-R criteria for somatization disorder. Among those meeting criteria, there were few differences on any of the dimensions that were assessed. Different referral sources for women and men suggested differences in physicians' perceptions of somatic symptoms in men and women. We concluded that somatization disorder exists in men, and that women and men with somatization disorder show similar clinical characteristics.

Adult↗

PubMed1991

Responses to Depression Scale items among Mexican-Americans and non-Hispanic whites.

This study examined two possible patterns of ethnic differences in responses to Center for Epidemiologic Studies Depression scale items: isolated differences in relatively disparate items and consistent differences in conceptually related items. Data were from randomly selected household residents (4,222 Mexican-Americans, 1,063 non-Hispanic Whites). The most common symptoms reflected lack of positive affect; least common were crying, feelings of failure, and feeling disliked. Mexican-Americans were more likely than non-Hispanic Whites to report symptoms that reflect lack of positive affect, which suggests possible limitations on this dimension's cross-cultural validity. U.S.-born Mexican-Americans reported more somatic and negative affect symptoms than did the Mexican-born, which suggests an overall immigration difference in depressed mood.

Adult↗

PubMed1991

The relationship of function-specific mental health measures to psychiatric diagnoses.

This study examined the relationship of function-specific mental health measures, anxiety and depression subscales of the Mental Health Index (MHI), to psychiatric diagnoses of generalized anxiety disorder and major depression, as assessed by the Diagnostic Interview Schedule (DIS). Focusing on the clinical relevance of the MHI scales, we evaluated their performance in screening for DIS-diagnosable disorders in a sample of primary care patients with multiple unexplained somatic symptoms. Receiver Operating Characteristic curves and examples of sensitivity, specificity, and predictive value for different cutoff scores on the MHI are presented. When sensitivity is set at approximately 90%, positive predictive value exceeds 50%. Because the base rates of disorder in this sample are high, however, the screening measure has little independent usefulness. Similarly, cutoff scores yielding negative predictive value of approximately 90% fail to detect most of the true-negative cases. Future research should examine the use of these scales in other high-risk populations.

Anxiety Disorders↗

PubMed1991

Repeated sexual victimization.

Patterns of repeated victimization were investigated in a large community-based survey about sexual assault. Multiple victimization was common: of the 433 sexually assaulted respondents, two-thirds reported more than one incident; the average number of incidents per person was 3.2. Single- and multiple-incident victims of sexual assault did not differ on a wide range of variables including demographics, mental disorders, and general functioning (e.g., suicide attempts, family violence). Thus, once an initial victimization occurred, personal characteristics of the victim were not related to risk for subsequent sexual assault. Additional research which obtains more specific information on each event is needed to strengthen confidence in these findings. Considerations for research on multiple victimization are discussed. Further research may benefit from exploring contextual factors and using longitudinal research methods.

Adaptation, Psychological↗

PubMed1990

Ethnicity, culture, and social resources.

Assessed social integration (existence or quantity of relationships) and social (specifically, emotional) support in Mexican Americans (MAs) and non-Hispanic whites (NHWs). Ethnic differences were seen as arising from (a) demographic differences between ethnic groups that account for ethnic differences; (b) demographic attributes that have different associations with social resources for each ethnic group; (c) ethnic differences independent of these explanations. Study participants were 538 U.S.-born MA, 706 Mexico-born MA, and 1,149 NHW randomly selected community residents. Immigrants were more often married, and MAs and immigrants reported fewer friends and less emotional support, regardless of demographic attributes. Ethnic differences in demographic attributes accounted for MAs' and immigrants' smaller kin networks. Ethnic differences in demographic correlates of working accounted for MAs' lower employment rates.

Acculturation↗

PubMed1990

Depressed mood and major depressive disorder in two ethnic groups.

This study examines the relation of depressive mood, measured using the Center for Epidemiologic Studies Depression scale, with major depression, assessed using the Diagnostic Interview Schedule. Data are from 1244 Mexican American and 1149 non-Hispanic white randomly-selected community residents. Major depression is strongly related to depressed mood, irrespective of the persistence or content of mood, with some components of depressed mood (negative affect and somatic disturbance) more strongly associated with major depression than other components (lack of positive affect and interpersonal problems). Low socioeconomic status and social isolation contribute to depressed mood independent of major depression. Low education is associated with persistent depressed mood. Mexican Americans report more overall depressive mood than non-Hispanic whites, but there is no ethnic difference in major depression or in the mood symptoms most strongly related to major depression. Mexican Americans report more persistent symptoms than non-Hispanic whites in every content category. Ethnic differences in education appear to account for ethnic differences in all components of depressed mood except lack of positive affect, which may be attributable to language differences.

Adolescent↗

PubMed1990

Alcohol use and limitations in physical functioning in a sample of the Los Angeles general population.

The authors examined the relationships between drinking and perceived current health and physical functioning for a general household sample of Mexican Americans and non-Hispanic whites. These relationships differed by sex and by the presence or absence of medical and psychiatric comorbidity, but not by ethnicity. Among men with a chronic medical illness, current abstinence was uniquely associated with poor current health and physical functioning, especially when current abstinence was combined with a past history of alcohol disorder. Among men without a chronic medical illness, a history of alcohol disorder (irrespective of current drinking) was uniquely associated with poorer functioning. For women, among the medically or psychiatrically ill, drinking was not strongly associated with physical functioning; while among women without chronic medical or psychiatric illness, a history of drinking was uniquely associated with poor physical functioning. The authors interpret the findings in terms of adverse effects of drinking and chronic medical conditions on functioning and the tendency of physically limited and chronically medically ill persons to stop drinking.

Activities of Daily Living↗

PubMed1990

Immigration, stress, and depressive symptoms in a Mexican-American community.

This study assessed levels of depressive symptomatology in a household probability sample of Mexico-born (N = 706) and U.S.-born (N = 538) Mexican Americans. We hypothesized that immigration status differences in acculturation, strain, social resources, and social conflict, as well as differences in the associations of these variables with depression, would account for differences in depression between U.S.-born and Mexico-born respondents. U.S.-born Mexican Americans had higher depression scores than those born in Mexico. When cultural and social psychological variables were controlled in a multiple regression analysis, the immigrant status difference persisted. Tests of interaction terms suggested greater vulnerability to the effects of low acculturation and low educational attainment among the U.S.-born relative to those born in Mexico; however, the immigrant status difference persisted after controlling for these interactions. Unmeasured variables such as selective migration of persons with better coping skills, selective return of depressed immigrants, or generational differences in social comparison processes may account for the immigration status difference.

Acculturation↗