Biomedical subjects

K E Waldie

Publications and source records attributed to K E Waldie.

11 recordsLinked to original sources

PubMed2002

Physical and psychological correlates of primary headache in young adulthood: a 26 year longitudinal study.

OBJECTIVES: To determine if physical and/or psychological risk factors could differentiate between subtypes of primary headache (migraine, tension-type headache (TTH), and coexisting migraine and TTH (combined)) among members of a longitudinal birth cohort study. METHODS: At age 26, the headache status of members of the Dunedin Multidisciplinary Health and Development Study (DMHDS) was determined using International Headache Society criteria. Headache history and potential physical and psychological correlates of headache were assessed. These factors included perinatal problems and injuries sustained to age 26; and behavioural, personality, and psychiatric disorders assessed between ages 5 to 21. RESULTS: The 1 year prevalences for migraine, TTH, and combined headache at the age of 26 were 7.2%, 11.1%, and 4.3%, respectively. Migraine was related to maternal headache, anxiety symptoms in childhood, anxiety disorders during adolescence and young adulthood, and the stress reactivity personality trait at the age of 18. TTH was significantly associated with neck or back injury in childhood (before the age of 13). Combined headache was related to maternal headache and anxiety disorder at 18 and 21 only among women with a childhood history of headache. Headache status at the age of 26 was unrelated to a history of perinatal complication, neurological disorder, or mild traumatic head injury. CONCLUSIONS: Migraine and TTH seem to be distinct disorders with different developmental characteristics. Combined headache may also have a distinct aetiology.

Adult↗

PubMed2001

Determinants of early- vs late-onset dental fear in a longitudinal-epidemiological study.

A longitudinal investigation of risk factors for early- and late-onset dental fear was conducted. Early-onset dental fear was related to conditioning experiences (indexed via caries level and tooth loss), service use patterns, stress reactive personality and specific beliefs about health professionals. Late-onset dental fear was related to aversive conditioning experiences, irregular service use and an external locus of control. In contrast to recent findings for dental anxiety, personality factors were not strongly related to the onset of dental fear in young adulthood. The key role played by conditioning events in the development of both early- and late-onset dental fear was confirmed. Conditioning events appear to play a different role in the development of dental fear vs dental anxiety. This may reflect important, but largely ignored differences between these two closely-related constructs. Interventions for early-onset dental fear should aim to modify both the dental fear and the personality vulnerabilities that may contribute to the development of dental fear early in the life-course.

Adolescent↗

PubMed2001

Failure to overcome 'innate' fear: a developmental test of the non-associative model of fear acquisition.

The non-associative, Darwinian theory of fear acquisition proposes that some individuals fail to overcome biologically-relevant fears (e.g. height) because they (1) do not have sufficient safe exposure to the relevant stimuli early in life or (2) are poor habituators who have difficulty 'learning not to fear'. These two hypotheses were tested in a longitudinal birth cohort study. Study 1 found evidence for reduced exposure to height stimuli in childhood for individuals with a fear of heights compared to study members without fear. Study 2 found evidence for higher levels of stress reactivity (a proxy for habituation) in childhood and adolescence among 18-year-old height phobics compared to study members with dental phobia and those with no fear. The results were discussed in relation to recent findings suggesting that some evolutionary-relevant fears may appear in the absence of traumatic 'learning' experiences. The merits of adding a fourth, non-associative pathway to Rachman's [Rachman, S. (1977)]. The conditioning theory of fear acquisition: a critical examination. Behaviour Research and Therapy, 15, 375-387) three pathways model of fear acquisition were briefly considered.

Adolescent↗

PubMed2001

Childhood headache, stress in adolescence, and primary headache in young adulthood: a longitudinal cohort study.

OBJECTIVES: To determine the association between childhood history of headache, adolescent stress, and headache syndromes (determined by International Headache Society criteria) in young adulthood. BACKGROUND: The association between stress and tension-type headache has recently been challenged. Little is known about stress and other headache subtypes, particularly among young people from the general population. DESIGN: Members of the longitudinal Dunedin Multidisciplinary Health and Development Study participated in this study. Study members were asked about headache characteristics/symptoms at aged 26 (96% of the living cohort), and historical records were examined to ascertain headache history (younger than 12 years) and the reporting of stressful life events at aged 15 years. RESULTS: Study members with childhood headache were significantly more likely to report adolescent stress than those without headache. High-intensity stress during mid adolescence increased the likelihood of migraine diagnosis. In those with combined headache (migraine as well as tension-type headache), this relation held only for those with a history of headache. Stress associated with bodily changes during mid adolescence was the only significant predictor of tension-type headache. CONCLUSIONS: Childhood headaches are related to the appraisal of life events reported during mid adolescence. Childhood headaches also appear to confer a specific risk for the development of combined headache. There was little evidence for a prospective relation between stress in mid adolescence and tension-type headache in young adulthood, supporting claims that proximal (rather than distal) stress is associated with this disorder.

Adolescent↗

PubMed2000

Hemispheric specialization for reading.

Behavioral laterality tasks with linguistic stimuli were used to assess the differential processing efficiencies of the cerebral hemispheres in right- and left-handed adults. Findings from a lateralized lexical decision task with concrete nouns supported Zaidel's (1983) "direct access" model of hemispheric functioning. A dual task consisting of oral and silent reading indicated that the right hand was significantly more disrupted than the left during unimanual finger tapping; however, some bilateral interference was observed. Taken together the findings suggest that although the left hemisphere was relatively more efficient, the right hemisphere was dynamically involved in the reading process.

Adult↗

PubMed2000

Users of unconventional practitioners: a profile of 26 year old New Zealanders.

AIMS: To profile 26 year old New Zealand users of unconventional practitioners. METHODS: 977 members of the Dunedin Multidisciplinary Health and Development Study participating in the age-26 assessment (1998-1999) answered questions about twelve-month service use, education, income, recent medical history, current health status and avoidance of medical situations. RESULTS: 10% had used an unconventional practitioner in the previous twelve months. The majority (88%) had also used a conventional practitioner. Those using both types of practitioner were heavy users of health services (twelve visits/year). Compared to those who used conventional practitioners exclusively, they had significantly higher incomes and were more likely to report a serious injury, a current disability, a history of back problems, role limitations due to physical health problems, and more bodily pain (all p < 0.01). CONCLUSIONS: 26 year old New Zealand users of unconventional practitioners have a similar profile to their counterparts in other developed countries. It appears that their health needs are not fully met by conventional services, emphasising the need for more research into the aetiology and treatment of ailments (e.g. back pain) for which unconventional practitioners are commonly sought. The Medical Council of New Zealand guidelines on unconventional medicine are discussed in light of these findings.

Adult↗

PubMed2000

Dishabituation processes in height fear and dental fear: an indirect test of the non-associative model of fear acquisition.

The fear dishabituation hypothesis described in the non-associative model of fear acquisition was tested in a longitudinal birth cohort study. Results were consistent with height fear and phobia dishabituation. That is, 're-emergence' of a fear of heights occurred between age 11 and 18 years among individuals who reported higher levels of non-specific stress at age 15. Interestingly, there was no evidence for dental fear dishabituation--a finding consistent with the non-associative model of fear acquisition. Strengths and weaknesses of the study were considered and the results discussed in relation to laboratory-based findings on (dis)habituation.

Adolescent↗

PubMed2000

Developmental trends in right hemispheric participation in reading.

Behavioral laterality tasks assessed the differential processing efficiencies of the cerebral hemispheres in younger and older reading-age children. Lateralized lexical decision task findings supported a "direct access" model of hemispheric processing for the younger children whereas the older children demonstrated a "callosal relay" pattern. A dual-task with oral and silent reading indicated that the right hand was significantly more disrupted than the left during unimanual finger tapping. The findings suggest that although the left hemisphere's involvement during reading is developmentally stable, the involvement of the right hemisphere appears to change dynamically as reading experience increases.

Adolescent↗

PubMed2000

The effects of pre- and post-natal sunlight exposure on human growth: evidence from the Southern Hemisphere.

Several recent studies have reported a causal association between stature and month of birth. Perinatal exposure to sunlight has been suggested as the principal factor underlying this relationship, although the mechanisms involved remain a matter of debate. The longitudinal design of the present study allowed us to directly test the influence of perinatal sunlight exposure (and other meteorological and behavioural factors) on body size at birth and at regular intervals up to age 26. The findings confirmed that pre-natal sunlight is one of the most significant determinants of height. However, the trimester of greatest influence differs depending on the age at which study members were measured.

Birth Weight↗

PubMed2000

The effect of callosotomy on novel versus familiar bimanual actions: a neural dissociation between controlled and automatic processes?

The corpus collosum is the large band of fibers that connects the two cerebral hemispheres of the brain. Individuals who have had the fibers of these tracts surgically severed by callosotomy are able to draw two different spatial figures simultaneously using the left and right hands, without evidence of interactions in the spatial planning processes. Paradoxically, tasks (e.g., tying shoes) that appear to depend on spatial interactions between the left and right hands, each of which is controlled by a separate cerebral hemisphere, pose little difficulty. How can this be? In the study reported here, we observed that well-learned cooperative actions of the hands remain intact in 2 callosotomy patients, whereas actions novel to these patients are virtually impossible for them to produce without visual guidance. We infer that duplicate memory engrams of well-learned actions can be accessed by both cerebral hemispheres without callosal mediation, whereas callosal interactions are necessary for precise cross-matching of sensory information during spatial planning or perceptual-motor learning.

Adult↗

PubMed1996

Self-enhancing effect of social feedback on cognitive task performance.

The influence of feedback on the cognitive task performance of individuals with high and low self-esteem was assessed (Coopersmith Self-Esteem Inventory, Form A). A median split technique segregated each group (30 adults with mental retardation and 30 MA-matched controls) into high and low self-esteem individuals. All subjects performed two memory tasks (easy, difficult) but were randomly assigned to only one of three feedback conditions (social, computer, and no feedback). Findings indicated that social feedback can alter the normally positive relation between self-esteem and cognitive task performance.

Adult↗