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The temporal relationship between hostility and depressed mood.

Nineteen depressed in-patients were studied in a follow-up design for 8 weeks or until discharge, using three depression scales and a hostility questionnaire. It was hypothesized within a cognitive theory of depression that, self-rated hostility being a measure of negative thoughts and attitudes, changes in hostility would precede mood changes. Analysis was by contemporaneous and cross-correlations between mood and hostility measures. High intercorrelations were obtained among the mood ratings which decreased significantly over time, as did two of the four hostility measures. The hypothesis was confirmed by the cross-correlations between nurses' mood ratings and intropunitiveness and direction of hostility. The cross-correlations with Beck and Hamilton scales supported the hypothesis at a non-significant level.

Adult↗

Hostile interaction in a general hospital ward leading to disturbed behaviour and bulimia in anorexia nervosa: its successful management.

A girl of 17 years with severe anorexia nervosa, treated on a medical ward in a teaching hospital, developed bulimia, stole food, was sometimes doubly incontinent, behaved angrily, and aroused the hostility of patients and staff. The growth of a vicious circle of hostility is described and it was hypothesized that the hostility had aggravated the bulimia. On the basis of this hypothesis the situation was clarified with the patient and staff, attitudes changed, the patient's appetite dropped within a day from about six times to one-and-a-half times the normal and her behaviour became normal. The significance of these events is briefly discussed.

Adolescent↗

Attitudes toward social work in family medicine: a before and after survey.

An initial survey of attitudes among Family Medical Center staff rated social work as highly consistent with the values of family medicine, capable of competently addressing difficult problems, and contributing valuably to a team approach to continuous and comprehensive family medical care. After integration of a social worker into the practice, a repeat survey documented significant attitude changes, rating social work as more competent, passive, and difficult, and lowering the estimate of patients potentially helped by a social worker from 38 percent to 31 percent. Such attitudes may influence the evolution of the social worker's role in the family medicine patient care team.

Attitude of Health Personnel↗

A study of maternal participation in preschool programs for handicapped children and their families.

This study investigates the effects on maternal attitudes toward child-rearing of preschool programs for handicapped children and their families. Two types of programs were studied: programs emphasizing maternal participation and those minimizing maternal involvement. It was hypothesized that programs which stress mothers' involvement would result in more positive attitude changes than programs de-emphasizing maternal participation. The findings indicate that maternal involvement and program support are critical variables in promoting positive attitudes toward child-rearing. The authors recommend that a multi-regional study be undertaken to determine the applicability of this study's findings. Such information would be useful in future program development and in the training of program personnel.

Adult↗

Drug prevention programs can work: research findings.

This paper reports findings of a subset of 91 programs, which included drug use measures, from the data base previously reported in the author's meta-analysis of 143 adolescent drug prevention programs. Treatment components of strategies successful in decreasing drug use by adolescents are discussed with regard to both the developmental stages of adolescents and the current etiology of drug abuse. Meta-analysis is briefly discussed. The focus is on issues rather than the actual research. Questions for future programming address theoretical assumptions and practical issues. Is attitude change a prerequisite for decreased drug use? This meta-analysis questions the validity of using knowledge and attitude measures as the only outcome measures. Successful program strategies require innovative planning and close attention to implementation factors. Answers to implementation questions require continued quality research. Implications for future planning may lie in the public policy arena.

Adolescent↗

Discrepancy, dissonance, and the "dissonant" smoker.

This paper reexamines, in the light of social psychological research, the theoretical assumptions made by McKennell and Thomas in their study of smoking habits and attitudes in Britain. One assumption made by them is that antismoking messages which are very discrepant from the opinions held by smokers should be avoided since they may produce attitude change in the opposite direction to that intended. It is argued that there is little empirical basis for this assumption, and that the discrepancy of a communication from the initial attitudes of a target audience is not necessarily the most important determinant of its effectiveness. McKennell and Thomas also distinguish "consonant" from "dissonant" smokers--the latter being those who say that they would like to give up smoking if they could do so easily. It is argued that the term "dissonant" is a misnomer when applied to smokers who see themselves as unable to choose not to smoke. Practical and theoretical implications are discuseed.

Adolescent↗

Group discussion and drug abuse prevention.

The present study examined the usefulness of applying a group discussion technique known as the choice shift procedure to drug abuse prevention. Choice shift discussions produced both immediate and long-term antiabusive changes in college womens' drug attitudes. A second intervention, public commitment, exerted a variable influence on immediate attitude change. These results suggest that the group choice shift procedure could prove to be a useful component of drug abuse prevention programs.

Adolescent↗

The effects of zero population growth on the incidence of cleft lip and palate in Western Australia.

A total of 613 cases of cleft lip, cleft palate, and combinations of both (CLP(P)) has been ascertained in the period from 1958 to 1975 in Western Australia. Near-total ascertainment of cases during this period was obtained from multiple sources. There has been a significant decline in the total incidence and the cleft lip and palate (CLP) incidence in males. The hypothesis is presented that these changes are linked to the changing fertility pattern throughout Australia (as technological improvements are made in the simplicity and efficacy of birth control), and abortion (as social attitudes change); and as the birthrate drops towards zero population growth (ZPG). The paper presents two critical observations: (i) the link between CLP(P) incidence, and demographic changes; (ii) in differing behaviour of cleft lip (CL) and CLP, which were previously regarded as linked conditions.

Australia↗

Sex role stereotypes: developmental aspects and early intervention.

A total of 122 children participated in 2 experiments that examined the utility of sumbolic modeling stimuli in modifying sex role stereotypes. Results disclosed that, while some aspects of sex role stereotypes are present at age 3, other aspects are acquired between the third and fourth year of life. Additionally, males were found to exhibit more stereotyped responses than females. As predicted, brief presentations of illustrated stories involving egalitarian sex role models reduced stereotypic thinking. Interaction effects revealed that an egalitarian literature presentation was more effective at age 5 than age 4 and more effective for females than males. Finally, egalitarian symbolic models in films p-oduced more enduring attitude change on several measures than similar models in picture books.

Age Factors↗

Problem oriented medical records: their impact on staff communication, attitudes and decision making.

A comparative, two-stage between hospital study involving university rehabilitation centers was undertaken to evaluate the impact of the problem oriented medical record (POMR) on staff communication, attitude change and decision making. Staff characteristics varied from one center to another. The semantic differential component of the project did not reveal any change due to the POMR in the staff perception of the medical record, the health care team or the various health professions. However, team function with respect to the management of specific patients improved in the centers which implemented the POMR during the time period of the project.

Attitude of Health Personnel↗

Sexual attitude reassessment workshops: effect on spinal cord injured adults, their partners and rehabilitation professionals.

Five workshops, focused on the sexuality of adults with acquired spinal cord injuries, were offered for rehabilitation professionals and spinal cord injures adults between December 1971 and October 1972 by the University of Minnesota's Program in Human Sexuality and Department of Physical Medicine and Rehabilitation. The fifth workshop was jointly sponsored with the American Academy of Physical Medicine and Rehabilitation (AAPM&R) and included an optional third day on sexual counseling. The objectives of the workshops were to assist the professional to be more helpful with others and the disabled to be more helpful to themselves. These objectives were accomplished by demythologizing sexual behavior, desensationalizing sexual stimuli and aiding the disabled person and professional to come to an understanding and acceptance of the sexuality of themselves as well as others. Preworkshop, immediately postworkshop and follow-up questionnaires evaluated the effects of the seminars upon all participants: disabled, able-bodied, professional and nonprofessional. Of the 76 who returned anonymous questionnaires mailed to the 95 spinal cord injured adults and their partners, 96.0 per cent reported that they were gland they attended, 82.8 per cent stated that they were personally benefited and 90.8 per cent reported that they would recommend the program to others like themselves. Of the 168 signed evaluations, 119 were returned by the professional group. Of 112 indicating that they or their institutions were currently involved in providing sexual counseling and education to the physically disabled, 97.3 per cent reported that the University of Minnesota workshop had given ideas, impetus or form to the current effort. Sexual attitudes and attitude changes in the AAPM&R-sponsered workshop were similar to those measured in participants in other workshops involving medical and seminary students and community members. Further workshops have been planned based upon these results.

Attitude to Health↗

Development and evaluation of social skills training for schizophrenic patients in remission.

Investigated were measures of self-esteem, self-perceived attitudinal dimensions and locus of control to assess the effects of group social skills training for schizophrenic psychiatric inpatients. A pretest, posttest control group design was employed utilizing forty subjects currently in treatment. It was hypothesized that short-term cognitively structured group therapy would realize significant improvement in self-esteem, internal locus of control and assertive attitude change. Significant mean differences between the treatment group's level of self-esteem, perceived assertive behavior and internal locus of control as a result of treatment were realized. Discussion of training methodology, issues and import for clinical applications and research are discussed.

Behavior Therapy↗

Effect of discussion seminars on the attitudes of dental students to clinical periodontal problems.

The effect of discussion seminars on the attitudes toward clinical problems within four affective domains in periodontics was studied in undergraduate dental students. Specially prepared case presentations which highlighted clinical problems were used in the seminars as well as for the evaluation. The tests were based upon the assumption that the viewpoints of the periodontal teachers are the correct ones and can be used to identify the affective objectives. The results of the present study indicate that the students' attitudes changed and became similar to the viewpoints of the faculty as an effect of the discussion seminars. This observation speaks in favor of the use of such seminars for effective teaching as a supplement to didactic teaching and clinical instruction.

Attitude↗

[Influence of an active attitude towards induction of labour, on the occurrence of pathological amniotic fluid - a comparison of the birth years 1967 and 1976 (author's transl)].

An analysis was made of discolored amniotic fluid when our attitude changed towards artificial birth induction. Whereas during 1967 only 8.2% of all births were induced, the total birth inductions during the second comparable year increased to 23.5%. This active interference at the end of the gestation period made it possible to reduce the occurrence of discolored amniotic fluid cases from 13.6% to 6.4%. It was thereby established that the lowered perinatal mortality was partially due to this very significantly reduced occurrence of discolored amniotic fluid. The increased surgical termination of pregnancy, in this group lowered the infant mortality from 2,1% to 0,9%. Based on our observations we feel that in a secured gestation period close to the end of term, active obestrical interference is indicated and in cases of discolored amniotic fluid immediate assistance in terminating the pregnancy is required.

Amniotic Fluid↗

Reducing the risk of cardiovascular disease: effects of a community-based campaign on knowledge and behavior.

In 1972 the Stanford Heart Disease Prevention Program launched a three-community field study. A multimedia campaign was conducted for two years in two California communities (Watsonville and Gilroy), in one of which (Watsonville) it was supplemented by an intensive-instruction program with high-risk subjects. A third community (Tracy) was used as a control. The campaigns were designed to increase participants' knowledge of the risk factors for cardiovascular disease, to change such risk-producing behavior as cigarette smoking, and to decrease the participants' dietary intake of calories, salt, sugar, saturated fat, and cholesterol. Results of a sample survey indicate that substantial gains in knowledge, in behavioral modification, and in the estimated risk of cardiovascular disease can be produced by both methods of intervention. The intensive-instruction program, when combined with the mass-medica campaign, emerged as the most effective for those participants who were initially evaluated to be at high risk. The results after two years of intervention are reported for effects on knowledge and behavioral change for the total participant samples and for the high-risk subsamples in each of the three communities.

Attitude to Health↗

Emotional and Cognitive Processes Underlying Persuasion, Moderating Factors, and Physiological Reactions: A Systematic Review.

Persuasion is a type of social influence aiming to produce changes in others' attitudes or behaviors. This study explores the relationship between emotions and persuasion, principal moderating factors, and physiological reactions during persuasive attempts. Following PRISMA guidelines, 28 empirical articles were analyzed, addressing emotions, affective/cognitive orientations, framing effects, and psychophysiological reactions. Mixed findings emerged regarding emotions, with fear appeals being effective in health education, while more recent studies favor the use of positive persuasive messages to increase behavior intention. Principal moderating factors included personal relevance, need for cognition (NFC) and need for affect (NFA), thought confidence, vulnerability, and efficacy beliefs. Psychophysiological studies revealed distinct physiological arousal during persuasion processing compared to a rest state. In addition, a greater misalignment between current behavior and the persuasive attempt led to perceived freedom threat and psychological reactance. These insights enhance persuasive effectiveness and deepen understanding of persuasion processes, guiding future research directions.

Humans↗